The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS
The main aim of this study is to compare the incidence rate and severity of deep neck infection (DNI) in patients post-UPPP+ T (uvulopalatopharyngoplasty plus tonsillectomy) and without UPPP+ T. We utilized the data derived from the Longitudinal Health Insurance Database (LHID) of the National Healt...
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MDPI AG
2022-08-01
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| Online Access: | https://www.mdpi.com/2075-1729/12/8/1196 |
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| author | Pin-Ching Hu Liang-Chun Shih Wen-Dien Chang Jung-Nien Lai Pei-Shao Liao Chih-Jaan Tai Chia-Der Lin Hei-Tung Yip Te-Chun Shen Yung-An Tsou |
| author_facet | Pin-Ching Hu Liang-Chun Shih Wen-Dien Chang Jung-Nien Lai Pei-Shao Liao Chih-Jaan Tai Chia-Der Lin Hei-Tung Yip Te-Chun Shen Yung-An Tsou |
| author_sort | Pin-Ching Hu |
| collection | DOAJ |
| description | The main aim of this study is to compare the incidence rate and severity of deep neck infection (DNI) in patients post-UPPP+ T (uvulopalatopharyngoplasty plus tonsillectomy) and without UPPP+ T. We utilized the data derived from the Longitudinal Health Insurance Database (LHID) of the National Health Insurance Research Database (NHIRD) in Taiwan from 1 January 2000 to 31 December 2012. Patients who had undergone combined UPPP and tonsillectomy were selected using National Health Insurance (NHI) surgical order. Patients with DNI were selected using International Classification of Diseases (ICD-9-CM) code. A logistic regression model was applied for risk analysis. There were 1574 patients in the UPPP+ T cohort, and 6,296 patients who did not undergo combined UPPP and tonsillectomy for the control group. Our analysis showed that patients with an obstructive sleep apnea syndrome (OSAS) history constitute 76.1% (<i>n</i> = 1198) of the UPPP+ T cohort. Compared to the control group, there was no significantly increased incidence rate of DNI after UPPP+ T within 1–60 months. Patients undergoing combined UPPP and tonsillectomy had a lower intubation rate for DNI, with an adjusted odds ratio of 0.47 (95% CI = 0.32–0.69). The combined UPPP and tonsillectomy does not increase the risk of DNI within 1–60 months. Furthermore, combined UPPP and tonsillectomy can reduce the severity for DNI by decreasing the intubation rate and length of hospitalization. |
| first_indexed | 2024-03-09T13:06:12Z |
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| language | English |
| last_indexed | 2024-03-09T13:06:12Z |
| publishDate | 2022-08-01 |
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| record_format | Article |
| series | Life |
| spelling | doaj.art-ebf88345fbdd429e80a23590427bf7312023-11-30T21:49:22ZengMDPI AGLife2075-17292022-08-01128119610.3390/life12081196The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSASPin-Ching Hu0Liang-Chun Shih1Wen-Dien Chang2Jung-Nien Lai3Pei-Shao Liao4Chih-Jaan Tai5Chia-Der Lin6Hei-Tung Yip7Te-Chun Shen8Yung-An Tsou9Department of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 404332, TaiwanDepartment of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 404332, TaiwanDepartment of Sport Performance, National Taiwan University of Sport, Taichung 404401, TaiwanSchool of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, TaiwanDepartment of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 404332, TaiwanDepartment of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 404332, TaiwanDepartment of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 404332, TaiwanDepartment of Health Services Administration, China Medical University, Taichung 40402, TaiwanSchool of Medicine, China Medical University, Taichung 40402, TaiwanDepartment of Otolaryngology-Head and Neck Surgery, China Medical University Hospital, Taichung 404332, TaiwanThe main aim of this study is to compare the incidence rate and severity of deep neck infection (DNI) in patients post-UPPP+ T (uvulopalatopharyngoplasty plus tonsillectomy) and without UPPP+ T. We utilized the data derived from the Longitudinal Health Insurance Database (LHID) of the National Health Insurance Research Database (NHIRD) in Taiwan from 1 January 2000 to 31 December 2012. Patients who had undergone combined UPPP and tonsillectomy were selected using National Health Insurance (NHI) surgical order. Patients with DNI were selected using International Classification of Diseases (ICD-9-CM) code. A logistic regression model was applied for risk analysis. There were 1574 patients in the UPPP+ T cohort, and 6,296 patients who did not undergo combined UPPP and tonsillectomy for the control group. Our analysis showed that patients with an obstructive sleep apnea syndrome (OSAS) history constitute 76.1% (<i>n</i> = 1198) of the UPPP+ T cohort. Compared to the control group, there was no significantly increased incidence rate of DNI after UPPP+ T within 1–60 months. Patients undergoing combined UPPP and tonsillectomy had a lower intubation rate for DNI, with an adjusted odds ratio of 0.47 (95% CI = 0.32–0.69). The combined UPPP and tonsillectomy does not increase the risk of DNI within 1–60 months. Furthermore, combined UPPP and tonsillectomy can reduce the severity for DNI by decreasing the intubation rate and length of hospitalization.https://www.mdpi.com/2075-1729/12/8/1196deep neck infectionuvulopalatopharyngoplastyobstructive sleep apnea syndromeNational Health Insurance Research Database |
| spellingShingle | Pin-Ching Hu Liang-Chun Shih Wen-Dien Chang Jung-Nien Lai Pei-Shao Liao Chih-Jaan Tai Chia-Der Lin Hei-Tung Yip Te-Chun Shen Yung-An Tsou The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS Life deep neck infection uvulopalatopharyngoplasty obstructive sleep apnea syndrome National Health Insurance Research Database |
| title | The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS |
| title_full | The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS |
| title_fullStr | The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS |
| title_full_unstemmed | The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS |
| title_short | The Changes in the Severity of Deep Neck Infection Post-UPPP and Tonsillectomy in Patients with OSAS |
| title_sort | changes in the severity of deep neck infection post uppp and tonsillectomy in patients with osas |
| topic | deep neck infection uvulopalatopharyngoplasty obstructive sleep apnea syndrome National Health Insurance Research Database |
| url | https://www.mdpi.com/2075-1729/12/8/1196 |
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