Multivariate Analysis of Prognostic factors in Multi-space Infections of the Oral and Maxillofacial and Neck in the Aged Patients
JIANG Jun-song
YANG Zhen
YU Ruo-qi
ZHU Jia
HAN Hua
WANG Qing
WANG Dan
Abstract：Objective:This study aimed to retrospective analyze the difference between the aged patients(≥65 years)and adults (＜65 years) with multi-space infections of the head and neck.Using multivariate staistical models to identify independent significant factors.Methods:285 patients received treatment for severe multi-space infections of the head and neck region.Demographics,clinical parameters (the coexisting coditions,the etiology,the length between first symptomatic onsed and admission,the number of spaces affected,and the distribution of incolved spaced).laboratory values(bacteriology,admission blood glucose level,adimission white blood cell count,and CPR on admission)and treatment parameters (the number of incisions,complications and length of hospital stay) were collected and analyzed for their clinical significance.Statistical analyses between groups were performed using the Student test.Fisher's exact test,and chi-square.Results:Using logistic regression analyses,involvement of neck muti-space was independently significant in prognosticating servere complications [odds ratio (OR)2.57],leukocyte counts ＞12.0 ×109/L (OR=3.57),the presence of comorbidities (OR=2.10),non-odontogenic site of origin(OR=1.89),preoperative CRP＞150mg/L(OR=2.18),the need for both medical and surgical treatments (OR=4.66) was significantly and independently prognostic of long hospital stays.Conclusions:Multivariate analysis can distinguish between risk factors and their relative contribution to outcome in the aged patients with multi-space infections of the head and neck.
Keywords：head and neckmulti-space infectionsthe elderlymultivariate analysisprognosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 290-294 )