Grinlinton Megan, Sohn Stephen, Hill Andrew, Zeng Irene, Wagener Jenny
Department of Surgery, Counties Manukau Health, Auckland, New Zealand.
Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
ANZ J Surg. 2019 Jan;89(1-2):90-95. doi: 10.1111/ans.14413. Epub 2018 Feb 7.
This study aimed to profile the clinical characteristics of patients presenting to Middlemore Hospital with cellulitis in order to identify factors that are associated with an increased length of stay (LOS).
Retrospective clinical data were collected for all patients aged 18 and above who were admitted with cellulitis to Middlemore Hospital General Surgical Department between 1 January and 31 March 2014. Comorbidities, laboratory results and medical conditions were included in the investigation.
The study included 201 patients. Significant factors associated with increased LOS include type 2 diabetes mellitus (P < 0.012), obesity (P < 0.001), raised C-reactive protein (P < 0.0001), raised white cell count (P < 0.0001), raised temperature (P < 0.0001), septic shock (P < 0.003), multiorgan failure (P < 0.01), extended-spectrum beta-lactamases or methicillin-resistant Staphylococcus aureus colonization (P < 0.04) and intensive care unit admission (P < 0.0004).
This single-centre, retrospective clinical study has identified several factors that are significantly associated with an increased LOS. These factors provide a basis for future studies that may facilitate identification and timely medical optimization of high-risk patients.
本研究旨在剖析在Middlemore医院就诊的蜂窝织炎患者的临床特征，以确定与住院时间延长相关的因素。
收集了2014年1月1日至3月31日期间入住Middlemore医院普通外科的所有18岁及以上蜂窝织炎患者的回顾性临床数据。调查包括合并症、实验室检查结果和病情。
该研究纳入了201例患者。与住院时间延长相关的显著因素包括2型糖尿病（P < 0.012）、肥胖（P < 0.001）、C反应蛋白升高（P < 0.0001）、白细胞计数升高（P < 0.0001）、体温升高（P < 0.0001）、感染性休克（P < 0.003）、多器官功能衰竭（P < 0.01）、产超广谱β-内酰胺酶或耐甲氧西林金黄色葡萄球菌定植（P < 0.04）以及入住重症监护病房（P < 0.0004）。
这项单中心回顾性临床研究确定了几个与住院时间延长显著相关的因素。这些因素为未来的研究提供了基础，可能有助于识别高危患者并及时进行医疗优化。
