Article Sidebar

PDF
Date Published: 27/06/2023
Abstract Views: 270
Views PDF: 127
DOI: https://doi.org/10.51298/vmj.v527i1B.5755
Issue
Vol. 527 No. 1B (2023)
Section
Các bài báo
How to Cite
Ngô, V. C., & Trương, M. T. (2023). MORTALITY RATE AND RELATED FACTORS OF MORTALITY IN PATIENTS WITH DEEP NECK INFECTIONS AT CHO RAY HOSPITAL. Vietnam Medical Journal, 527(1B). https://doi.org/10.51298/vmj.v527i1B.5755

MORTALITY RATE AND RELATED FACTORS OF MORTALITY IN PATIENTS WITH DEEP NECK INFECTIONS AT CHO RAY HOSPITAL

Văn Công Ngô1,, Minh Thịnh Trương2
1 Cho Ray hospital
2 UMP

Main Article Content

Abstract

Objective: To investigate the mortality rate and related factors of mortality in patients with deep neck infections at Cho Ray Hospital. Methods: Retrospective and prospective study of 257 cases of deep neck infection treated at Cho Ray Hospital from 12/2019 to 12/2022 and multivariate logistic regression analysis to find out the prognostic factors for mortality. Results: The median age of the study population was 57 years old. The mortality rate was 6.6% (17/257). Multivariable logistic regression showed pneumonia (OR=7.49; p=0.02), sepsis (OR=145.79; p<0.001), and septic shock (OR=221.33; p<0.001) are independent prognostic factors of mortality in patients with deep neck infections. Conclusion: The mortality rate in patients with deep neck infections is still high. Complications of deep neck infections, including pneumonia, sepsis, and septic shock, are prognostic factors for mortality.

Article Details

Keywords

Deep neck infections, mortality, prognostic factors.

References

1. Yang SW, Lee MH, Lee YS, Huang SH, Chen TA, Fang TJ. Analysis of Life-Threatening Complications of Deep Neck Abscess and the Impact of Empiric Antibiotics. ORL. 2008;70(4):249-256. doi:10.1159/000132094
2. Trần Võ Thủy Chung. Đánh Giá Thang Điểm LRINEC Trong Chẩn Đoán Viêm Mạc Hoại Tử Vùng Đầu Cổ Tại Bệnh Viện Chợ Rẫy. Luận văn Bác sĩ nội trú. Đại học Y Dược thành phố Hồ Chí Minh; 2015.
3. Umihanic S, Umihanic S, Ramic N, Kamenjakovic S, Tihic N, Mahmutovic E. Predictors of poor outcome of deep neck infections. Medeniyet Med J. 2018;33(1):28-32. doi:10.5222/mmj.2018.49140
4. Velhonoja J, Lääveri M, Soukka T, Irjala H, Kinnunen I. Deep neck space infections: an upward trend and changing characteristics. Eur Arch Otorhinolaryngol. Mar 2020;277(3):863-872. doi:10.1007/s00405-019-05742-9
5. Treviño-Gonzalez JL, Maldonado-Chapa F, González-Larios A, Morales-Del Angel JA, Soto-Galindo GA, Zafiro García-Villanueva JM. Deep Neck Infections: Demographic and Clinical Factors Associated with Poor Outcomes. ORL J Otorhinolaryngol Relat Spec. 2022; 84 (2):130-138. doi:10.1159/000517026
6. Gunaratne DA, Tseros EA, Hasan Z, et al. Cervical necrotizing fasciitis: Systematic review and analysis of 1235 reported cases from the literature. Head Neck. Sep 2018;40(9):2094-2102. doi:10.1002/hed.25184
7. Suehara AB, Rodrigues AAN, Kavabata NK, et al. Predictive factors of lethality and complications of deep fascial space infections of the neck. Rev Col Bras Cir. Sep 4 2020; 47: e20202524. doi:10.1590/0100-6991e-20202524
8. Mejzlik J, Celakovsky P, Tucek L, et al. Univariate and multivariate models for the prediction of life-threatening complications in 586 cases of deep neck space infections: retrospective multi-institutional study. J Laryngol Otol. Sep 2017;131(9):779-784. doi:10.1017/s0022215117001153
9. Krieg A, Dizdar L, Verde PE, Knoefel WT. Predictors of mortality for necrotizing soft-tissue infections: a retrospective analysis of 64 cases. Langenbecks Arch Surg. Mar 2014;399(3):333-41. doi:10.1007/s00423-014-1162-1