Univariate and multivariate models for the prediction of life-threatening complications in 586 cases of deep neck space infections: retrospective multi-institutional study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F17%3A10369527" target="_blank" >RIV/00216208:11150/17:10369527 - isvavai.cz</a>

Alternative codes found

RIV/00179906:_____/17:10369527 RIV/00843989:_____/17:E0106500

Result on the web

<a href="http://dx.doi.org/10.1017/S0022215117001153" target="_blank" >http://dx.doi.org/10.1017/S0022215117001153</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1017/S0022215117001153" target="_blank" >10.1017/S0022215117001153</a>

Result language

angličtina

Original language name

Univariate and multivariate models for the prediction of life-threatening complications in 586 cases of deep neck space infections: retrospective multi-institutional study

Original language description

Objective: To identify deep neck infection factors related to life-threatening complications. Methods: This retrospective multi-institutional study comprised 586 patients treated for deep neck infections between 2002 and 2012. The statistical significance of variables associated with life-threatening complications of deep neck infections was assessed. Results: During treatment, life-threatening complications occurred in 60 out of 586 cases. On univariate analysis, life-threatening complications were linked to: dyspnoea, neck movement disturbance and dysphonia (all p &lt; 0.001); and parapharyngeal, anterior visceral or pretracheal deep neck involvement (all p &lt; 0.002). Aetiology was significantly linked to tonsils (p &lt; 0.001). Regarding infection type, fasciitis was a significant factor (p &lt; 0.001). Candida albicans was a significant bacterial culture (p &lt; 0.001). A multivariate step-wise model disclosed fewer significant variables: retropharyngeal space (p = 0.005) and major blood vessels area (p = 0.006) involvement, and bacterial culture C albicans (p &lt; 0.001). Conclusion: It can be predicted that patients with deep neck infections, with neck movement disturbances, dysphonia, dyspnoea and swelling of the external neck, accompanied by severe pain, and inflammatory changes in the retropharyngeal space and large vessel areas, with culture-confirmed infection of C albicans, are likely to develop life-threatening complications.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30206 - Otorhinolaryngology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Laryngology &amp; Otology

ISSN

0022-2151

e-ISSN

—

Volume of the periodical

131

Issue of the periodical within the volume

9

Country of publishing house

GB - UNITED KINGDOM

Number of pages

6

Pages from-to

779-784

UT code for WoS article

000408463400010

EID of the result in the Scopus database

2-s2.0-85020226198