{
  "abstract": "Background\n\nThis study aimed to identify clinical and demographic factors associated with prolonged hospitalisation in patients treated for severe odontogenic cervicofacial infections (CFI).Methods\n\nThis retrospective study analysed 152 patients who were treated in an inpatient setting for CFI at the Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, between January 2022 and December 2023. Patients were stratified based on length of hospital stay (LOS) into two groups: <7 days and ≥ 7 days. Demographic, clinical, laboratory, treatment-related and timing data were compared to determine their association with prolonged LOS.Results\n\nPatients with prolonged hospitalisation (≥ 7 days; n = 79) were older and more frequently had recorded pre-existing disease, multi-space infection, submandibular or floor-of-mouth involvement, dyspnoea, elevated inflammatory markers and delayed presentation in unadjusted analyses. In multivariable logistic regression, recorded pre-existing disease (aOR 6.04, 95% CI 1.10-33.18; p = 0.038) and longer time from symptom onset to hospital presentation (aOR 2.86 per day, 95% CI 2.01-4.07; p < 0.001) remained independently associated with prolonged hospitalisation.Conclusions\n\nAlthough several demographic, anatomical and clinical factors were associated with prolonged hospitalisation in unadjusted analyses, recorded pre-existing disease and delayed hospital presentation remained independently associated with prolonged LOS after multivariable adjustment. These findings highlight the potential importance of comorbidity and timely presentation in identifying patients at risk of extended inpatient care, but prospective multicentre validation is warranted.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Lesserstraße 180, Hamburg, 22049, Germany.",
    "Department of Plastic Surgery, Army Hospital Berlin, Berlin, Germany.",
    "Department of Otolaryngology - Head and Neck Surgery, Army Hospital Berlin, Berlin, Germany.",
    "Department of Periodontics, Preventive and Restorative Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.",
    "Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Lesserstraße 180, Hamburg, 22049, Germany. floriandudde@gmx.de.",
    "Department of Periodontics, Preventive and Restorative Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. floriandudde@gmx.de."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Anna Aydin"
    },
    {
      "affs": [
        1
      ],
      "name": "Lawik Revend"
    },
    {
      "affs": [
        2
      ],
      "name": "Doha Revend"
    },
    {
      "affs": [
        3
      ],
      "name": "Thomas Beikler"
    },
    {
      "affs": [
        0
      ],
      "name": "Manfred Giese"
    },
    {
      "affs": [
        0
      ],
      "name": "Oliver Schuck"
    },
    {
      "affs": [
        0
      ],
      "name": "Johannes Schunk"
    },
    {
      "affs": [
        4,
        5
      ],
      "name": "Florian Dudde",
      "orcid": "0000-0002-1287-9775"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/430cdnxwe4qby.bib",
  "cited_by": 0,
  "doi": "10.1186/s12903-026-10392-5",
  "fulltext_url": "https://europepmc.org/articles/PMC13729297",
  "id": "430cdnxwe4qby",
  "issns": [
    "1472-6831"
  ],
  "landing_url": "https://europepmc.org/article/MED/42972565",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2725|Otolaryngology and Infectious Diseases"
    ]
  ],
  "openalex": "W7225106063",
  "pdf_url": "https://europepmc.org/articles/PMC13729297?pdf=render",
  "pmcid": "PMC13729297",
  "pmid": "42972565",
  "published": "2026-11-03",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/430cdnxwe4qby.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:43Z",
      "native_id": "MED:42972565",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42972565"
    },
    {
      "first_seen": "2026-11-07T12:22:05Z",
      "native_id": "PMC13729297",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12903-026-10392-5"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Otolaryngology and Infectious Diseases",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Determinants of extended inpatient care in odontogenic cervicofacial infections: a retrospective observational study.",
  "title_text": "Determinants of extended inpatient care in odontogenic cervicofacial infections: a retrospective observational study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:05Z",
  "url": "https://research.draconitic.com/paper/430cdnxwe4qby",
  "venue": "BMC oral health",
  "versions": []
}