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Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery

BACKGROUND: Poor oral health status can lead to a deteriorated level of general health and is common among patients undergoing cardiovascular surgery. However, the effect of oral health status on postoperative outcomes in cardiovascular surgery patients remains unclear. Thus, we investigated the eff...

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Autores principales: Ogawa, Masato, Satomi-Kobayashi, Seimi, Yoshida, Naofumi, Tsuboi, Yasunori, Komaki, Kodai, Nanba, Nagisa, Izawa, Kazuhiro P., Inoue, Takeshi, Sakai, Yoshitada, Akashi, Masaya, Hirata, Ken-ichi, Okada, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984977/
https://www.ncbi.nlm.nih.gov/pubmed/33778444
http://dx.doi.org/10.1016/j.cjco.2020.10.007
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author Ogawa, Masato
Satomi-Kobayashi, Seimi
Yoshida, Naofumi
Tsuboi, Yasunori
Komaki, Kodai
Nanba, Nagisa
Izawa, Kazuhiro P.
Inoue, Takeshi
Sakai, Yoshitada
Akashi, Masaya
Hirata, Ken-ichi
Okada, Kenji
author_facet Ogawa, Masato
Satomi-Kobayashi, Seimi
Yoshida, Naofumi
Tsuboi, Yasunori
Komaki, Kodai
Nanba, Nagisa
Izawa, Kazuhiro P.
Inoue, Takeshi
Sakai, Yoshitada
Akashi, Masaya
Hirata, Ken-ichi
Okada, Kenji
author_sort Ogawa, Masato
collection PubMed
description BACKGROUND: Poor oral health status can lead to a deteriorated level of general health and is common among patients undergoing cardiovascular surgery. However, the effect of oral health status on postoperative outcomes in cardiovascular surgery patients remains unclear. Thus, we investigated the effect of preoperative oral health status on postoperative complications and functional recovery after cardiovascular surgery. METHODS: This single-centre retrospective cohort study included 884 inpatients undergoing elective cardiovascular surgery. Oral health status was assessed based on the number of remaining teeth, use of dentures, occlusal support, and periodontal status. We investigated postoperative complications related to surgery and postoperative functional recovery by measuring the reacquisition of walking ability, activities of daily living, and length of postoperative hospital stay. RESULTS: In this cohort (age 66.9 ± 13.4 years), the mean number of remaining teeth was 18.7 ± 9.4. Patients were grouped based on tertiles of the data distribution of remaining teeth: ≥ 20 teeth (470 patients); 10-19 teeth (137 patients); < 10 teeth (185 patients). The number of missing teeth was associated with age (P < 0.001). The prevalence of postoperative pneumonia and reintubation after surgery was 3.2% and 2.5%, respectively, which was significantly higher in patients with severe tooth loss (P < 0.05 for both). After adjusting for age and other confounding factors, the number of remaining teeth was a statistically significant predictor of functional recovery (P < 0.05). CONCLUSIONS: Preoperative oral health status was related to postoperative respiratory complications and independently associated with functional recovery. Preoperative oral intervention may improve functional recovery after cardiovascular surgery.
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spelling pubmed-79849772021-03-25 Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery Ogawa, Masato Satomi-Kobayashi, Seimi Yoshida, Naofumi Tsuboi, Yasunori Komaki, Kodai Nanba, Nagisa Izawa, Kazuhiro P. Inoue, Takeshi Sakai, Yoshitada Akashi, Masaya Hirata, Ken-ichi Okada, Kenji CJC Open Original Article BACKGROUND: Poor oral health status can lead to a deteriorated level of general health and is common among patients undergoing cardiovascular surgery. However, the effect of oral health status on postoperative outcomes in cardiovascular surgery patients remains unclear. Thus, we investigated the effect of preoperative oral health status on postoperative complications and functional recovery after cardiovascular surgery. METHODS: This single-centre retrospective cohort study included 884 inpatients undergoing elective cardiovascular surgery. Oral health status was assessed based on the number of remaining teeth, use of dentures, occlusal support, and periodontal status. We investigated postoperative complications related to surgery and postoperative functional recovery by measuring the reacquisition of walking ability, activities of daily living, and length of postoperative hospital stay. RESULTS: In this cohort (age 66.9 ± 13.4 years), the mean number of remaining teeth was 18.7 ± 9.4. Patients were grouped based on tertiles of the data distribution of remaining teeth: ≥ 20 teeth (470 patients); 10-19 teeth (137 patients); < 10 teeth (185 patients). The number of missing teeth was associated with age (P < 0.001). The prevalence of postoperative pneumonia and reintubation after surgery was 3.2% and 2.5%, respectively, which was significantly higher in patients with severe tooth loss (P < 0.05 for both). After adjusting for age and other confounding factors, the number of remaining teeth was a statistically significant predictor of functional recovery (P < 0.05). CONCLUSIONS: Preoperative oral health status was related to postoperative respiratory complications and independently associated with functional recovery. Preoperative oral intervention may improve functional recovery after cardiovascular surgery. Elsevier 2020-10-13 /pmc/articles/PMC7984977/ /pubmed/33778444 http://dx.doi.org/10.1016/j.cjco.2020.10.007 Text en © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Ogawa, Masato
Satomi-Kobayashi, Seimi
Yoshida, Naofumi
Tsuboi, Yasunori
Komaki, Kodai
Nanba, Nagisa
Izawa, Kazuhiro P.
Inoue, Takeshi
Sakai, Yoshitada
Akashi, Masaya
Hirata, Ken-ichi
Okada, Kenji
Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery
title Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery
title_full Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery
title_fullStr Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery
title_full_unstemmed Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery
title_short Impact of Oral Health Status on Postoperative Complications and Functional Recovery After Cardiovascular Surgery
title_sort impact of oral health status on postoperative complications and functional recovery after cardiovascular surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7984977/
https://www.ncbi.nlm.nih.gov/pubmed/33778444
http://dx.doi.org/10.1016/j.cjco.2020.10.007
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