Section: 
Science articles
Science articlesPerioperative disablement factors in the treatment of patients with otorhinosinusogenic intracranial complications
A. A. Krivopalov (1), Yu. K. Yanov (1), A. Yu. Shcherbuk (2)
(1) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russia (2) Saint Petersburg State
Pediatric University, Saint Petersburg, 199034, Russia
UDK: 616.831-002.3-02:616.28+616.216.1]-089-036.865
DOI: https://doi.org/10.18692/1810-4800-2016-5-43-51
ABSTRACT
The increase in frequency otorhinosinusogenic intracranial pyoinflammatory complications in the subjects of the Russian Federation as well as hospital mortality in this pathology determines the relevance of the present study. Patients and methods. The study included 303 patients, 199 men and 104 women, at the age of 15 to 85 (39.3±17.4 years in average), operated for otorhinosinusogenic intracranial pyoinflammatory complications in general in-patient hospitals of the Russian Federation subjects at the period of 2000–2014. In 62 (24.1%) cases early development of disablement occurred. To identify disablement predictors in patients, the authors analyzed various pre-surgical (demographic, social, organizational, therapeutic and diagnostic) and surgical factors. Results. Multiple logistic regression analysis of patients disability predictors revealed the majority of factors affecting the therapy outcome at pre-hospital stage, including the mistakes that had caused the extension of pre-surgical period and the increase of the risk of negative outcome. Conclusions: The development of an algorithm for diagnosis and treatment of this category of patients will provide minimization of the numerous mistakes incident to the problem of medical care arrangement and the diagnosis and treatment process.
Publication date:
07.10.2016
Keywords:
ENT specialized care, neurosurgical specialized care, otogenic and rhinosinusogenic intracranial complications. For citation:
Krivopalov A. A., Yanov Yu. K., Shcherbuk A. Yu. Perioperative disablement factors in the treatment of patients with otorhinosinusogenic intracranial complications. Rossiiskaya otorinolaringologiya. 2016;5:43-51. https://doi.org/10.18692/1810-4800-2016-5-43-51