Preoperative blood sugar and C-reactive protein associated with persistent discharge after incision and drainage for patients with deep neck abscesses

• Published in: Clinical otolaryngology 2009-08, Vol.34 (4), p.336-342
• Main Authors: Liu, S.-A., Liang, M.-T., Wang, C.-P., Wang, C.-C., Lin, W.-D., Ho, H.-C., Chiu, Y.-T.
• Format: Article
• Language: English
• Subjects: Abscess - blood; Abscess - diagnosis; Abscess - surgery; Adult; Aged; Anti-Bacterial Agents - therapeutic use; Bacterial Infections - blood; Bacterial Infections - diagnosis; Bacterial Infections - surgery; Biomarkers - blood; Blood Glucose - metabolism; C-Reactive Protein - metabolism; Combined Modality Therapy; Drainage; Female; Humans; Male; Middle Aged; Neck - surgery; Postoperative Complications - blood; Postoperative Complications - diagnosis; Postoperative Complications - surgery; Prognosis; Reoperation; Retrospective Studies; Risk Factors; Surgical Wound Infection - blood; Surgical Wound Infection - diagnosis; Surgical Wound Infection - surgery; Taiwan; Tomography, X-Ray Computed
• ISSN: 1749-4478; 1749-4486
• DOI: 10.1111/j.1749-4486.2009.01972.x

Objectives:  The aim of this study was to investigate whether preoperative C‐reactive protein (CRP) and blood sugar correlated with persistent discharge after incision and drainage for patients with deep neck abscesses. Study design:  Retrospective data analysis. Setting:  Tertiary referral centre. Participants:  A total of 204 patients who underwent operation for deep neck abscess. Main outcome measures:  Persistent discharge after operation. Results:  One hundred seventy patients were included for final analyses. Most of the patients were male (n = 115; 68%) and the average age was 54 years. Using logistic regression analyses, age >55 years [odds ratio (OR): 3.053; P = 0.002], preoperative CRP >15 mg/dL (OR: 2.174; P = 0.027), and preoperative blood sugar >8.3 mmol/L (OR: 3.280; P = 0.001) were independent factors correlated with persistent discharge. Conclusions:  Older age, elevated preoperative CRP level and blood sugar had a statistically significant association with persistent discharge after operation in deep neck abscesses patients.