Descending necrotizing mediastinitis (DNM) is the most serious complication of deep neck infections (DNI) with high mortality. The objective of this retrospective study was to evaluate possible prognostic factors for DNM development in deep space neck infections.
Descending necrotizing mediastinitis (DNM) is the most serious complication of deep neck infections (DNI) with high mortality. The objective of this retrospective study was to evaluate possible prognostic factors for DNM development in deep space neck infections. The study enrolled patients admitted to the Emergency Center of Vojvodina with the diagnosis of multispace DNI with or without DNM either as the primary diagnosis or with discharged diagnosis after surgical treatment during 7-years period. The data were obtained from patient medical records.
Study Type
OBSERVATIONAL
Enrollment
289
Incidence of mediastinitis
Neck and chest computed tomography (CT)
Time frame: Within 6 hours of admission
Microbiological findings in DNI and DNM
Prevalence of microorganisms in mediastinitis
Time frame: Within 1 week of admission
Average number of hospital days
Comparison of average number of hospital days in DNI and DNM
Time frame: Through study completion, an average of one month
Incidence of complications
Complications among DNI and DNI+DNM groups
Time frame: Within 30 days from admission
Number of infected deep neck spaces
Neck and chest computed tomography (CT)
Time frame: Within 6 hours of admission
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