Eustachian tube dysfunction in an intensive care unit: A prospective observational study
| Autor: | Lav Pathak, S. P. Singh, A. K. Mishra, J R Galagali, M. Bharath |
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| Rok vydání: | 2023 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty medicine.diagnostic_test business.industry health care facilities manpower and services medicine.medical_treatment 030106 microbiology General Medicine Disease Tympanometry Intensive care unit law.invention Radiation therapy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure law Relative risk Internal medicine Cohort Medicine Observational study 030212 general & internal medicine business Nose |
| Zdroj: | Medical Journal Armed Forces India. 79:87-92 |
| ISSN: | 0377-1237 |
| Popis: | Eustachain tube (ET) dysfunction can aggravate the morbidity in ICU patients, but is often ignored. In this prospective observational study we followed a cohort of patients (without pre-existing ET dysfunction) requiring in-patient management, hospitalized either to ICU or to non ICU wards, for any development of ET dysfunction during hospitalization.Patients requiring hospitalization to ICU or non ICU wards from Dec 2018 to Jun 2019 were included. Those with pre-existing ET dysfunction, disease of ear/nose or sinuses, head neck tumours and history of radiotherapy or glucocorticoid therapy were excluded. All patients were evaluated by serial tympanometry. Type A curve was considered normal while type B, C1 and C2 were considered as ET dysfunction.There were 385 patients, 258 (67.01%) males and 127 (32.99%) females in the ICU group; while non ICU group comprised 129 patients, 86 (66.67%) males and 43 (33.33%) females. ET dysfunction developed in 107 (27.79%) patients in ICU group, but only in 3 (2.3%) in non ICU group (Relative risk 11.95, 95% CI 3.86 to 36.99, P 0.0001). Within ICU, ET dysfunction showed significant positive association with endotracheal intubation, Ramsay sedation score and number of days on tracheostomy; but not with age, male gender, number of days in ICU, mechanical ventilation or route of feeding.Our study demonstrates high incidence of ET dysfunction in patients admitted to ICU. |
| Databáze: | OpenAIRE |
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