Multivariate Analysis on Orofacial Odontogenic Infection in Northern Peninsular Malaysia.

Autor: Yew CC; Specialist, Oral and Maxillofacial Surgery Department, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia., Ng MP; Resident, Oral and Maxillofacial Surgery Department, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia. Electronic address: bubblemp21@gmail.com., Khoo SE; Resident, Oral and Maxillofacial Surgery Department, Hospital Raja Permaisuri Bainun, Perak, Ministry of Health, Perak, Malaysia., Ling XF; Department Head, Oral and Maxillofacial Surgery Department, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia., Yuen KM; Department Head, Oral and Maxillofacial Surgery Department, Hospital Raja Permaisuri Bainun, Perak, Ministry of Health, Perak, Malaysia., Tew MM; Pharmacist, Clinical Research Centre, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia.
Jazyk: angličtina
Zdroj: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2022 Apr; Vol. 80 (4), pp. 736-743. Date of Electronic Publication: 2021 Nov 13.
DOI: 10.1016/j.joms.2021.11.007
Abstrakt: Purpose: This regional 2-center study was designed 1) to analyze the clinical features of all patients with odontogenic orofacial infection as per type of visit, 2) to analyze the clinical features of diabetic patients compared with nondiabetic patients, and 3) to identify potential variables that may associate with long length of stay (LOS) of patients admitted for orofacial odontogenic infection in Northern Peninsular Malaysia.
Patients and Methods: All adult patients with orofacial odontogenic infections who attended the Oral and Maxillofacial Department of Hospital Raja Permaisuri Bainun and Hospital Sultan Abdul Halim from March 2015 to February 2019 were included. Data on patients' demography, medical history, smoking status, clinical presentation, and LOS were collected. Multivariate logistic regression analysis was performed using the dichotomous dependent variable, namely, short LOS (LOS <5 days) and long LOS (LOS ≥5 days).
Results: A total of 355 patients were reported with the mean age of 39.93 ± 15.95 years old. Multivariate analysis revealed that diabetes (adjusted odds ratio = 4.387, 95% confidence interval = 1.453 to 13.241, P value = .009) and multiple space involvement (adjusted odds ratio = 4.859, 95% confidence interval = 1.280, 18.454, P value = .020) were responsible for long LOS.
Conclusions: Judicious treatment is recommended when treating patients of such infection that involves multiple spaces with underlying diabetes mellitus.
(Copyright © 2021 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE