The Burden of Facial Cellulitis Leading to Inpatient Hospitalization

Publication date: Available online 3 February 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Shelly Abramowicz, Sankeerth Rampa, Veerasathpurush Allareddy, Min Kyeong Lee
PurposeThe purpose of the present study is to present nationally representative estimates of hospitalizations primarily attributed to facial cellulitis and to conduct an exploratory analysis on identifying factors associated with outcomes such as hospital charges, length of stay, disposition status, and occurrence of infectious complications.Materials and MethodsThe present study is a retrospective analysis of the Nationwide Inpatient Sample (NIS) for the years 2012 and 2013. ICD-9- CM diagnosis code of "682.0" in the primary diagnosis field of NIS (reason for hospitalization) was used to identify cases with facial cellulitis. All patients 18 years old and above who were hospitalized due to facial cellulitis were included. Outcome variables examined in the present study were hospital charges, length of stay (LOS), disposition status, and occurrence of infectious complications. Descriptive statistics and multivariable linear regression model were used to examine association between independent variables and patient disposition and infectious complications.ResultsIn years 2012 and 2013, 74,480 hospitalizations involved face cellulitis among adults 18 years and older in the United States. Most were female with a mean age of 47.5 years. Most of the patients were routinely discharged to home. Age was associated with an increase in odds of discharge to another facility. Variables associated with decreased odds of bacterial infections were age and black or Hispanic race. Females with at least one comorbidity had higher odds of mycoses. Statistically significant predictors of longer than average LOS were age, race, insurance, presence of sepsis, and location.Conclusionsthis study presented nationally representative estimates of hospitalizations attributed primarily due to facial cellulitis among the adult population in the United States in 2012 and 2013. The presence of comorbid condition predicted worse outcomes. Public health efforts should focus on targeting high risk patients and providing monitoring or early treatment of face cellulitis.



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