PDF(Pubmed)
Abstract：
UNASSIGNED: To evaluate the profile of patients operated for maxillofacial space infections and associated risk factors for the length of hospital stay.
UNASSIGNED: We conducted a retrospective study among patients operated for maxillofacial infections at our center from 2010 to 2020. Information collected from the records were age, sex, type and number of spaces involved, clinical signs and symptoms (pain, swelling, toothache, sore throat, otalgia, hoarseness, headache, cough, neck swelling, rancid breath, sialorrhea, gingival swelling, muffled voice, trismus, fever, dysphagia, odynophagia, malaise, lymphadenopathy, dyspnoea, pus discharge), treatment modality, total leukocyte count, evidence of bacterial growth, comorbidities, complications if any and length of hospital stay.
UNASSIGNED: A total of 128 medical records were examined, out of which 59 were female. The mean age was 38.59 ± 19.7 and the length of hospital stay was 7.56 ± 3.8 days. The most commonly involved space was submandibular space (46.1%) and the common symptoms reported were swelling (99.2%), pain (86.7%), and trismus (68%). Four patients had complications like necrotizing fasciitis (1.6%), pneumonia (0.8%), and death in one patient (0.8%). Logistic regression showed that patients more than 36 years of age, male sex, evidence of bacterial growth, and diabetics had higher odds of increased hospital stay (>6 days). Multiple logistic regression analysis showed that age (P = 0.015; OR: 2.98) and evidence of bacterial culture (P = 0.001; OR:6.64) were potential predictors associated with increased hospital stay.
UNASSIGNED: Our study showed that the age of the patient and evidence of bacterial culture were potential predictors of prolonged hospital stay among patients operated for maxillofacial space infections.
UNASSIGNED: We conducted a retrospective study among patients operated for maxillofacial infections at our center from 2010 to 2020. Information collected from the records were age, sex, type and number of spaces involved, clinical signs and symptoms (pain, swelling, toothache, sore throat, otalgia, hoarseness, headache, cough, neck swelling, rancid breath, sialorrhea, gingival swelling, muffled voice, trismus, fever, dysphagia, odynophagia, malaise, lymphadenopathy, dyspnoea, pus discharge), treatment modality, total leukocyte count, evidence of bacterial growth, comorbidities, complications if any and length of hospital stay.
UNASSIGNED: A total of 128 medical records were examined, out of which 59 were female. The mean age was 38.59 ± 19.7 and the length of hospital stay was 7.56 ± 3.8 days. The most commonly involved space was submandibular space (46.1%) and the common symptoms reported were swelling (99.2%), pain (86.7%), and trismus (68%). Four patients had complications like necrotizing fasciitis (1.6%), pneumonia (0.8%), and death in one patient (0.8%). Logistic regression showed that patients more than 36 years of age, male sex, evidence of bacterial growth, and diabetics had higher odds of increased hospital stay (>6 days). Multiple logistic regression analysis showed that age (P = 0.015; OR: 2.98) and evidence of bacterial culture (P = 0.001; OR:6.64) were potential predictors associated with increased hospital stay.
UNASSIGNED: Our study showed that the age of the patient and evidence of bacterial culture were potential predictors of prolonged hospital stay among patients operated for maxillofacial space infections.
摘要：
■评估因颌面部间隙感染而手术的患者的概况以及住院时间长短的相关危险因素。
■我们在2010年至2020年在我们中心接受颌面部感染手术的患者中进行了一项回顾性研究。从记录中收集的信息是年龄，性别,涉及的空间的类型和数量，临床体征和症状（疼痛，肿胀,牙痛,喉咙痛,耳痛,声音嘶哑,头痛,咳嗽,颈部肿胀,恶臭的呼吸，流涎,牙龈肿胀，低沉的声音,刺耳,发烧,吞咽困难,吞咽困难,萎靡不振,淋巴结病，呼吸困难,脓液排出)，治疗方式，白细胞总数,细菌生长的证据,合并症,如果有并发症和住院时间。
■共检查了128份病历，其中59人为女性。平均年龄为38.59±19.7，住院时间为7.56±3.8天。最常见的受累空间是颌下隙（46.1％），常见症状报告为肿胀（99.2％），疼痛（86.7%），和trismus（68％）。4例患者出现坏死性筋膜炎等并发症(1.6%),肺炎(0.8%)，1例患者死亡（0.8%）。Logistic回归显示,年龄大于36岁的患者,男性,细菌生长的证据,糖尿病患者住院时间增加(>6天)的几率更高。多因素logistic回归分析显示，年龄（P=0.015；OR：2.98）和细菌培养证据（P=0.001；OR：6.64）是住院时间增加的潜在预测因素。
■我们的研究表明，患者的年龄和细菌培养的证据是颌面部间隙感染手术患者住院时间延长的潜在预测因素。
■我们在2010年至2020年在我们中心接受颌面部感染手术的患者中进行了一项回顾性研究。从记录中收集的信息是年龄，性别,涉及的空间的类型和数量，临床体征和症状（疼痛，肿胀,牙痛,喉咙痛,耳痛,声音嘶哑,头痛,咳嗽,颈部肿胀,恶臭的呼吸，流涎,牙龈肿胀，低沉的声音,刺耳,发烧,吞咽困难,吞咽困难,萎靡不振,淋巴结病，呼吸困难,脓液排出)，治疗方式，白细胞总数,细菌生长的证据,合并症,如果有并发症和住院时间。
■共检查了128份病历，其中59人为女性。平均年龄为38.59±19.7，住院时间为7.56±3.8天。最常见的受累空间是颌下隙（46.1％），常见症状报告为肿胀（99.2％），疼痛（86.7%），和trismus（68％）。4例患者出现坏死性筋膜炎等并发症(1.6%),肺炎(0.8%)，1例患者死亡（0.8%）。Logistic回归显示,年龄大于36岁的患者,男性,细菌生长的证据,糖尿病患者住院时间增加(>6天)的几率更高。多因素logistic回归分析显示，年龄（P=0.015；OR：2.98）和细菌培养证据（P=0.001；OR：6.64）是住院时间增加的潜在预测因素。
■我们的研究表明，患者的年龄和细菌培养的证据是颌面部间隙感染手术患者住院时间延长的潜在预测因素。
