Admission patterns and outcomes of patients admitted to critical care in the UK with surgically treated facial infection: an analysis of the Intensive Care National Audit and Research Centre Case Mix Programme database

Facial infections are common and can occasionally be severe. A small number of patients may develop severe sepsis or airway compro-mise 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 Pro-gramme 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. (c) 2022 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Automated summary

Facial infections can lead to severe sepsis or airway compromise, requiring critical care admission. This study analyzed a national intensive care database to assess admission patterns and outcomes for patients with facial infections. The results showed an increase in admissions over the past decade, with a median age of 48 years and a majority of male patients. Sepsis was present in 77.6% of patients, and the median length of stay in critical care was 49 hours.