C-Reactive Protein and High Blood Pressure are the Predictive Factors of Deciding the Surgical Treatment in Deep Neck Infection: A Retrospective Cohort Study.
10.3342/kjorl-hns.2018.00115
- Author:
Jung Heob SOHN
1
;
Bo Young KIM
;
Kyoung Rai CHO
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. elysion20@hanmail.net
- Publication Type:Original Article
- Keywords:
Infection;
Neck;
Regression analysis
- MeSH:
Anti-Bacterial Agents;
Blood Sedimentation;
C-Reactive Protein*;
Cohort Studies*;
Diabetes Mellitus;
Hospitalization;
Humans;
Hypertension*;
Incidence;
Leukocyte Count;
Logistic Models;
Medical Records;
Methods;
Multivariate Analysis;
Neck*;
Regression Analysis;
Retrospective Studies*;
Statistics as Topic
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2018;61(9):472-477
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: In clinical settings, some deep neck infections may be managed by conservative treatment but some still require surgical treatment. In this study, we use univariate and multivariate analysis to discuss whether or not there are significant differences between conservative treatment and surgical treatment on patients with deep neck infections. SUBJECTS AND METHOD: We conducted a retrospective analysis using medical records of 88 patients with deep neck infections from January 2010 to December 2015. Among 88 patients, 56 patients were managed by conservative treatment with antibiotics and 32 patients were managed by surgical treatment via transcervical approach with antibiotics. As for data analysis, Mann-Whitney U test and multiple logistic regression analysis was used. RESULTS: Age, duration from symptom onset to hospitalization, hospital days, incidence of underlying disease, white blood cell count, erythrocyte sedimentation rate, and C-reactive protein (CRP) were found higher in the surgical treatment group than in the conservative treatment group. But there was no statistical significance except for the incidence of high blood pressure and CRP. CONCLUSION: CRP and incidence of high blood pressure were significant predictive factors for choosing the surgical treatment in deep neck infection. Contrary to our expectations, the incidence of diabetes mellitus was not a significant factor that determined the treatment options for the patients with deep neck infection.
