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虚弱对口腔颌面部间隙感染患者的影响:回顾性分析。

Effects of frailty on patients with oral and maxillofacial space infection: a retrospective analysis.

机构信息

Department of Oral and Maxillofacial Surgery, Xuchang Central Hospital, Henan, China.

Publicity Department, Xuchang University, Henan, China.

出版信息

BMC Oral Health. 2024 Oct 4;24(1):1181. doi: 10.1186/s12903-024-04969-1.

Abstract

OBJECTIVES

To investigate the implications of frailty as a predictive factor for outcomes among patients with oral and maxillofacial space infection.

METHODS

A retrospective cohort study was conducted to analyze 348 medical records, gathering data on several key aspects. These included the etiology of infection, the location of inflamed areas, the treatment administered, and the ultimate treatment outcomes. Additionally, the study collected information on the Symptom Severity (SS) score, frailty score, age, gender, the presence of systemic diseases, alcohol consumption, and smoking history.

RESULTS

A total of 155 patients were classified as frailty, while 193 patients were classified as non-frailty. We found a significantly different in age, BMI, hospitalization expenses, length of hospital stay, SS, fibrinogen and admission to ICU between the frail group and the non- frail group.

CONCLUSIONS

Frailty serves as a valuable predictor of outcomes among patients with oral and maxillofacial space infections. By identifying high-risk patients, frailty can be employed as a clinical tool to guide perioperative care, ultimately optimizing patient outcomes. Notably, frail patients often require more ICU treatment.

摘要

目的

探讨衰弱作为口腔颌面部间隙感染患者结局预测因素的意义。

方法

进行了一项回顾性队列研究,分析了 348 份病历,收集了几个关键方面的数据。这些方面包括感染的病因、发炎区域的位置、所实施的治疗以及最终的治疗结果。此外,该研究还收集了症状严重程度(SS)评分、衰弱评分、年龄、性别、是否存在系统性疾病、饮酒和吸烟史等信息。

结果

共将 155 例患者归类为衰弱组,193 例患者归类为非衰弱组。我们发现衰弱组与非衰弱组在年龄、BMI、住院费用、住院时间、SS、纤维蛋白原和 ICU 入院方面存在显著差异。

结论

衰弱是口腔颌面部间隙感染患者结局的一个有价值的预测因素。通过识别高危患者,衰弱可以作为一种临床工具来指导围手术期护理,最终优化患者结局。值得注意的是,衰弱患者通常需要更多的 ICU 治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9771/11452930/9755a977a3a3/12903_2024_4969_Fig1_HTML.jpg

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