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Identification of risk factors for mortality and delayed oral dietary intake in patients with open drainage due to deep neck infections: Nationwide study using a Japanese inpatient database
Author(s) -
Hidaka Hiroshi,
Tarasawa Kunio,
Fujimori Kenji,
Obara Taku,
Fushimi Kiyohide,
Sakagami Tomofumi,
Yagi Masao,
Iwai Hiroshi
Publication year - 2021
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26660
Subject(s) - medicine , logistic regression , odds ratio , database , confidence interval , subgroup analysis , computer science
Backgrounds Data on risk factors for deep neck infection including descending necrotizing mediastinitis (DNM) have been limited. Using a nationwide database, the aim was identifying the factors related to patient death and delay in recovering oral intake. Methods Data of 4949 patients were extracted from a Japanese inpatient database between 2012 and 2017. The main outcome was survival at discharge. In a subgroup analysis of the 4949 patients with survival, the second outcome was delay in the interval between admission and full recovery of oral intake. Results Only a few factors (advanced‐age, ventilation) were associated with both mortality and delayed oral dietary intake by logistic regression analyses. Conversely, several factors including DNM (adjusted‐odds ratio [OR] 1.41) and repeated surgery (adjusted‐OR 1.70) were significantly related only to delayed oral dietary intake. Conclusions Although DNM was not necessarily related to mortality, patients with DNM should receive careful attention to avoid delayed oral dietary intake.