Comparison of multi-space infections of the head and neck in the elderly and non-elderly: Part I the descriptive data

Zheng, Lingyan; Chen, Yang; Zhang, Weijie; Cai, Xiaobo; Jiang, Bin; Wang, Baoli; Pu, Yiping; Jin, Jiamin; Kim, Eric; Wang, Jin; Zhang, Zhiyuan; Zhou, Longnv; Zhou, Jian; Guan, Xin

doi:10.1016/j.jcms.2013.01.020

Cited by 23 publications

(20 citation statements)

References 20 publications

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“…This is consistent with the result of the analysis conducted by zhung, et al in which 66.7% had systemic disease [10]. Compared with the non-elderly patients, the elderly patient have more systemic diseases and develops more frequent complications [11]. Similar to this study, other studies have also shown that older age and systemic diseases are potential factor and had significant association with the life-threatening complication [10,11,12].…”

Section: Discussionsupporting

confidence: 91%

"Risk Factors" for Life Threatening Complications Associated with Maxillofacial Space Infections: A Clinical Study

Shah¹

2016

JDODT

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Section: Discussionsupporting

confidence: 91%

"Risk Factors" for Life Threatening Complications Associated with Maxillofacial Space Infections: A Clinical Study

Shah¹

2016

JDODT

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“…Mandibular molars were the most frequently involved teeth in odontogenic infections, with these teeth being the cause of infection in 72.4% of cases in Gholami’s study [11]. Odontogenic infection was implicated in 63% of cases of maxillofacial region infection [12], lower than the 92.47% of the present study. This is because that the patients were referred after classification in an emergency department.…”

Section: Discussionmentioning

confidence: 52%

“…Through various studies, potential risk factors of oromaxillofacial infections have been identified [3–11]. There are many studies on the necessity of admission treatment [6, 11], the incidence of complications [3], and the relationship with the duration of treatment for the severity of infection due to age [12, 13], diabetes mellitus [4, 14], the number of infected space and infection site [4]. Most studies have been limited to odontogenic infection only.…”

Section: Introductionmentioning

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

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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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“…1,15,16 Another studies by Zheng (China, 2014) and Sumi (Japan, 2013) found that elder patients over 60 years showed a higher risk to have DNM. 7,10 In the study, Boscolo-Rizzo found that an increase of 10 years of age associated with the increased risk to have DNM (OR 1.2; 95% CI 1.04-1.39, p = 0.012). 1 Other study in Korea (Kang 2012) found that elder as a risk factor to have DNM developed (p = 0.03).…”

Section: Discussionmentioning

confidence: 97%

Risk Factors in Descending Necrotizing Mediastinitis Following Submandibular Abscess at dr. Cipto Mangunkusumo Hospital in Januari 2012 – Juli 2016

Putra

Pratama

Kekalih³

2018

NRJS

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Introduction. Descending necrotizing mediastinitis (DNM) encountered problem of a high mortality rate. The increasing number of incidence and the need of immediate intervention DNM cases urge surgeons to manage early preventions and adequate therapy. The purpose of this study is to find risk factors that correlate to the incidence of DNM in submandibular abscess patients. Method. Cross sectional study conducted enrolling all patients diagnosed with submandibular abscess that developed to DNM and treated surgically in emergency operating theater in period of January 2012 to July 2016 were reviewed. Mediastinitis which was not following submandibular abscess, those were not treated surgically or treated by other than the division of thoracic and cardiovascular surgery, and those of pediatrics were not included on the study. The incidence of DNM was the dependent variable on the study; risk factors such as gender, age, body mass index (BMI), comorbid(s), leukocyte counts, and microorganism(s) were independent variables on the study. Results. There were 68 subjects enrolled on the study. The met the inclusion and exclusion criteria. Subjects characteristics are shown in table 1. Septic condition, surgical intervention, postoperative complications, and mortality are shown in table 2. There was no correlation between gender (p = 0.656), age (p = 0.763), comorbid(s) (p = 0.767 and 0.952). It also found that leukocyte counts, and cultured microorganism(s) showed no significant correlation. Conclusion. Not a single risk factor specifically correlates to the incidence of DNM in subjects with submandibular abscess. Thus, so those with submandibular abscess have a same risk to have DNM developed.

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Comparison of multi-space infections of the head and neck in the elderly and non-elderly: Part I the descriptive data

Cited by 23 publications

References 20 publications

"Risk Factors" for Life Threatening Complications Associated with Maxillofacial Space Infections: A Clinical Study

"Risk Factors" for Life Threatening Complications Associated with Maxillofacial Space Infections: A Clinical Study

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

Risk Factors in Descending Necrotizing Mediastinitis Following Submandibular Abscess at dr. Cipto Mangunkusumo Hospital in Januari 2012 – Juli 2016

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