Orofacial infection and influencing factors on prolonged hospital stay: A four year retrospective study of 207 cases

Yew, Ching Ching; Ng, Mee Poh; Ling, Xiao Feng; Tew, Mei Mei

doi:10.1016/j.ajoms.2020.06.007

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…Because most patients are covered by the NHI, patients may present to the hospital earlier in their disease course, a more aggressive treatment approach may be followed, and length of care is not a consideration, all of which would increase the probability of complete resolution of the infection. A similar finding was reported in a previous study by Yew et al 16 , who attributed the low rates of severe complications and mortality among patients with orofacial infections in their study to the affordability and accessibility of the Malaysian public healthcare service. The poor oral health status and treatment outcomes among populations at the lower end of the socioeconomic scale, and the need for improved access to healthcare for this socioeconomic group have been emphasized in a recent report by Kruger and Tennant 27 .…”

Section: Discussionsupporting

confidence: 90%

“…This is in accordance with a previous Korean review that reported the rate of maxillofacial infections due to odontogenic infections in Korea to be 92.47% 17 . However, this figure is much higher than those previously documented by other researchers for hospitalized patients of 61.8% to 71.0% 7 , 13 , 14 , 16 , 20 . This is probably due to the nature of the present study, in which only patients admitted to the oral and maxillofacial department were included in the statistical analysis.…”

Section: Discussioncontrasting

confidence: 69%

“…Mean age of occurrence for severe maxillofacial infections requiring hospitalization was 54.69 years. This is a significantly older age than reported in previous studies [1][2][3][5][6][7][8][11][12][13][14][15][16][17][18] , which reported severe maxillofacial infections around the fourth and fifth decades of life. This is also higher than the reported mean age of 47.13 years in a previous Korean study by Park and colleagues on maxillofacial patients who presented to the ER 17 .…”

Section: Demographic Characteristicscontrasting

confidence: 51%

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Factors associated with treatment outcomes of patients hospitalized with severe maxillofacial infections at a tertiary center

Kim

2021

JKAOMS

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Objectives: The purpose of this retrospective study was to evaluate the variables associated with length of stay (LOS), hospital costs, intensive care unit (ICU) use, and treatment outcomes in patients hospitalized for maxillofacial infections at a tertiary medical center in South Korea. Materials and Methods: A retrospective chart review was conducted for patients admitted for treatment of maxillofacial infections at Dankook University Hospital from January 1, 2011 through September 30, 2020. A total of 390 patient charts were reviewed and included in the final statistical analyses. Results: Average LOS and hospital bill per patient of this study was 11.47 days, and ₩4,710,017.25 ($4,216.67), respectively. Of the 390 subjects, 97.3% were discharged routinely following complete recovery, 1.0% expired following treatment, and 0.8% were transferred to another hospital. In multivariate linear regression analyses to determine variables associated with LOS, admission year, infection side, Flynn score, deep neck infection, cardiovascular disease, admission C-reactive protein (CRP) and glucose levels, number and length of surgical interventions, tracheostomy, time elapsed from admission to first surgery, and length of ICU stay accounted for 85.8% of the variation. With regard to the total hospital bill, significantly associated variables were age, type of insurance, Flynn score, number of comorbidities, admission CRP, white blood cell, and glucose levels, admission temperature, peak temperature, surgical intervention, the length, type, and location of surgery, tracheostomy, time elapsed from admission to first surgery, and length of ICU use, which accounted for 90.4% of the variation. Age and ICU use were the only variables significantly associated with unfavorable discharge outcomes in multivariate logistic regression analysis. Conclusion: For successful and cost-effective management of maxillofacial infections, clinicians to be vigilant about the decision to admit patients with maxillofacial infections, perform appropriate surgery at an adequate time, and admit them to the ICU.

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Section: Discussionsupporting

confidence: 90%

Section: Discussioncontrasting

confidence: 69%

Section: Demographic Characteristicscontrasting

confidence: 51%

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Factors associated with treatment outcomes of patients hospitalized with severe maxillofacial infections at a tertiary center

Kim

2021

JKAOMS

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“…Besides NLR, factors that influence the therapeutic response are smoking, expanding to other deep neck spaces, age and complication. 12,19,29,30 The difference in this study result between NLR and therapeutic response was caused by several reasons. First, CT-Scan was not performed routinely.…”

Section: Discussionmentioning

confidence: 83%

Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

Chamora¹,

Murdiyo²,

Maharani³

2022

Oto Rhino Laryn Indones

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Background: Submandibular abscess is one of the most common deep neck abscesses and associated with fatal complications which require adequate management. Diabetes mellitus (DM) is a chronic and complex disease that necessitates ongoing medical care with a multifactorial risk reduction strategy in addition to blood sugar control. The neutrophil lymphocyte ratio (NLR) is a simple marker for the systemic inflammatory conditions. An increased NLR values were found in patients with submandibular abscesses and patients with DM. Purpose: To determine the correlation between NLR to the therapeutic response of patients with submandibular abscesses with and without DM. Method: A cross-sectional study design with secondary data collection from medical records of submandibular abscess patients with and without DM. NLR value was compared between two groups. Correlation between NLR value and therapeutic response was compared between DM and non DM group. Result: The mean NLR of patients with and without DM were respectively 7.65 ± 4.92 and 16.53 ± 11. There was no significant difference between NLR and good therapeutic response or not in submandibular abscess patients with and without DM (p > 0.05). Conclusion: NLR of submandibular abscess patients with DM was lower than without DM. A lower NLR in submandibular abscess patients with DM did not have better response to therapy. Lower LNR in submandibular abscess patients without DM had a better therapeutic response, but it was not statistically significant.Keywords: neutrophil lymphocyte ratio, response to therapy, submandibular abscess, diabetes mellitusABSTRAKLatar belakang: Abses submandibula merupakan salah satu abses leher dalam yang paling sering ditemui dan berkaitan dengan komplikasi yang fatal sehingga diperlukan penatalaksanaan yang memadai pada pasien. Diabetes mellitus (DM) merupakan penyakit kronis dan kompleks, yang memerlukan perawatan medis berkelanjutan dengan strategi mengurangi risiko multifaktorial selain kontrol gula darah. Rasio neutrofil limfosit (RNL) merupakan penanda sederhana adanya kondisi inflamasi sistemik. Peningkatan nilai RNL ditemukan pada pasien dengan abses submandibula dan pasien DM. Tujuan: Mengetahui hubungan RNL terhadap respon terapi penderita abses submandibula dengan DM dan tanpa DM. Metode: Penelitian cross-sectional, sampel penelitian dari arsip rekam medis rawat inap pasien dengan diagnosis abses submandibula baik dengan komorbid DM dan tanpa komorbid DM. Nilai RNL dibandingkan diantara kedua kelompok. Hubungan nilai RNL dan respon terapi dibandingkan diantara kelompok DM dan tanpa DM. Hasil: Rerata nilai RNL pada pasien abses submandibula dengan komorbid DM sebesar 7,65 + 4,92 dan pada pasien tanpa komorbid DM sebesar 16,53 + 11. Tidak ada perbedaan yang signifikan antara nilai RNL terhadap respon terapi baik dan tidak baik pada pasien abses submandibula dengan komorbid DM dan tanpa DM (p>0,05). Kesimpulan: RNL penderita abses submandibula dengan DM lebih rendah daripada penderita tanpa DM. RNL yang lebih rendah tidak memiliki respon terapi yang lebih baik pada penderita abses submandibula dengan DM. RNL yang lebih rendah memiliki respon terapi yang lebih baik pada penderita abses submandibula tanpa DM, namun tidak bermakna secara statisitik.Kata kunci: rasio neutrofil limfosit, respon terapi, abses submandibula, diabetes mellitus

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“…Likewise, other studies have reported similar trends. 12 Moreover, the correlation of age and site of facial space involvement by odontogenic infection was evaluated statistically and found not signicant (p value > 0.05 in all cases).…”

Section: Discussionmentioning

confidence: 96%

Systemic Comorbidities in Patients with Primary Fascial Space Infections of Odontogenic Orogin: Experience of a Tertiary Care Center

Zamir¹,

Ali

Khan

et al. 2023

J Gandhara Med Dent Sci

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OBJECTIVES To assess systemic immune-compromised comorbidities in patients presenting with odontogenic infections that extend to fascial spaces. This study was designed to investigate the incidence of immune-compromising systemic comorbidities among patient presenting with odontogenic infections.METHODOLOGY This cross-sectional study was performed at the Department of Maxillofacial Surgery, Hayatabad Medical Complex (HMC) Peshawar from October 2018 through April 2019. However, patients older than 10 years of age, presenting with fascial space infections other than odontogenic cause, secondary fascial space infections and patients with multiple organ failure were excluded. The odontogenic infections were categorized according to their anatomical location. The prevalence of comorbidities was also assessed.RESULTSA total of 145 patients were included, where the male to female ratio was 3.8:1, mean age ~ 56 ± 14.74 years (range: 12-80 years) and mean duration of the odontogenic infections was 5± 1.2 days. The submandibular space was the most frequent site involved in odontogenic infections with a frequency of 60 (41.4%), followed by buccal space with 44 (30.3%) patients & canine space with 31 (21.4%) patients. Of the 79 patients with comorbidities out of total 145 patients, diabetes mellitus was recorded in 60 patients. Other comorbidities included hypertension, renal and hepatic impairment. CONCLUSION Diabetes mellitus was the most common immune compromising comorbidity presented in patients with odontogenic infections extending in fascial spaces. Assessment of diabetes in routine dental practice is emphasized to avoid exacerbation of the odontogenic infections.

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Orofacial infection and influencing factors on prolonged hospital stay: A four year retrospective study of 207 cases

Cited by 5 publications

References 22 publications

Factors associated with treatment outcomes of patients hospitalized with severe maxillofacial infections at a tertiary center

Factors associated with treatment outcomes of patients hospitalized with severe maxillofacial infections at a tertiary center

Association Neutrophil Lymphocyte Ratio and Therapy Respons in Submandibular Abscess with and without Diabetes

Systemic Comorbidities in Patients with Primary Fascial Space Infections of Odontogenic Orogin: Experience of a Tertiary Care Center

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