Journal article
Trend of surgery for orbital cellulitis: An analysis of state inpatient databases
The Laryngoscope, Vol.130(3), pp.567-574
03/2020
DOI: 10.1002/lary.28050
PMID: 31050824
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
Details
- Title: Subtitle
- Trend of surgery for orbital cellulitis: An analysis of state inpatient databases
- Creators
- Pawina Jiramongkolchai - Washington University in St. LouisDaniel P. Lander - Washington University in St. LouisDorina Kallogjeri - Washington University in St. LouisMargaret A. Olsen - Washington University in St. LouisMatthew Keller - Washington University in St. LouisJohn S. Schneider - Washington University in St. LouisJake J. Lee - Washington University in St. LouisKim Jiramongkolchai - Johns Hopkins UniversityJay F Piccirillo - Washington University in St. Louis
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.130(3), pp.567-574
- DOI
- 10.1002/lary.28050
- PMID
- 31050824
- NLM abbreviation
- Laryngoscope
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Publisher
- Wiley
- Number of pages
- 8
- Grant note
- R24 HS019455 / AHRQ HHS; United States Department of Health & Human Services; Agency for Healthcare Research & Quality UL1TR002345; UL1 TR002345 / NCATS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) T32DC000022 / National Institute on Deafness and Other Communication Disorders; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD) R24HS19455 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality UL1TR002345 / National Center for Advancing Translational Sciences; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) T32 DC00022; T32 DC000022 / NIDCD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Deafness & Other Communication Disorders (NIDCD)
- Language
- English
- Date published
- 03/2020
- Academic Unit
- Otolaryngology
- Record Identifier
- 9985240895202771
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