Table 4.
Comparison of characteristics and hematologic and inflammatory parameters between Groups I + II + III and IV
| Group | I + II + III (n = 258) | IV (n = 13) | P value |
|---|---|---|---|
| Age (years) | 61 [41, 74] | 73 [41, 75] | 0.298 |
| Sex (male) | 133 (51.6%) | 5 (38.5%) | 0.405 |
| Body mass index | 22.4 [20.2, 25.0] | 21.3 [18.7, 23.4] | 0.345 |
| Cause | 0.672 | ||
| Lesion | 0.571 | ||
| Maxilla | 53 (20.5%) | 1 (7.7%) | |
| Mandible | 200 (77.5%) | 12 (92.3%) | |
| Others† | 5 (1.9%) | 0 | |
| Location of odontogenic cause | 0.565 | ||
| Anterior | 32 (12.4%) | 1 (7.7%) | |
| Premolar | 20 (7.8%) | 0 | |
| Molar | 180 (69.8%) | 12 (92.3%) | |
| Others‡ | 26 (10.1%) | 0 | |
| Compromised host§ | 63 (24.4%) | 7 (53.8%) | 0.044* |
| Fever (°C) | 37.2 [36.6, 37.7] | 37.4 [36.9, 37.8] | 0.207 |
| Blood test data | |||
| Albumin (g/dl) | 3.6 [3.3, 4.0] | 2.7 [2.4, 3.0] | < 0.001* |
| C-reactive protein (mg/dl) | 9.1 [5.7, 13.9] | 23.9 [21.0, 32.3] | < 0.001* |
| White blood cell (× 103/µl) | 12.1 [9.7, 14.7] | 19.0 [14.7, 21.0] | < 0.001* |
| Neutrophil (%) | 80.8 [74.7, 85.4] | 91.5 [89.4, 93.4] | < 0.001* |
| Lymphocyte (%) | 12.0 [8.1, 17.0] | 3.9 [2.4, 6.0] | < 0.001* |
| Platelet (× 104/µl) | 26.2 [21.1, 31.5] | 33.1 [18.0, 36.6] | 0.382 |
| Hemoglobin (g/dl) | 13.4 [12.3, 14.6] | 11.9 [10.7, 13.1] | 0.027* |
| Sodium (mmol/L) | 139 [137, 140] | 136 [133, 140] | 0.064 |
| Creatinine (mg/dl) | 0.76 [0.62, 0.94] | 0.98 [0.77, 1.59] | 0.035* |
| Glucose (mg/dl) | 115 [100, 133] | 112 [96, 138] | 0.988 |
| LRINEC score | 1 [1, 4] | 7 [6, 8] | < 0.001* |
| NLR | 6.7 [4.4, 10.3] | 23.3 [15.3, 38.9] | < 0.001* |
| PLR | 179.8 [134.3, 265.3] | 301.9 [235.5, 662.4] | 0.006* |
| SII | 173.7 [110.2, 292.3] | 706.3 [494.7, 925.7] | < 0.001* |
| CRP + NLR | 16.3 [12.0, 23.8] | 51.0 [35.1, 60.8] | < 0.001* |
Data are shown as the median [first quartile, third quartile]
*Statistically significant (P < 0.05)
LRINEC laboratory risk indicator for necrotizing fasciitis, NLR, neutrophil-to-lymphocyte ratio; PLR, platelet-to-lymphocyte ratio; SII, systemic immune-inflammation index
†Buccal; tongue
‡Maxillary sinus; salivary gland; lip
§Diabetes mellitus; corticosteroids usage; hemodialysis