EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES

The aim was to assess the impact of emergency and planned tracheostomy on the main indicators of inpatient treatment in patients with contact mediastinitis.Materials and methods. This work was performed on the basis of the Department of Maxillofacial Surgery of the Kursk Regional Clinical Hospital....

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Main Authors: Alexander L. Gromov, Mikhail A. Gubin, Sergei V. Ivanov, Denis S. Tishkov
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2019-03-01
Series:Кубанский научный медицинский вестник
Subjects:
Online Access:https://ksma.elpub.ru/jour/article/view/1612
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author Alexander L. Gromov
Mikhail A. Gubin
Sergei V. Ivanov
Denis S. Tishkov
author_facet Alexander L. Gromov
Mikhail A. Gubin
Sergei V. Ivanov
Denis S. Tishkov
author_sort Alexander L. Gromov
collection DOAJ
description The aim was to assess the impact of emergency and planned tracheostomy on the main indicators of inpatient treatment in patients with contact mediastinitis.Materials and methods. This work was performed on the basis of the Department of Maxillofacial Surgery of the Kursk Regional Clinical Hospital. In order to conduct a comparative assessment of the treatment results, the patients with contact mediastinitis (46 people, surveyed period 2008–2017) were divided into 2 subgroups: control (25 people, 7 women, 18 men), who were treated without a tracheostomy; and the main group (21 people: 9 women, 12 men), with tracheostomy performed. The etiological and microbiological characteristics of the disease, the total duration of inpatient treatment, the length of stay in the resuscitation and intensive care units (bed-days), the dependence of the disease outcome (death, recovery) on the form of surgical intervention (tracheostomy) were evaluated.Results. A statistically significant effect of tracheostomy on the total duration of hospitalization and mortality rate was established (p0.05). Consequently, at present this issue cannot be resolved unambiguously and requires further research and mathematical analysis.Conclusion. The implementation of tracheostomy significantly increases the duration of inpatient treatment of patients with contact odontogenic mediastinites (p0.05).Conflict of interest: the authors declare no conflict of interest.
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spelling doaj.art-b093a6748eb44293a302931a9b60d40f2024-02-25T10:57:23ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442019-03-012619410010.25207/1608-6228-2019-26-1-94-1001066EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITESAlexander L. Gromov0Mikhail A. Gubin1Sergei V. Ivanov2Denis S. Tishkov3Kursk State Medical University, Ministry of Healthcare of the Russian FederationVoronezh State Medical University named after N.N. BurdenkoKursk State Medical University, Ministry of Healthcare of the Russian FederationKursk State Medical University, Ministry of Healthcare of the Russian FederationThe aim was to assess the impact of emergency and planned tracheostomy on the main indicators of inpatient treatment in patients with contact mediastinitis.Materials and methods. This work was performed on the basis of the Department of Maxillofacial Surgery of the Kursk Regional Clinical Hospital. In order to conduct a comparative assessment of the treatment results, the patients with contact mediastinitis (46 people, surveyed period 2008–2017) were divided into 2 subgroups: control (25 people, 7 women, 18 men), who were treated without a tracheostomy; and the main group (21 people: 9 women, 12 men), with tracheostomy performed. The etiological and microbiological characteristics of the disease, the total duration of inpatient treatment, the length of stay in the resuscitation and intensive care units (bed-days), the dependence of the disease outcome (death, recovery) on the form of surgical intervention (tracheostomy) were evaluated.Results. A statistically significant effect of tracheostomy on the total duration of hospitalization and mortality rate was established (p0.05). Consequently, at present this issue cannot be resolved unambiguously and requires further research and mathematical analysis.Conclusion. The implementation of tracheostomy significantly increases the duration of inpatient treatment of patients with contact odontogenic mediastinites (p0.05).Conflict of interest: the authors declare no conflict of interest.https://ksma.elpub.ru/jour/article/view/1612odontogenic mediastinitistracheostomyneck phlegmonoutcome of the diseasemortalityodontogenic infection
spellingShingle Alexander L. Gromov
Mikhail A. Gubin
Sergei V. Ivanov
Denis S. Tishkov
EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES
Кубанский научный медицинский вестник
odontogenic mediastinitis
tracheostomy
neck phlegmon
outcome of the disease
mortality
odontogenic infection
title EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES
title_full EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES
title_fullStr EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES
title_full_unstemmed EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES
title_short EFFECT OF TRAHEOSTOMY ON THE INPATIENT TREATMENT OF PATIENTS WITH CONTACT MEDIASTINITES
title_sort effect of traheostomy on the inpatient treatment of patients with contact mediastinites
topic odontogenic mediastinitis
tracheostomy
neck phlegmon
outcome of the disease
mortality
odontogenic infection
url https://ksma.elpub.ru/jour/article/view/1612
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