1
|
Pitak-Arnnop P, Sirintawat N, Subbalekha K, Meningaud JP, Auychai P, Tangmanee C, Neff A. Length of hospital stay and complications of mini-facelift versus modified Blair incision for parotid abscess drainage. Eur Oral Res 2022; 56:124-129. [PMID: 36660218 PMCID: PMC9826706 DOI: 10.26650/eor.2022989445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 12/03/2021] [Accepted: 12/27/2021] [Indexed: 01/22/2023] Open
Abstract
Purpose To compare the length of hospital stay (LHS) and complications between minifacelift (MFL) and modified Blair incisions (MBI) for adult patients undergoing parotid abscess drainage (PAD). Materials and methods A retrospective cohort study design was utilized comprising 2 groups of healthy adult patients (American Society of Anesthesiology [ASA] status I-II) who underwent PAD during a 7-year interval. The primary predictor variable was incision type (MFL vs. MBI). The primary outcomes were LHS and adverse complications resulting from the incision type. Other study variables were grouped into demographic, clinical, microbiological, and therapeutic categories. Difference in the cohort characteristics were analyzed using appropriate descriptive and uni- and bivariate statistics. Multivariate logistic regression was used to measure the effect of the incision type had on the LHS and adverse complication rates. Results The sample included 120 subjects (50% females) with a mean age of 41.7±18.3 years. Patients in the MFL group were hospitalized for 8.2±7.7 days, and the other group stayed in the hospital for 10.2±8 days (adjusted odd ratio [OR] 1.19, 95% confidence interval [95% CI] 0.52 to 2.7; p=0.8). In comparison with MBI, MFL did not significantly increase complication risks in term of facial paralysis (adjusted OR 0.93, 95% CI 0.06 to 15.29; p=1.0) and necessity of re-operation (adjusted OR 0.61, 95% CI 0.1 to 3.8; p=0.7). Conclusion Given no different LHS and complication risks, MFL can replace MBI for ASA I-II adult patients undergoing PAD.
Collapse
Affiliation(s)
- Poramate Pitak-Arnnop
- Department of Oral and Maxillofacial Surgery, University
Hospital of Giessen and Marburg, UKGM GmbH, Campus
Marburg, Faculty of Medicine, Philipps-University of
Marburg Germany ,To whom correspondence should be addressed: Dr.Poramate Pitak-Arnnop Department of Oral and Maxillofacial Surgery, University Hospital of Giessen and Marburg, UKGM GmbH, Campus
Marburg, Faculty of Medicine, Philipps-University of Marburg Germany
| | - Nattapong Sirintawat
- Department of Oral and Maxillofacial Surgery, Faculty of
Dentistry, Mahidol University, Bangkok Thailand
| | - Keskanya Subbalekha
- Department of Oral and Maxillofacial Surgery, Faculty of
Dentistry, Chulalongkorn University, Bangkok Thailand
| | - Jean-Paul Meningaud
- Department of Plastic, Reconstructive, Aesthetic and
Maxillofacial Surgery, Henri Mondor University Hospital,
AP-HP, Faculty of Medicine, University Paris-Est Créteil Val de Marne (Paris XII), Créteil France
| | - Prim Auychai
- Department of Paediatric Dentistry, Faculty of Dentistry,
Chulalongkorn University, Bangkok Thailand
| | - Chatpong Tangmanee
- Department of Statistics, Chulalongkorn Business School,
Bangkok Thailand
| | - Andreas Neff
- Department of Oral and Maxillofacial Surgery, University
Hospital of Giessen and Marburg, UKGM GmbH, Campus
Marburg, Faculty of Medicine, Philipps-University of
Marburg Germany
| |
Collapse
|
2
|
Steinbeck G, Sinner MF, Lutz M, Müller-Nurasyid M, Kääb S, Reinecke H. Incidence of complications related to catheter ablation of atrial fibrillation and atrial flutter: a nationwide in-hospital analysis of administrative data for Germany in 2014. Eur Heart J 2018; 39:4020-4029. [PMID: 30085086 PMCID: PMC6269631 DOI: 10.1093/eurheartj/ehy452] [Citation(s) in RCA: 97] [Impact Index Per Article: 16.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Revised: 05/17/2018] [Accepted: 07/10/2018] [Indexed: 02/06/2023] Open
Abstract
Aims Risks of catheter ablation for atrial fibrillation and flutter assessed in retrospective studies, registries, and controlled trials may underestimate 'real world' conditions. Methods and results To assess complications in a nationwide approach, we included all cases undergoing catheter ablation for atrial fibrillation and atrial flutter in Germany in 2014, using ICD-10-GM-based German Diagnosis Related Group (G-DRG) codes and the well differentiated German Operation and Procedure Classification (OPS) analysing 33 353 in-hospital cases. For left atrial ablations (19 514 cases), the overall complication rate ranged from a mean of 11.7% to 13.8% depending on type and site of applied energy, including major complications ranging from 3.8% to 7.2%. Whereas overall complication rates were lower for atrial flutter ablations (13 871 cases, 10.5%; P < 0.001), interestingly, major complications occurred more frequently (7.4%; P < 0.001). Particularly, in-hospital death was four-times more common following right than following left atrial ablations (47 vs. 18 cases, 0.34% vs. 0.09%; P < 0.001). Stratified by centre ablation volume, significantly fewer overall complications occurred in centres performing >100 vs. ≤100 left atrial ablations annually (12.7% vs. 16.4%; P < 0.002). Conclusion Administrative data of all atrial fibrillation ablations in Germany in 2014 revealed higher overall and major complication rates than previously reported. Few patients were treated in low volume centres, but were exposed to a higher overall complication risk. Atrial flutter ablations were associated with surprisingly high rates of life-threatening complications. Advanced age combined with highly prevalent cardiac, pulmonary and, vascular comorbidities likely play a major role. In addition, individual-level clinical studies need to address the safety and benefits of catheter ablation in an elderly, diseased population.
Collapse
Affiliation(s)
- Gerhard Steinbeck
- University Hospital Munich, Ludwig Maximilians University, Marchioninistr. 15, Munich, Bavaria, Germany
| | - Moritz F Sinner
- Department of Medicine I, University Hospital Munich, Ludwig Maximilians University Munich, Marchioninistr. 15, Munich, Bavaria, Germany
- German Centre for Cardiovascular Research (DZHK), partner site: Munich Heart Alliance, Biedersteiner Str. 29, Munich, Bavaria, Germany
| | - Manuel Lutz
- Institute of Genetic Epidemiology, Helmholtz Zentrum München—German Research Center for Environmental Health, Ingolstaedter Landstr. 1, Neuherberg, Bavaria, Germany
| | - Martina Müller-Nurasyid
- Department of Medicine I, University Hospital Munich, Ludwig Maximilians University Munich, Marchioninistr. 15, Munich, Bavaria, Germany
- German Centre for Cardiovascular Research (DZHK), partner site: Munich Heart Alliance, Biedersteiner Str. 29, Munich, Bavaria, Germany
- Institute of Genetic Epidemiology, Helmholtz Zentrum München—German Research Center for Environmental Health, Ingolstaedter Landstr. 1, Neuherberg, Bavaria, Germany
| | - Stefan Kääb
- Department of Medicine I, University Hospital Munich, Ludwig Maximilians University Munich, Marchioninistr. 15, Munich, Bavaria, Germany
- German Centre for Cardiovascular Research (DZHK), partner site: Munich Heart Alliance, Biedersteiner Str. 29, Munich, Bavaria, Germany
| | - Holger Reinecke
- Division of Vascular Medicine, Department of Cardiology and Angiology, University Hospital Münster, Albert-Schweitzer-Campus 1, Munster, North Rhine-Westphalia, Germany
| |
Collapse
|