Prognostic scoring in necrotising otitis externa
Prognostic scoring in necrotising otitis externa
复制标题
DOI：
10.1017/s0022215109990491
复制
发表时间：
2009-10-01
影响因子：
1.7
通讯作者：
Baldwin, D. L.
中科院分区：
文献类型：
--
作者：
Eveleigh, M. O.;Hall, C. E. J.;Baldwin, D. L.
目的：收集和分析来自已发表的文献中关于罕见的坏死性外耳炎的数据，以制定基于油体征和症状的预后评分模型。设计：从已发表的文献中收集回顾性数据，并对识别的体征和症状对结果的影响进行二元logistic回归分析。6个因素被确定为预后较差的预后因素，包括面神经受累、额外的颅神经受累、非颅神经神经受累、广泛肉芽肿（或水肿）在外耳道，双边症状和曲霉菌物种作为致病生物。一个四点评分模型的基础上，这些调查结果presented.Conclusions：一种新的，系统的数据分析方法被用来构建一个预后评分，模型坏死性外耳炎。这将使临床医生更好地治疗这种潜在的致命疾病。
Objective: To collect and analyse data from the published literature concerning the rare condition necrotising otitis externa, in order to formulate a prognostic scoring model based oil signs and symptoms.Design: Retrospective data collection from published literature, and binary logistic regression analysis of the effect on outcome of identified signs and symptoms.Results: Six factors were identified as prognostic of a poorer outcome, including facial nerve involvement, additional cranial nerve involvement, non-cranial nerve neurological involvement, extensive granulations (or oedema) in the external auditory canal, bilateral symptoms and aspergillus species as the causative organism. A four-point scoring model based on these findings is presented.Conclusions: A novel, systematic method of data analysis was utilised to construct a prognostic scoring, model for necrotising otitis externa. This will better equip clinicians to treat this potentially fatal condition.