Determinants of extended inpatient care in odontogenic cervicofacial infections: a retrospective observational study.
6 affiliations
- 1Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Lesserstraße 180, Hamburg, 22049, Germany.
- 2Department of Plastic Surgery, Army Hospital Berlin, Berlin, Germany.
- 3Department of Otolaryngology - Head and Neck Surgery, Army Hospital Berlin, Berlin, Germany.
- 4Department of Periodontics, Preventive and Restorative Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
- 5Department of Oral and Maxillofacial Surgery, Army Hospital Hamburg, Lesserstraße 180, Hamburg, 22049, Germany. [email protected].
- 6Department of Periodontics, Preventive and Restorative Dentistry, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. [email protected].
Abstract
Background
This study aimed to identify clinical and demographic factors associated with prolonged hospitalisation in patients treated for severe odontogenic cervicofacial infections (CFI).Methods
This 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
Patients 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
Although 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.
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BibTeX
@article{aydin2026determinants,
title = {{Determinants of extended inpatient care in odontogenic cervicofacial infections: a retrospective observational study.}},
author = {Anna Aydin and Lawik Revend and Doha Revend and Thomas Beikler and Manfred Giese and Oliver Schuck and Johannes Schunk and Florian Dudde},
journal = {BMC oral health},
year = {2026},
month = nov,
doi = {10.1186/s12903-026-10392-5},
url = {https://europepmc.org/article/MED/42972565},
note = {CC BY},
}
RIS
TY - JOUR
TI - Determinants of extended inpatient care in odontogenic cervicofacial infections: a retrospective observational study.
AU - Anna Aydin
AU - Lawik Revend
AU - Doha Revend
AU - Thomas Beikler
AU - Manfred Giese
AU - Oliver Schuck
AU - Johannes Schunk
AU - Florian Dudde
PY - 2026
DA - 2026/11/03
JO - BMC oral health
DO - 10.1186/s12903-026-10392-5
UR - https://europepmc.org/article/MED/42972565
AB - Background This study aimed to identify clinical and demographic factors associated with prolonged hospitalisation in patients treated for severe odontogenic cervicofacial infections (CFI).Methods This 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 Patients 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 Although 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.
SN - 1472-6831
ER -