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Date Published: 19/02/2023
Abstract Views: 500
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DOI: https://doi.org/10.51298/vmj.v522i2.4320
Issue
Vol. 522 No. 2 (2023)
Section
Các bài báo
How to Cite
Ngô , V. C. ., & Trương , M. T. . (2023). SURVEY ON THE POOR PROGNOSTIC FACTORS IN PATIENTS WITH DEEP NECK INFECTIONS AT CHO RAY HOSPITAL FROM 2019 TO 2022. Vietnam Medical Journal, 522(2). https://doi.org/10.51298/vmj.v522i2.4320

SURVEY ON THE POOR PROGNOSTIC FACTORS IN PATIENTS WITH DEEP NECK INFECTIONS AT CHO RAY HOSPITAL FROM 2019 TO 2022

Văn Công Ngô 1,, Minh Thịnh Trương 2
1 Cho Ray hospital
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Background: Deep neck infections are serious infections affecting the deep cervical fascia and spaces. Identifying predictive factors for severe deep neck infections may allow the establishment of appropriate treatment. Objective: To identify predictive factors for complications of deep neck infections. Methods: We retrospectively and prospectively analyzed 257 cases of DNIs treated at Cho Ray hospital between December 2019 and July 2022. The multivariate logistic regression method was used to analyze clinical and laboratory factors associated with complications of DNIs. Results: In this study, complications in DNI patients occurred in 100 out of 257 cases. The multivariate logistic regression model showed that the presence of dyspnea (p<0.001), chest pain (p=0.01), low peripheral oxygen saturation (p=0.01) on admission, retropharyngeal space involvement (p=0.001), involvement of multiple spaces (p=0.01), and necrotizing fasciitis (p<0.001) were more likely to have complicated deep neck infections.  Conclusion: Dyspnea, chest pain, peripheral oxygen saturation on admission, retropharyngeal space involvement, number of space involvement, and necrotizing fasciitis are the predictive factors for complications.

Article Details

Keywords

Deep neck infections, complications, multivariate analysis, predictors.

References

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