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Trend of surgery for orbital cellulitis: An analysis of state inpatient databases
- Source :
- Laryngoscope
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Objectives/hypothesis To evaluate the trend and factors associated with surgical management of orbital cellulitis. Study design Retrospective database study. Methods Study using the State Inpatient Databases (SIDs) from 2008 to 2015. Patients with an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code for orbital cellulitis were identified in the SIDs for the following states: Arkansas, Florida, Iowa, Maryland, Nebraska, New York, and Wisconsin. Surgery was defined as an ICD-9-CM procedure code for orbitotomy and/or functional endoscopic sinus surgery. The trend of surgery over time was evaluated using the Cochran-Armitage test. Multivariable logistic regression models were used to identify patient- and hospital-level factors associated with surgery. Results From 2008 to 2013, the number of hospitalizations for orbital cellulitis ranged from 1,349 to 1,574, but declined to 865 in 2014. From 2008 to 2015, the number of surgeries ranged from 103 to 154. For children (n = 3,041), age, ophthalmologic comorbidity, and conjunctival edema were significantly associated with surgery, whereas for adults (n = 7,961), male gender, private insurance, optic neuritis, and cranial nerves III/VI/VI palsy were associated with surgery. Conclusions Although the number of inpatient hospitalizations for orbital cellulitis has markedly declined, the number of surgeries for orbital cellulitis has remained fairly stable, leading to an observed higher proportion of hospitalized patients undergoing surgery. Future directions include extending the time frame to the present day to assess current rates of hospitalization and surgery. Knowledge of surgical trends and patient- and hospital-level characteristics associated with surgery may help improve management guidelines for and understanding of this vision-threatening disease. Level of evidence NA Laryngoscope, 130:567-574, 2020.
- Subjects :
- Male
Databases, Factual
Ophthalmologic Surgical Procedures
computer.software_genre
Logistic regression
0302 clinical medicine
Child
Aged, 80 and over
Arkansas
Palsy
Database
Procedure code
Age Factors
Nebraska
Middle Aged
Orbital Cellulitis
Hospitalization
Child, Preschool
Florida
Female
Diagnosis code
Adult
medicine.medical_specialty
Adolescent
New York
Article
Young Adult
03 medical and health sciences
Sex Factors
Wisconsin
030225 pediatrics
medicine
Humans
Optic neuritis
Aged
Retrospective Studies
Inpatients
Maryland
business.industry
Infant
Functional endoscopic sinus surgery
medicine.disease
Iowa
Comorbidity
Surgery
Otorhinolaryngology
030221 ophthalmology & optometry
Orbital cellulitis
business
computer
Subjects
Details
- ISSN :
- 15314995 and 0023852X
- Volume :
- 130
- Database :
- OpenAIRE
- Journal :
- The Laryngoscope
- Accession number :
- edsair.doi.dedup.....ebd859c46d19e1e8e7ec870c0e9e2387