{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T03:50:39Z","timestamp":1784692239964,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,11,24]],"date-time":"2016-11-24T00:00:00Z","timestamp":1479945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Malignant otitis externa (MOE) is a rare disorder that is not well studied in the inpatient setting. The Nationwide Inpatient Sample (NIS) database was utilized to analyze characteristics and predischarge outcomes of hospitalized MOE patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>MOE hospitalizations were identified in the 2002 to 2013 NIS. Patient demographics, length of hospital stay, hospital charges, concomitant diagnoses, treatment\u2010related procedures, complications, and in\u2010hospital mortality rates were examined, with comparisons made among age cohorts and between diabetes mellitus (DM) and non\u2010DM groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 8,300 cases of inpatient MOE were identified, with elderly DM patients compromising 22.7% of cases. Compared to adults, elderly patients had more inpatient procedures, longer hospitalizations (6.0 vs. 4.3 days), higher hospital charges ($26,712 vs. $19,047) (all<jats:italic>P<\/jats:italic>&lt; 0.001), greater odds of in\u2010hospital complications, and in\u2010hospital mortality (odds ratio 14.435, 95% confidence interval 5.313\u201339.220). Adult\/elderly patients with DM had more comorbidities, longer hospital stays (5.5 vs. 4.0 days), and higher hospital charges ($25,118 vs. $17,039) (all<jats:italic>P<\/jats:italic>&lt; 0.001) than non\u2010DM patients. However, DM was not associated with greater in\u2010hospital mortality rates (0.6% vs. 0.5%;<jats:italic>P<\/jats:italic>= 0.640). Compared to the adult\/elderly cohort, pediatric patients had higher rates of nonelective admissions (19.8% vs. 14.5%), shorter hospital stays (2.9 vs. 4.9 days), and lower hospital charges ($8,876 vs. $21,672) (all<jats:italic>P<\/jats:italic>&lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Elderly diabetic patients made up a smaller fraction of hospitalized MOE cases than anticipated. Elderly patients had greater in\u2010hospital complications and mortality. Diabetes mellitus in adult\/elderly patients was not associated with increased mortality. Pediatric patients fared well with low complications rates and no instances of in\u2010hospital mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2C.<jats:italic>Laryngoscope<\/jats:italic>, 127:2328\u20132336, 2017<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26401","type":"journal-article","created":{"date-parts":[[2016,11,24]],"date-time":"2016-11-24T06:56:48Z","timestamp":1479970608000},"page":"2328-2336","source":"Crossref","is-referenced-by-count":62,"title":["Malignant otitis externa hospitalizations: Analysis of patient characteristics"],"prefix":"10.1002","volume":"127","author":[{"given":"Michael J.","family":"Sylvester","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurin","family":"Sanghvi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viral M.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Anderson","family":"Eloy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey U.S.A."},{"name":"Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey Rutgers New Jersey Medical School Newark New Jersey U.S.A."},{"name":"Department of Neurological Surgery Rutgers New Jersey Medical School Newark New Jersey U.S.A."},{"name":"Department of Ophthalmology and Visual Science Rutgers New Jersey Medical School Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Lan Mary","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rutgers New Jersey Medical School Newark New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,24]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"2118","volume-title":"Cummings Otolaryngology: Head and Neck Surgery","author":"Jason A","year":"2015"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(03)00858-2"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1288\/00005537-195910000-00006","article-title":"Pyocutaneous osteomyelitis of the temporal bone, mandible, and zygoma","volume":"169","author":"Meltzer PE","year":"1959","journal-title":"Laryngoscope"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196808000-00002"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30316-9"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200310000-00002"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(88)90592-X"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880010098023"},{"key":"e_1_2_6_10_1","first-page":"2128","volume-title":"Cummings Otolaryngology: Head and Neck Surgery","author":"Daniel J","year":"2015"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414523564"},{"key":"e_1_2_6_12_1","unstructured":"Nationwide Data Use Agreement. 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