YẾU TỐ NGUY CƠ GÂY KÉO DÀI THỜI GIAN NẰM VIỆN CỦA BỆNH NHÂN NHIỄM TRÙNG CỔ SÂU

Abstract

Background: Deep neck infection is a severe disease, requiring treatment with intravenous antibiotics, surgical drainage and postoperative wound management. Prolonged length of stay increases financial burden for patients with deep neck infection and consumes medical resources of health-care facility. Objectives: Investigating rick factors for prolonged length of stay in patients with deep neck infection at Cho Ray hospital from 12/2021 to 05/2022. Methods: Description of 138 patients with deep neck infection undergoing surgical drainage at Cho Ray hospital from 12/2021 to 05/2022. Results: The median of leghth of stay in patients with deep neck infection was 8 days, the interquartile range was 6-12 days, and the range was 2-36 days. The group of patients with length of stay ≥ 10 days had a high rate of: ≥ 2 comorbidities (61.8% vs 39.8%, p < 0.05), low serum albumin (43.6% vs 15.7%, p < 0.001) and nosocomial infections (20% vs 3.6%, p < 0.05) compared with the group of patients with length of stay < 10 days. Risk factors for length of stay ≥ 10 days included: number of involved spaces (OR = 1.42; 95% CI = 1.13 - 1.79), ketoacidosis (OR = 2.96; 95% CI = 1.12-7.82), prolonged purulent wound (OR = 5.9; 95% CI = 2.26-15.41). Conclusions: Number of involved spaces, ketoacidosis and prolonged purulent wound are risk factors for prolonging length of stay in patients with deep neck infection.