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Rapid treatment reduces hospitalization for pediatric patients with odontogenic-based cellulitis

Sarat Thikkurissy1, Joseph T Rawlins, Ashok Kumar

  • 1Division of Pediatric Dentistry, The Ohio State University College of Dentistry, Department of Dentistry, Nationwide Children's Hospital, Columbus, OH, USA.

The American Journal of Emergency Medicine
|July 20, 2010
PubMed

Insights

Rapid management of pediatric facial cellulitis significantly reduced hospital length of stay and cost of hospitalization compared to national data. This approach offers a more efficient treatment for children with odontogenic facial infections.

Area of Science:

  • Pediatric infectious diseases
  • Oral and maxillofacial surgery
  • Hospital administration and healthcare economics

Background:

  • Facial cellulitis in children, particularly of odontogenic origin, presents a significant healthcare burden.
  • Understanding factors influencing hospitalization cost and length of stay is crucial for optimizing pediatric care.

Purpose of the Study:

  • To assess facial cellulitis admission characteristics in children (0-20 years) at an urban hospital.
  • To determine the relationship between these characteristics, cost of hospitalization (COH), and length of stay (LOS).
  • To compare rapid management outcomes with published and national LOS and COH data.

Main Methods:

  • Retrospective review of 376 facial cellulitis admissions (2000-2006).
  • Analysis of 63 confirmed odontogenic cases, correlating variables with LOS and COH.
  • Comparison of LOS and COH data with literature and the 2006 Kids' Inpatient Database (KID).

Main Results:

  • The study included 63 children with a mean age of 8.3 years; sex distribution was equal.
  • No significant relationship found between treatment, infection site, and COH.
  • Mean hospital LOS (2.08 days) and COH ($4166) were significantly lower than published studies and KID data.

Conclusions:

  • Rapid management of pediatric facial cellulitis of odontogenic origin positively impacts LOS and COH.
  • This approach demonstrates superior efficiency compared to published and national benchmarks.
  • Optimized treatment protocols can lead to substantial cost savings and reduced hospital stays.
Abstract

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