The Cause of Cost in the Management of Odontogenic Infections 2: Multivariate Outcome Analyses

Christensen, B.; Han, Michael; Dillon, Jasjit K.

doi:10.1016/j.joms.2013.05.027

Cited by 17 publications

(17 citation statements)

References 7 publications

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“…Regression analysis showed a statistically significant association between long-term hospital admission and patients being of an older age and having diabetes. This finding was consistent with other studies [4–6, 12, 15, 22, 23]. Interestingly, several variables indicating the severity of infection were not associated with an increased length of hospitalization.…”

Section: Discussionsupporting

confidence: 93%

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A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward

Park

Lee

Hwang

et al. 2019

Maxillofac Plast Reconstr Surg

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BackgroundThe purpose of this study was to review the clinical features of oromaxillofacial infections in patients presenting to a hospital emergency ward, to identify the key factors affecting the requirement for hospitalization, and the potential risk factors predisposing to a prolonged length of hospital stay.MethodsA retrospective medical record review of the 598 patients treated for oromaxillofacial infection from 2013 to 2017 at the oral and maxillofacial surgery department, Yangsan Pusan National University Hospital, was conducted. The following information was collected from each patient: sex, age, past medical history, site of infection, etiology, admission or outpatient care, level of C-reactive protein (mg/dL), fascial spaces involved, treatment method, and duration of hospitalization. Chi-squared tests were used to identify risk factors, which were further analyzed using multivariable logistic regression.ResultsA total of 606 patients were eligible for inclusion in the study, of which eight were excluded due to having incomplete charts; thus, 598 patients were included: 55% were male, mean patient age was 47.1 ± 19.9 years, and 12.9% of patients were diabetic. Furthermore, 71.2% of patients had infection originating in the mandible; the most common tooth of origin was lower posterior, and 29.8% of patients were hospitalized. Risk factors for hospital admission were elderly patients with concurrent disease, elevated C-reactive protein level, and multiple-space infection in the oromaxillofacial area. The duration of hospitalization was correlated with both diabetes and age.ConclusionsThe requirement for hospital admission is determined by the severity of the infection; even severe infections, once treated with appropriate surgery, have no relation to the length of hospital stay. The important risk factors for increased duration of hospitalization are diabetes mellitus and older age. The understanding of risk factors associated with a prolonged hospital stay during the treatment of oromaxillofacial infection will aid in treatment planning as well as highlight the importance of adequate diabetes control in patients at risk of such infection.

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Section: Discussionsupporting

confidence: 93%

“…In this study, males predominated (55.35%); Zhang et al [1] reported the proportion of males to be 59.0%. Many other authors also reported a predominance of males, as high as 66% [15, 16]. The mean age of patients in this study was 47.13 ± 19.9 years, similar to that of Zhang et al [1] (47.5 years) and Allareddy et al [17] (40 years).…”

Section: Discussionsupporting

confidence: 89%

A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward

Park

Lee

Hwang

et al. 2019

Maxillofac Plast Reconstr Surg

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“…The mean LOS in our study was 15.0±7.6 days, and this is higher than the 3.1 to 5.2 days observed in other studies 3 4 6 11 12 . The LOS has been reported to be positively correlated with age, presence of co-morbidity, temperature on admission, number of involved anatomical spaces, use of intensive care unit (ICU), and involvement of deep spaces 3 5 11 23 . None of our patients required ICU admission.…”

Section: Discussionmentioning

confidence: 99%

Cervicofacial infection in a Nigerian tertiary health institution: a retrospective analysis of 77 cases

Fomete

Agbara

Osunde

et al. 2015

J Korean Assoc Oral Maxillofac Surg

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ObjectivesInfection involving the orbit, zygomatic space, lateral pharyngeal space, or hemifacial and oral floor phlegmon is referred to as cervicofacialvinfection (CFI). When diagnosis and/or adequate treatment are delayed, these infections can be life-threatening. Most cases are the result of odontogenic infections. We highlight our experiences in the management of this life-threatening condition.Materials and MethodsThis was a retrospective study of patients who presented with CFI from December 2005 to June 2012 at the Oral and Maxillofacial Surgery Clinic or the Accident and Emergency Unit of Ahmadu Bello University Teaching Hospital (Zaria, Nigeria). The medical records of all patients who presented with either localized or diffuse infection of the maxillofacial soft tissue spaces were retrospectively collected. Data collected was analyzed using SPSS version 13.0 and are expressed as descriptive and inferential statistics.ResultsOf the 77 patients, 49 patients (63.6%) were males, a male to female ratio of 1:7.5. The ages ranged from two years to 75 years with a mean of 35.0±19.3 years, although most patients were older than 40 years. The duration of symptoms prior to presentation ranged from 6 to 60 days, with a mean of 11.0±9.4 days. More than 90% of the patients presented to the clinic within the first 10 days. The most commonly involved anatomical space was the submandibular space (n=29, 37.7%), followed by hemifacial space (n=22, 28.6%) and buccal space (n=7, 9.1%). Ludwig angina accounted for about 7.8% of the cases.ConclusionCFI most commonly involves the submandibular space, typically affects individuals with a low level of education, and is influenced by traditional medical practices. Despite improved health care delivery, CFI remains a significant problem in developing countries.

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“…Their management is a critical function of an oral and maxillofacial surgeon (OMS). 1 , 2 Treatment of odontogenic infections by general dentists and specialists in the community is preferred to prevent disease progression; however, symptoms and signs such as dysphagia, dyspnea, extension beyond alveolus, fever, trismus, and systemic features warrant referral to an OMS and potential management within a hospital facility. 3…”

Section: Introductionmentioning

confidence: 99%

Odontogenic Infections: Disease Burden During COVID-19 at a Single Institution

Johnson

Foy

Ellingsen

et al. 2021

Journal of Oral and Maxillofacial Surgery

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Purpose The purpose of this study was to document the effect of COVID-19 on patients presenting to University of Washington Oral and Maxillofacial Surgery (UW OMS) with an odontogenic infection. Materials and Methods The investigators designed a retrospective cohort study and enrolled a sample of 889 subjects who presented for an odontogenic infection from March 19 th to June 18 th in the years 2017, 2018, 2019, and 2020. The primary predictor variable was OMS consultation for an odontogenic infection during a non-COVID-19 (2017, 2018, and 2019) year (control) or during the COVID-19 pandemic in 2020 (experimental). The primary outcome variable was treatment rendered. Appropriate univariate and bivariate statistics were computed, and the level of significance was set at .05 for all tests. Results There was no significant difference in the incidence of OMS consults in the two cohorts ( p >.05). The number of patients presenting to the UW emergency department (ED) for an odontogenic infection decreased from an average of 246 in non-COVID years to 151 in 2020. Patients in the experimental cohort were more likely (55 versus 30.0%; p= .04) to present primarily to UW than a dentist and were less likely to undergo an incision and drainage (I&D) (70.0 versus 88.8%; p= .04), aerosol generating procedure (AGP) (70.0 versus 88.8%; p= .04), and I&D in the ED (15.0 versus 41.3%; p= .03). Conclusion The investigators did not find evidence of increased hospital or ED burden by odontogenic infections during the COVID-19 pandemic.

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The Cause of Cost in the Management of Odontogenic Infections 2: Multivariate Outcome Analyses

Cited by 17 publications

References 7 publications

A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward

A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward

Cervicofacial infection in a Nigerian tertiary health institution: a retrospective analysis of 77 cases

Odontogenic Infections: Disease Burden During COVID-19 at a Single Institution

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