Predictive factors of hospital stay in patients with odontogenic maxillofacial infections: the role of C-reactive protein

Stathopoulos, Panagiotis; Igoumenakis, Dimosthenis; Shuttleworth, James; Smith, Weldon Zane; Ameerally, Phillip

doi:10.1016/j.bjoms.2016.11.004

Cited by 43 publications

(19 citation statements)

References 12 publications

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“…The mean age found in both groups fluctuated in the early years of the fourth decade of life (with no significant difference), being in agreement with other studies (Flynn et al, 2006;Stathopoulos et al;S¸entürk et al, 2016). One study points out that adults in the 31-50 age range are more prone to neglect oral health (Mathew et al, 2012).…”

Section: Resultssupporting

confidence: 89%

“…The attendingp professional may use clinical and laboratory data in an attempt to classify the case as simple or complex. The signs and symptoms vary considerably from local edema to a life-threatening condition, and despite the evolution of health services, the course of infection may be unpredictable and lead to severe complications or even death (Ylijoki et al;Camino Junior et al, 2014;Stathopoulos et al, 2016). Changes in vital signs such as heart rate, breathing rate, blood pressure, and temperature, may also be helpful.…”

Section: Introductionmentioning

confidence: 99%

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Changes in Vital Signs and Laboratory Tests in Patients with Odontogenic Infections Requiring Hospitalization

Pavan¹,

Rocha-Junior²,

Gitt³

et al. 2020

Int. J. Odontostomat.

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The purpose of this study was to evaluate the changes in vital signs and laboratory tests of patients with odontogenic infections who required hospitalization as well as checking their effectiveness in determining the severity of the case and possible correlations with the length of stay. Patients with odontogenic infections who required hospitalization were assessed prospectively between October 2016 and April 2018. The patients were divided into two groups considered as simple (Group 1) or complex (Group 2) cases according to the length of stay. The personal data, comorbidities, signs and symptoms, vital signs and laboratory tests were analyzed. In this study, 84 cases of maxillofacial infections were detected and 50 cases of odontogenic infections were included. There were significant increases in heart rate (p = 0.012), leukocytosis (p = 0.037), neutrophilia (p = 0.021), neutrophil/lymphocyte (N/L) ratio (p = 0.044) and C-reactive protein (CRP) levels (p = 0.004) in Group 2. Additionally, there were positive correlations between the length of stay and the following variables: heart rate (p = 0.028), leukocytosis (p = 0.045), neutrophilia (p = 0.033), N/L ratio (p = 0.041) and CRP level (p = 0.003). The N/L ratio was found to have a greater value in regression analysis. It was concluded that there were significant increases in heart rate, leukocytosis, neutrophilia, N/L ratio and CRP levels for the complex cases. There were also positive correlations between the length of stay and the following variables: heart rate, leukocytosis, neutrophilia, N/L ratio and CRP level.

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Section: Resultssupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Changes in Vital Signs and Laboratory Tests in Patients with Odontogenic Infections Requiring Hospitalization

Pavan¹,

Rocha-Junior²,

Gitt³

et al. 2020

Int. J. Odontostomat.

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“…Also in accordance were the results of Seppanen et al [14], Lemberg et al [15] who found that patients without preceding treatment had the highest CRP levels and WBC counts, length of stay of such patients was also longer and they more often needed intensive care than the other patients. The results of the present study are supported by Sharma et al [7], Ylijoki et al [1], Sharma et al [8] and Stathopoulos et al [16].…”

Section: Discussionsupporting

confidence: 88%

Correlation Between Clinical Course and Biochemical Analysis in Odontogenic Space Infections

Kaur¹,

Sandhu²,

Kaur³

et al. 2018

J. Maxillofac. Oral Surg.

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Objective To correlate the clinical course and biochemical analysis in odontogenic space infections. Methods A randomized prospective study was undertaken in 50 patients presenting with infections of odontogenic origin. The data were subjected to statistical analysis to corelate the values of CRP, WBC count and ESR with the clinical course of odontogenic infections. The statistical analysis was carried out using SPSS Version 17.0 clinical parameters included pain, swelling, mouth opening, dyspnea, dysphagia, hoarseness, body temperature, active discharge, length of hospital stay and number of fascial spaces involved. Results There was a significant correlation between all the clinical parameters and biochemical markers preoperatively as well as on various postoperative days. Conclusion According to the percentage rate of fall, CRP was considered as the best indicator of clinical course/ recovery of the patient, followed by WBC count and ESR, respectively.

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“…In this study, the patients had an average age of 46.1 years and 61.5% of this population were men, which is comparable to those of other studies in this field [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. The fact that a very similar mean age and mean gender was encountered is a factor favouring the quality of the population.…”

Section: Discussionsupporting

confidence: 85%

Is there need for technical investigations in order to predict potential length of hospital stay of oral infections?

Smeets

Gemels

Groeneveldt

et al. 2019

The American Journal of Emergency Medicine

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Based on the statistical analysis of this population, the research group concludes that a thorough anamnesis and clinical examination should be accompanied by a blood analysis of CRP and white blood cell counts. Only then can a well-founded decision be reached on the severity of the case and the need for hospital admission. In an acute setting, radiological imaging is not required for assessing future morbidity, but it should be performed when accessible.

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Predictive factors of hospital stay in patients with odontogenic maxillofacial infections: the role of C-reactive protein

Cited by 43 publications

References 12 publications

Changes in Vital Signs and Laboratory Tests in Patients with Odontogenic Infections Requiring Hospitalization

Changes in Vital Signs and Laboratory Tests in Patients with Odontogenic Infections Requiring Hospitalization

Correlation Between Clinical Course and Biochemical Analysis in Odontogenic Space Infections

Is there need for technical investigations in order to predict potential length of hospital stay of oral infections?

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