Evidence map›Paper›PMID 35659711›Full record

ArticleBrazilian journal of otorhinolaryngology

Computed tomography analysis of fascial space involvement demonstrates correlations with laboratory tests, length of hospital stays and admission to the intensive care unit in odontogenic infections.

Renata de Jesus da Silva, Raphaella Ayres Lima Barbosa, Fabio Kenji Okamura, João Gualberto Cerqueira Luz

Open access · goldAbstract read
In one paragraph

Article in Brazilian journal of otorhinolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Renata de Jesus da SilvaHospital M. Dr. Arthur R. de Saboya, Departamento de Cirurgia Oral e Bucomaxilofacial, São Paulo, SP, Brazil.
Raphaella Ayres Lima BarbosaHospital M. Dr. Arthur R. de Saboya, Departamento de Cirurgia Oral e Bucomaxilofacial, São Paulo, SP, Brazil.
Fabio Kenji OkamuraFundação Instituto de Pesquisa e Estudo de Diagnóstico por Imagem, São Paulo, SP, Brazil.
João Gualberto Cerqueira LuzHospital M. Dr. Arthur R. de Saboya, Departamento de Cirurgia Oral e Bucomaxilofacial, São Paulo, SP, Brazil; Universidade de São Paulo (USP), Faculdade de Odontologia, Departamento de Cirurgia, Prótese e Traumatologia Maxilofaciais, São Paulo, SP, Brazil. Electronic address: jgcluz@usp.br.
Hospital São Paulo · BRCentrus Diagnósticos por Imagem · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOdontogenic infections are frequent and can spread, leading to complications such as sepsis and the need for admission to an Intensive Care Unit (ICU). The purpose of this study was to perform a computed tomography analysis of the fascial space involvement and correlate with personal data, laboratory tests, length of hospital stays and admission to the ICU in patients with odontogenic infections who required hospitalization.

methodsPatients with odontogenic infections admitted between June 2017 and May 2018 were prospectively evaluated. The fascial spaces involved were studied using computed tomography with contrast. The possible correlations of tomographic findings with comorbidities, nutritional status, the causative tooth, laboratory tests, length of hospital stays and admission to the ICU were analyzed.

resultsWe identified 66 cases of odontogenic infections which were admitted in the period analyzed. The involvement of primary spaces (86.7%) predominated, followed by secondary ones (8.7%), and cervical (4.6%). The most frequently involved fascial spaces were submandibular (27.1%), buccal (20.8%), sublingual (18.3%), submental (16.7%), and others (17.1%). There were significant differences between laboratory tests (p < 0.001), mean hospital stays (p < 0.001), and admissions to the ICU (p < 0.001) depending on the number of fascial spaces involved. There was no influence of comorbidities, nutritional status, or causative tooth on fascial space involvement.

conclusionThere was a relationship between greater involvement of fascial spaces assessed by computed tomography and higher values of laboratory tests, more extended hospitalization stays and admission to the ICU. LEVEL OF EVIDENCE: Level 2b.

Indexed as

Focal Infection, DentalHumansIntensive Care UnitsLength of StayNeckRetrospective StudiesTomography, X-Ray ComputedCelluliteComputed tomographyDentoalveolar abscessHospitalizationLength of stay

Identifiers

PMID35659711
PMCPMC9756056
OpenAlexW4282946541

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.