Factors Affecting the Necessity of Tracheostomy in Patients with Deep Neck Infection
Abstract
:1. Introduction
2. Materials and Methods
2.1. Exclusion Criteria
2.2. Statistical Analysis
3. Results
4. Discussion
Limitations of the Article
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
References
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Characteristics | N (%) |
---|---|
Gender | 403 (100.00) |
Male | 271 (67.24) |
Female | 132 (32.76) |
Age, years (SD) | 51.30 ± 18.93 |
Chief complaint period, days (SD) | 5.04 ± 4.53 |
Hospital-staying period, days (SD) | 9.66 ± 7.98 |
CRP, mg/L (SD) | 140.15 ± 107.72 |
Blood sugar, mg/dL (SD) | 142.81 ± 72.89 |
Diabetes mellitus | 156 (38.70) |
Incision and drainage open surgery | 187 (46.40) |
Ultrasonography-guided drainage | 71 (17.61) |
Single space | 190 (47.14) |
Double spaces | 198 (24.33) |
Multiple spaces, ≥3 | 115 (28.53) |
Mediastinitis | 21 (5.21) |
Tracheostomy performance | 44 (10.91) |
Variable | Tracheostomy Performance | Univariate Analysis | Multivariate Analysis | |||||
---|---|---|---|---|---|---|---|---|
Yes | No | OR | 95% CI | p Value | OR | 95% CI | p Value | |
Gender | 44 | 359 | 0.405 | - | - | - | ||
Male | 32 | 239 | 1.000 | |||||
Female | 12 | 120 | 0.476 | 0.371–1.502 | ||||
Age, years | 0.001 * | 0.018 * | ||||||
<65 | 25 | 282 | 1.000 | |||||
≥65 | 19 | 77 | 2.783 | 1.456–5.318 | 2.450 | 1.163–5.161 | ||
Chief complaint days (SD) | 4.75 ± 103.32 | 5.08 ± 104.66 | 0.982 | 0.910–1.059 | 0.634 | - | - | - |
CRP, mg/L (SD) | 180.15 ± 103.46 | 135.24 ± 103.46 | 1.003 | 1.000–1.006 | 0.011 * | - | - | - |
Blood sugar, mg/dL (SD) | 156.31 ± 183.52 | 141.16 ± 171.44 | 1.002 | 0.998–1.006 | 0.217 | - | - | - |
Diabetes mellitus | 0.107 | - | - | - | ||||
No | 22 | 225 | 1.000 | |||||
Yes | 22 | 134 | 1.679 | 0.895–3.147 | ||||
Multiple spaces, ≥3 | <0.001 * | 0.001 * | ||||||
No | 14 | 274 | 1.000 | |||||
Yes | 30 | 85 | 6.907 | 3.501–13.62 | 4.490 | 2.153–9.360 | ||
Mediastinitis | <0.001 * | <0.001 * | ||||||
No | 30 | 352 | 1.000 | |||||
Yes | 14 | 7 | 23.46 | 8.799–62.58 | 14.800 | 5.097–42.972 |
Characteristics | Tracheostomy, N (%) | Non-Tracheostomy, N (%) | p Value |
---|---|---|---|
Location | |||
Parapharyngeal space | 32 (72.72) | 210 (58.49) | 0.074 |
Retropharyngeal space | 22 (50.00) | 132 (36.76) | 0.100 |
Submandibular space | 20 (45.45) | 165 (45.96) | 1.000 |
Masticator space | 14 (31.81) | 75 (20.89) | 0.122 |
Anterior cervical space | 9 (20.45) | 45 (12.53) | 0.159 |
Parotid space | 5 (11.36) | 77 (21.44) | 0.163 |
Perivertebral space | 5 (11.36) | 19 (5.29) | 0.164 |
Carotid space | 4 (9.09) | 19 (5.29) | 0.298 |
Visceral space | 3 (6.81) | 21 (5.84) | 0.736 |
Posterior cervical space | 1 (2.27) | 7 (1.94) | 1.000 |
Pathogens | |||
Streptococcus constellatus | 11 (25.00) | 93 (25.90) | 1.000 |
Streptococcus anginosus | 9 (20.45) | 60 (16.71) | 0.527 |
Prevotella buccae | 7 (15.90) | 43 (11.97) | 0.467 |
Klebsiella pneumonia | 6 (13.63) | 50 (13.92) | 1.000 |
Prevotella intermedia | 4 (9.09) | 25 (26.96) | 0.541 |
Parvimonas micra | 3 (6.81) | 34 (9.47) | 0.783 |
Staphylococcus aureus | 3 (6.81) | 14 (3.89) | 0.414 |
Pseudomonas aeruginosa | 1 (2.27) | 7 (1.94) | 1.000 |
Staphylococcus epidemidis | 1 (2.27) | 8 (2.22) | 1.000 |
Eikenella corrodens | 1 (2.27) | 7 (1.94) | 1.000 |
Streptococcus salivarius | 1 (2.27) | 8 (2.22) | 1.000 |
Slackia exigua | 1 (2.27) | 11 (23.06) | 1.000 |
Streptococcus oralis | 1 (2.27) | 6 (1.67) | 0.557 |
Gemella morbillorum | 1 (2.27) | 9 (2.50) | 1.000 |
No growth | 7 (15.90) | 98 (27.50) | 0.144 |
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Chen, S.-L.; Young, C.-K.; Tsai, T.-Y.; Chien, H.-T.; Kang, C.-J.; Liao, C.-T.; Huang, S.-F. Factors Affecting the Necessity of Tracheostomy in Patients with Deep Neck Infection. Diagnostics 2021, 11, 1536. https://doi.org/10.3390/diagnostics11091536
Chen S-L, Young C-K, Tsai T-Y, Chien H-T, Kang C-J, Liao C-T, Huang S-F. Factors Affecting the Necessity of Tracheostomy in Patients with Deep Neck Infection. Diagnostics. 2021; 11(9):1536. https://doi.org/10.3390/diagnostics11091536
Chicago/Turabian StyleChen, Shih-Lung, Chi-Kuang Young, Tsung-You Tsai, Huei-Tzu Chien, Chung-Jan Kang, Chun-Ta Liao, and Shiang-Fu Huang. 2021. "Factors Affecting the Necessity of Tracheostomy in Patients with Deep Neck Infection" Diagnostics 11, no. 9: 1536. https://doi.org/10.3390/diagnostics11091536