Characteristics, length of stay, and hospital bills associated with severe odontogenic infections in Houston, TX

Gams, Kevin; Shewale, Jitesh B.; Demian, Nagi; Khalil, Kamal; Banki, Farzaneh

doi:10.1016/j.adaj.2016.11.033

Cited by 28 publications

(32 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Usually, hospitalization over the average period is considered long-term admission. In the USA, the average length of stay was 3 to 8.3 days [5, 16, 17, 24]; in Iran, it was 6.8 days [11]; in Finland, it was 14.8 days [6]; and in China, it was 12 days [12]. This indicates that the length of hospitalization is different in different regions of the world when similar adult infections are compared; however, the number of studies comparing hospitalization length among different countries is too low to make an accurate comparison.…”

Section: Discussionmentioning

confidence: 99%

“…There is a difference in the cost of hospitalization because the system of health insurance is different in each country [16]. In the USA, daily mean room and bed charges ranged from $978 to $1598 [24]; on the other hand, in South Korea, they range from $30 to $200 per day [25] if the patient receives national health insurance. Due to expensive hospital costs, studies in the USA reported average hospital stay as shorter (3 to 8.3 days), compared with 12 days in this study.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…Jundt et al reported an ICU admission rate of 14% (24), while Ylijoki reported 18% (25). A recent retrospective review published by Gams reported 45% of their cohort required ICU admission following surgery (26). The difference in reported rates is likely due to different patient populations and local hospital policies, and as the intensive care unit is not standardised across different hospitals, it would be useful to investigate the pattern of ICU use in one institution over a period of time.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Increasing Use of Intensive Care Unit for Odontogenic Infection Over One Decade: Incidence and Predictors

McGowan

Sun

et al. 2018

Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

The use of the ICU in the management of odontogenic infection has increased significantly at the Royal Brisbane and Women's Hospital over 1 decade. The demographic data and clinical presentation of the patients admitted to the ICU did not change significantly. However, the length of ICU stay and the total length of stay have both increased. A significant increase in CT usage for odontogenic infections also occurred. Third molar infections, dysphagia, and elevated CRP might be relevant clinical predictors of a more complicated course of care requiring ICU admission. More judicious use of CT scanning, combined with prompt surgical consultation and intervention, might reduce the rate of ICU admissions for odontogenic infections.

show abstract

“…The fact is that irrigation and drainage are the two main procedures for the treatment of MSI in conventional treatment method (Abbasi, Bayat, Beshkar, & Momen‐Heravi, 2012; Yadav, Jaisani, Acharya, & Mahat, 2017). Besides, today, in an era of budget cuts, physicians and hospitals must strive constantly to provide the highest level of patient care while minimizing costs (Gams, Shewale, Demian, Khalil, & Banki, 2017). Based on the above, combined with the anatomical morphology of the maxillofacial region and disease characteristics, we proposed a negative pressure drainage‐assisted irrigation device for MSI.…”

Section: Introductionmentioning

confidence: 99%

Negative pressure drainage‐assisted irrigation for maxillofacial space infection

et al. 2020

View full text Add to dashboard Cite

Objective In this study, the clinical effect of negative pressure drainage‐assisted irrigation (NPDI) technique was evaluated in treating maxillofacial space infection (MSI) by comparing with traditional technique. Method A prospective study was conducted in 58 patients with MSI. The patients were randomly divided into two groups based on different treatment techniques. Thirty patients receiving NPDI were included in NPDI group, and 28 patients receiving traditional technique were included in traditional group. Case data (gender, age, etiology, concurrent illness, diabetes, involved spaces, preoperative white cell count, airway control method) and clinical effect (postoperative hospital stay, total cost of admission) for the two groups were analyzed. Results Patients in both groups were cured clinically. There were no significant differences in gender, age, etiology, concurrent illness, diabetes, involved spaces, preoperative white cell count, and airway control method in NPDI group and traditional group (p > .05). The postoperative hospital stay and the total cost of admission in the NPDI group were significantly lower than the traditional group (p < .001). Conclusion Negative pressure drainage‐assisted irrigation used in the treatment of MSI can shorten the postoperative hospital stay, reduce the total cost of admission, and show favorably clinical effect. It is a clinically recommended method for MSI.

show abstract

Characteristics, length of stay, and hospital bills associated with severe odontogenic infections in Houston, TX

Cited by 28 publications

References 24 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

Increasing Use of Intensive Care Unit for Odontogenic Infection Over One Decade: Incidence and Predictors

Negative pressure drainage‐assisted irrigation for maxillofacial space infection

Contact Info

Product

Resources

About