Initial Nutritional Status and Clinical Outcomes in Patients with Deep Neck Infection

Clinical and Experimental Otorhinolaryngology
Marn Joon ParkSoon Yuhl Nam

Abstract

The current study aims to determine the correlation between nutritional status upon presentation and disease severity, as well as treatment and survival outcomes. Patients who were diagnosed with deep neck infection, underwent at least one surgical drainage/debridement, and had more than 1 week of hospitalization at a tertiary medical center from 2007 to 2015 were retrospectively included. Thereafter, initial serum albumin, C-reactive protein (CRP), and body mass index (BMI) were reviewed. A total of 135 patients were included in the final analysis. Accordingly, the proportion of patients with simultaneous mediastinitis (21.0%), necrotizing fasciitis (12.9%), disease extent >1 cervical level (72.6%), mean CRP (22.4 mg/dL), mean length of hospitalization (25.0 days), and mean 1-week follow-up CRP (7.2 mg/dL) was significantly higher in the hypoalbuminemia group (initial serum albumin <3.0 g/dL) than in the normoalbuminemia group (all P<0.05). No significant correlations had been observed according to BMI status. After adjusting for age and Charlson comorbidity index, odds ratios for the following outcomes were calculated in patients initially presenting with hypoalbuminemia: simultaneous mediastinitis (3.07), necrotizing fasciit...Continue Reading

References

Jan 1, 1977·JPEN. Journal of Parenteral and Enteral Nutrition·G L BlackburnM F Smith
Mar 1, 1993·World Journal of Surgery·J H Shaw, J B Koea
Sep 16, 2000·Journal of the American College of Surgeons·D B WallC de Virgilio
Mar 21, 2002·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·J Mary Jones
May 27, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Jens KondrupUNKNOWN Ad Hoc ESPEN Working Group
Jul 26, 2003·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·J KondrupUNKNOWN Educational and Clinical Practice Committee, European Society of Parenteral and Enteral Nutrition (ESPEN)
Mar 1, 2005·Current Opinion in Infectious Diseases·Chin-Ho Wong, Yi-Shi Wang
Apr 13, 2006·Acta Oto-laryngologica·Tung-Tsun HuangYuh-Shyang Chen
Apr 26, 2008·Otolaryngologic Clinics of North America·Francisco VieiraJerome W Thompson
Sep 15, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Paolo Boscolo-RizzoMaria Cristina Da Mosto
Dec 14, 2011·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Yao-Hung TsaiTsung-Jen Huang
Jan 3, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Matilde Jo AllingstrupJens Kondrup
Dec 4, 2012·American Journal of Respiratory and Critical Care Medicine·Michael P CasaerGreet Van den Berghe
Aug 9, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Petr CelakovskyAdam Pasz
Feb 14, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Claudia StaffieriGino Marioni
Mar 29, 2014·The New England Journal of Medicine·Michael P Casaer, Greet Van den Berghe
Apr 3, 2014·International Journal of Epidemiology·Ancel KeysHenry L Taylor
Sep 19, 2014·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Brittany R BarberHadi Seikaly
Feb 12, 2015·The Western Journal of Emergency Medicine·Jeniffer S Gausepohl, Jonathan G Wagner
Jun 17, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Annett SandnerDietrich Metz
Jul 15, 2015·Medicine·Weiqiang YangWenbin Lei
Sep 8, 2015·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Y GengZ Chen
May 30, 2016·Brazilian Journal of Otorhinolaryngology·Thiago Pires BritoAgrício Nubiato Crespo
Jul 9, 2016·Otolaryngologia polska. The Polish otolaryngology·Izabela OlejniczakWioletta Pietruszewska
Sep 1, 2016·Acta Oto-laryngologica·Kazuhiro HirasawaKazuhiro Nakamura
Mar 30, 2017·Open Medicine·Antonio MazzellaMario Santini

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Citations

Oct 1, 2019·Ear, Nose, & Throat Journal·Anna RzepakowskaKazimierz Niemczyk
Jun 24, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Thomas GehrkeStephan Hackenberg
Jan 20, 2022·The Annals of Otology, Rhinology, and Laryngology·In Seong JeongSoon Yuhl Nam

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