Factors Associated and the Length of Stay of Seep Neck Infections in Patients at Debaratana Nakhonratsima Hospital
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Abstract
Background: Deep Neck Infection constitutes a severe group of infections that, although treatable, pose a significant risk when hospitalization exceeds 7 days, facilitating rapid microbial dissemination and life-threatening complications.
Objective: To investigate prevalence and factors influencing prolonged hospital stay (>7 days) in patients with deep neck infection treated at Debaratana Nakhonratsima Hospital.
Methods: A retrospective analytical study conducted on patients with deep neck infection treated at Debaratana Nakhonratsima Hospital from January 1st., 2018, to December 31st., 2023, totaling 225 cases. Data were analyzed using stepwise logistic regression.
Results: Among the 225 patients with deep neck infection, statistically significant predictors of prolonged hospital stay (>7 days, indicating poor prognosis) included age (years) (Adj.OR = 1.02; 95%CI = 1.00-1.05), Number of deep neck space involved (2) (Adj.OR = 7.46; 95%CI = 1.19-46.55), deep neck space involvement (parapharyngeal) (Adj.OR = 54.61; 95%CI = 6.37-467.94), and (Ludwig) (Adj.OR = 10.03; 95%CI = 3.54-28.38).
Conclusion: The prevalence of patients with deep neck space infections who were hospitalized for more than 7 days was 25.7%. Factors affecting the duration of hospital stay longer than 7 days included age, involvement of ≥2 deep neck spaces, deep neck space involvement parapharyngeal, and Ludwig.
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