Abstract
Facial infections are common and can occasionally be severe. A small number of patients
may develop severe sepsis or airway compromise requiring critical care admission.
We examined a national intensive care database to assess patterns of admission and
outcomes for patients in this cohort. An analysis was performed of the Intensive Care
National Audit and Research Centre (ICNARC) Case Mix Programme database. Data were
extracted on case mix and outcomes for patients coded as ‘mandible, facial bones,
dental, and salivary infection’ admitted to critical care between 2010 and 2019. Data
included admission numbers, demographics, comorbidities, physiology scores, and outcomes
including length of stay and mortality. There were 2820 admissions for patients with
facial infections from 212 CCUs over the ten-year period. Admissions increased from
194 in 2010 to 368 in 2019. These admissions accounted for 0.16% of overall admissions
in 2010 and 0.21% in 2019, a statistically significant increase in the rate of admissions,
p < 0.001. The median age of patients was 48 years and 62.7% were male. Sepsis was
present in 77.6% of patients. The median length of stay in critical care was 49 hours
(IQR 23.2, 100.3 hours). The median total hospital stay was 7 days (IQR 4, 16 days).
The rate of admissions to CCUs for facial infection remains low overall but has significantly
increased over the last decade. With increasing demand for this resource ongoing monitoring
of utilisation is important.
Keywords
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Article Info
Publication History
Published online: April 01, 2022
Accepted:
March 28,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
