Associations of time to the operating room on outcomes in odontogenic infection

Abstract The purpose of this study was to determine if there were correlations between the length of time from hospital admission to surgical intervention and the frequency of complications in patients with odontogenic infections. While odontogenic infection is well studied in terms of interventions...

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Main Authors: Jeffrey N. James, Ryan Bloomquist, Kiara Brown, Stephen Looney, Dylan Walker, Tyler Day
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-024-05300-8
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author Jeffrey N. James
Ryan Bloomquist
Kiara Brown
Stephen Looney
Dylan Walker
Tyler Day
author_facet Jeffrey N. James
Ryan Bloomquist
Kiara Brown
Stephen Looney
Dylan Walker
Tyler Day
author_sort Jeffrey N. James
collection DOAJ
description Abstract The purpose of this study was to determine if there were correlations between the length of time from hospital admission to surgical intervention and the frequency of complications in patients with odontogenic infections. While odontogenic infection is well studied in terms of interventions and outcomes, less is known about hospital utilization and resource burden of odontogenic infection with respect to timeliness to intervention. A retrospective cohort analysis was used to examine correlations between time from admission to surgical intervention and clinical outcomes. Patients included in this study were divided into three categories of length of time to the operating room: 0–12 h, 12.1–24 h, and greater than 24 h. Time of admission, time of surgical intervention, patient demographics, admission lab values, and space involvement were measured and compared to the primary outcome variables including complications of intubation attempts and type, ICU admission, length of hospitalization, number of changes in antibiotic therapy, and frequency of return to the operating room. We found that the length of time to the OR had a statistically significant association with length of hospital stay (p = 0.003) and number of changes in antibiotic therapy (p = 0.033). While overall length of hospital stay is inherently dependent on length of time to the OR, this relationship highlights the importance of timeliness to definitive intervention in order to reduce hospital burden. This study provides evidence on how to prioritize odontogenic infections in a hospital setting. We recommend treating odontogenic infection in less than 24 h from the time of admission in order to reduce costs and improve outcomes for patients.
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spelling doaj-art-4a7eaceb62bf44298b0d739d17dadce02025-01-26T12:55:04ZengBMCBMC Oral Health1472-68312025-01-012511610.1186/s12903-024-05300-8Associations of time to the operating room on outcomes in odontogenic infectionJeffrey N. James0Ryan Bloomquist1Kiara Brown2Stephen Looney3Dylan Walker4Tyler Day5Louisiana State University Health New Orleans, LSUHSC School of DentistryUniversity of South Carolina School of MedicineDental College of Georgia, Augusta UniversityDental College of Georgia, Augusta UniversityLouisiana State University Health New Orleans, LSUHSC School of DentistryDental College of Georgia, Augusta UniversityAbstract The purpose of this study was to determine if there were correlations between the length of time from hospital admission to surgical intervention and the frequency of complications in patients with odontogenic infections. While odontogenic infection is well studied in terms of interventions and outcomes, less is known about hospital utilization and resource burden of odontogenic infection with respect to timeliness to intervention. A retrospective cohort analysis was used to examine correlations between time from admission to surgical intervention and clinical outcomes. Patients included in this study were divided into three categories of length of time to the operating room: 0–12 h, 12.1–24 h, and greater than 24 h. Time of admission, time of surgical intervention, patient demographics, admission lab values, and space involvement were measured and compared to the primary outcome variables including complications of intubation attempts and type, ICU admission, length of hospitalization, number of changes in antibiotic therapy, and frequency of return to the operating room. We found that the length of time to the OR had a statistically significant association with length of hospital stay (p = 0.003) and number of changes in antibiotic therapy (p = 0.033). While overall length of hospital stay is inherently dependent on length of time to the OR, this relationship highlights the importance of timeliness to definitive intervention in order to reduce hospital burden. This study provides evidence on how to prioritize odontogenic infections in a hospital setting. We recommend treating odontogenic infection in less than 24 h from the time of admission in order to reduce costs and improve outcomes for patients.https://doi.org/10.1186/s12903-024-05300-8Odontogenic InfectionTime to operating roomOral and Maxillofacial Surgery
spellingShingle Jeffrey N. James
Ryan Bloomquist
Kiara Brown
Stephen Looney
Dylan Walker
Tyler Day
Associations of time to the operating room on outcomes in odontogenic infection
BMC Oral Health
Odontogenic Infection
Time to operating room
Oral and Maxillofacial Surgery
title Associations of time to the operating room on outcomes in odontogenic infection
title_full Associations of time to the operating room on outcomes in odontogenic infection
title_fullStr Associations of time to the operating room on outcomes in odontogenic infection
title_full_unstemmed Associations of time to the operating room on outcomes in odontogenic infection
title_short Associations of time to the operating room on outcomes in odontogenic infection
title_sort associations of time to the operating room on outcomes in odontogenic infection
topic Odontogenic Infection
Time to operating room
Oral and Maxillofacial Surgery
url https://doi.org/10.1186/s12903-024-05300-8
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AT kiarabrown associationsoftimetotheoperatingroomonoutcomesinodontogenicinfection
AT stephenlooney associationsoftimetotheoperatingroomonoutcomesinodontogenicinfection
AT dylanwalker associationsoftimetotheoperatingroomonoutcomesinodontogenicinfection
AT tylerday associationsoftimetotheoperatingroomonoutcomesinodontogenicinfection