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© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background: Peritonsillar abscess (PTA) is an infectious emergency in the head and neck, and patients with end-stage renal disease (ESRD) have an immunocompromised status. However, no relevant research has focused on the ESRD–PTA relationship. This study explored PTA in ESRD patients and their prognosis. Methods: We identified 157,026 patients diagnosed as having ESRD over January 1997 to December 2013 from Taiwan’s National Health Insurance Research Database (NHIRD). Each patient with ESRD (hereafter, patients) was matched with one control without chronic kidney disease (CKD; hereafter, controls) by sex, age, urbanization level, and income. Next, PTA incidence until death or the end of 2013 was compared between the two groups, and the relative risk of PTA was analyzed using a multiple logistic regression model. Results: The patients had a significantly higher PTA incidence than did the controls (incidence rate ratio: 2.02, 95% confidence interval [CI]: 1.40–2.91, p < 0.001). The Kaplan–Meier analysis revealed that the patients had a higher cumulative incidence of PTA than did the controls (p < 0.001). In Cox regression analysis, the patients had nearly twofold higher PTA risk (adjusted hazard ratio [HR]: 1.98, 95% CI: 1.37–2.86, p < 0.001). The between-group differences in the PTA-related hospital stay length (8.1 ± 10.3 days in patients and 5.7 ± 4.6 days in controls, p = 0.09), consequent deep-neck infection complication (4.2% in patients and 6.3% in controls, p = 0.682), and mortality (0.0% in both groups) were nonsignificant. Conclusions: Although ESRD does not predict a poor prognosis of PTA, it is an independent PTA risk factor.

Details

Title
High Risk of Peritonsillar Abscess in End-Stage Renal Disease Patients: A Nationwide Real-World Cohort Study
Author
Geng-He, Chang 1   VIAFID ORCID Logo  ; Ang, Lu 2 ; Yao-Hsu, Yang 3   VIAFID ORCID Logo  ; Chia-Yen, Liu 4 ; Chang, Pey-Jium 5   VIAFID ORCID Logo  ; Chuan-Pin, Lee 4 ; Yao-Te Tsai 6 ; Cheng-Ming, Hsu 7   VIAFID ORCID Logo  ; Ching-Yuan, Wu 8 ; Wei-Tai, Shih 8   VIAFID ORCID Logo  ; Ming-Shao Tsai 9   VIAFID ORCID Logo 

 Department of Otolaryngology—Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (G.-H.C.); [email protected] (A.L.); [email protected] (Y.-T.T.); [email protected] (C.-M.H.); Health Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (Y.-H.Y.); [email protected] (C.-Y.L.); [email protected] (C.-P.L.); Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan; [email protected] 
 Department of Otolaryngology—Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (G.-H.C.); [email protected] (A.L.); [email protected] (Y.-T.T.); [email protected] (C.-M.H.) 
 Health Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (Y.-H.Y.); [email protected] (C.-Y.L.); [email protected] (C.-P.L.); Department of Traditional Chinese Medicine, Chiayi Branch of Chang-Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (C.-Y.W.); [email protected] (W.-T.S.); School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan 
 Health Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (Y.-H.Y.); [email protected] (C.-Y.L.); [email protected] (C.-P.L.) 
 Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan; [email protected] 
 Department of Otolaryngology—Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (G.-H.C.); [email protected] (A.L.); [email protected] (Y.-T.T.); [email protected] (C.-M.H.); Health Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (Y.-H.Y.); [email protected] (C.-Y.L.); [email protected] (C.-P.L.) 
 Department of Otolaryngology—Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (G.-H.C.); [email protected] (A.L.); [email protected] (Y.-T.T.); [email protected] (C.-M.H.); Faculty of Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan 
 Department of Traditional Chinese Medicine, Chiayi Branch of Chang-Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (C.-Y.W.); [email protected] (W.-T.S.); School of Traditional Chinese Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan 
 Department of Otolaryngology—Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (G.-H.C.); [email protected] (A.L.); [email protected] (Y.-T.T.); [email protected] (C.-M.H.); Health Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi 613, Taiwan; [email protected] (Y.-H.Y.); [email protected] (C.-Y.L.); [email protected] (C.-P.L.); Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan; [email protected]; Faculty of Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan 
First page
6775
Publication year
2021
Publication date
2021
Publisher
MDPI AG
ISSN
1661-7827
e-ISSN
1660-4601
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2549338827
Copyright
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.