Abstract
Purpose
This study aimed to determine if there is a relation between odontogenic infection severity score (OISS) and difficult intubation at the time of surgical treatment for severe odontogenic infections (SOI). A secondary goal of this study was to determine the utility of OISS as a predictor of difficult intubations.
Methods
This retrospective cohort study was composed of consecutive patients admitted and surgically treated in the operating room (OR) for SOIs. Patients with an OISS ≥ 5 were designated as Group 1 and < 5 Group 2.
Results
There was a statistically significant difference in difficult intubations between the two groups (p = 0.018). Patients with an OISS ≥ 5 were nearly four times more likely to be difficult intubations compared to patients with an OISS < 5 (OR 3.70, 95% CI 1.19–11.45). When OISS ≥ 5 was used to predict difficult intubation, the sensitivity was 69%, the specificity was 63%, the positive predictive value was 23%, and the negative predictive value was 93%.
Conclusion
OISS ≥ 5 was associated with a higher prevalence of difficult intubations compared to an OISS < 5. OISS may provide clinically relevant data that can be used with established risk factors, laboratory values, and clinical judgment.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Timothy W. Neal and Brian R. Carr. The first draft of the manuscript was written by Timothy W. Neal and Brian R. Carr. All authors commented on previous versions of the manuscript. Final approval and editing was completed by the senior author Thomas Schlieve. All authors read and approved the final manuscript.
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This is a retrospective study. This study was granted exemption by our institution’s review board with confirmation that no ethics approval is required.
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No consent to participate/publish was required given the retrospective nature of this study. Waiver from our institution’s review board was obtained.
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Neal, T.W., Carr, B.R. & Schlieve, T. Are higher odontogenic infection severity scores associated with difficult intubations?. Oral Maxillofac Surg 28, 435–440 (2024). https://doi.org/10.1007/s10006-023-01168-0
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DOI: https://doi.org/10.1007/s10006-023-01168-0