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首页> 外文期刊>Maxillofacial Plastic and Reconstructive Surgery >A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward
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A retrospective analysis of risk factors of oromaxillofacial infection in patients presenting to a hospital emergency ward

机译：医院急诊科患者口腔颌面部感染危险因素的回顾性分析

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Abstract 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.
机译：摘要背景本研究的目的是回顾就诊于医院急诊病房的患者口腔颌面感染的临床特征，确定影响住院需求的关键因素以及可能导致住院时间延长的潜在危险因素。在梁山釜山国立大学医院口腔颌面外科对2013年至2017年治疗颌面部感染的598例患者进行了回顾性医疗记录审查。从每位患者收集以下信息：性别，年龄，既往病史，感染部位，病因，入院或门诊，C反应蛋白水平（mg / dL），涉及的筋膜间隙，治疗方法和持续时间住院。卡方检验用于确定危险因素，并使用多变量Logistic回归进行进一步分析。结果共有606例患者符合研究条件，其中8例因图表不完整而被排除在外。因此，纳入598例患者：男性占55％，平均患者年龄为47.1±19.9年，糖尿病为12.9％。此外，有71.2％的患者有下颌骨感染。最常见的起源牙齿是后下颌，住院患者占29.8％。入院的危险因素为并发疾病，C反应蛋白水平升高和口颌面部区域多处感染的老年患者。结论住院时间取决于感染的严重程度;住院时间长短与糖尿病和年龄有关。即使是严重的感染，只要经过适当的手术治疗，也与住院时间的长短无关。住院时间延长的重要危险因素是糖尿病和老年人。对口腔颌面感染治疗期间长期住院相关的危险因素的了解将有助于制定治疗计划，并强调在患有这种感染风险的患者中适当控制糖尿病的重要性。

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