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tients do not require airway intervention; however, multiple studies have shown that as many as 35% of patients may require urgent airway intervention. A reasonable percentage of these patients may require urgent tracheotomy. A history of laryngeal cancer and treatment with radiation and/or chemotherapy in an adult with supraglottitis strongly correlates with the need for urgent tracheotomy.Significance: Adult supraglottitis has been well reported and studied in the literature; however, there has not been any study to date identifying clinical features of this condition that correlate with the need for a tracheotomy. Our study identifies a high-risk variable strongly correlating with the need for tracheotomy.Support: None reported.