Multivariate Analysis on Orofacial Odontogenic Infection in Northern Peninsular Malaysia
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 associ...
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| Published in: | Journal of oral and maxillofacial surgery Vol. 80; no. 4; pp. 736 - 743 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Inc
01-04-2022
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| Abstract | 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.
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).
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.
Judicious treatment is recommended when treating patients of such infection that involves multiple spaces with underlying diabetes mellitus. |
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| AbstractList | PURPOSEThis 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 METHODSAll 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). RESULTSA 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. CONCLUSIONSJudicious treatment is recommended when treating patients of such infection that involves multiple spaces with underlying diabetes mellitus. 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. 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). 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. Judicious treatment is recommended when treating patients of such infection that involves multiple spaces with underlying diabetes mellitus. |
| Author | Yew, Ching Ching Tew, Mei Mei Ng, Mee Poh Khoo, Su Ee Ling, Xiao Feng Yuen, Kar Mun |
| Author_xml | – sequence: 1 givenname: Ching Ching orcidid: 0000-0001-7523-9575 surname: Yew fullname: Yew, Ching Ching organization: Specialist, Oral and Maxillofacial Surgery Department, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia – sequence: 2 givenname: Mee Poh orcidid: 0000-0002-7818-5274 surname: Ng fullname: Ng, Mee Poh email: bubblemp21@gmail.com organization: Resident, Oral and Maxillofacial Surgery Department, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia – sequence: 3 givenname: Su Ee orcidid: 0000-0003-1276-5644 surname: Khoo fullname: Khoo, Su Ee organization: Resident, Oral and Maxillofacial Surgery Department, Hospital Raja Permaisuri Bainun, Perak, Ministry of Health, Perak, Malaysia – sequence: 4 givenname: Xiao Feng surname: Ling fullname: Ling, Xiao Feng organization: Department Head, Oral and Maxillofacial Surgery Department, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia – sequence: 5 givenname: Kar Mun surname: Yuen fullname: Yuen, Kar Mun organization: Department Head, Oral and Maxillofacial Surgery Department, Hospital Raja Permaisuri Bainun, Perak, Ministry of Health, Perak, Malaysia – sequence: 6 givenname: Mei Mei surname: Tew fullname: Tew, Mei Mei organization: Pharmacist, Clinical Research Centre, Hospital Sultan Abdul Halim, Kedah, Ministry of Health, Kedah, Malaysia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34863695$$D View this record in MEDLINE/PubMed |
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