A clinical prediction score to determine surgical drainage of deep neck infection: A retrospective case-control study
- Abstract
- BACKGROUND: The objective of this retrospective study was to identify predictors of an abscess guaranteed to be surgically drained successfully in patients with deep neck infection (DNI). MATERIALS AND METHODS: We divided 97 consecutive patients with DNI into a drained group and a non-drained group. We then developed a clinical prediction score and validated it in 32 further patients. RESULTS: Significant predictors of successful surgical drainage (i.e., positive for pus) were rim enhancement on computed tomography, C-reactive protein, erythrocyte sedimentation rate, and the neutrophil to lymphocyte ratio. The estimated cut-off values (excluding rim enhancement, which is a yes/no parameter) were 41.25, 56.5, and 8.02, respectively, and the clinical prediction score for each of the four other factors was determined to be 2, 2, 3, and 3 points, respectively. The cut-off score for the sum of these points was 6.5 and the scoring system had an accuracy of 87.5% in the validation group. CONCLUSION: Our clinical prediction scoring system can predict whether drainage is successful in patients with DNI.
- All Author(s)
- M. J. Ban
; J. Y. Jung
; J. W. Kim
; K. N. Park
; S. W. Lee
; Y. W. Koh
; J. H. Park
- Issued Date
- 2018
- Type
- Article
- Keyword
- Deep neck infection; Cellulitis; Abscess; Drainage; Prediction score
- ISSN
- 1743-9159
- Citation Title
- International Journal of Surgery
- Citation Volume
- 52
- Citation Start Page
- 131
- Citation End Page
- 135
- Language(ISO)
- eng
- DOI
- 10.1016/j.ijsu.2018.02.024
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/3308
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