Abstract
BackgroundPoor 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. MethodsThis 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. ResultsIn 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). ConclusionsPreoperative 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.
Highlights
Poor oral health status can lead to a deteriorated level of general health and is common among patients undergoing cardiovascular surgery
Demmer et al showed that periodontitis and diabetes could be bidirectional, and periodontitis severity was associated with diabetes risk.[35]
Oral health status deteriorated in patients with severe tooth loss compared with an age-matched population
Summary
Poor oral health status can lead to a deteriorated level of general health and is common among patients undergoing cardiovascular surgery. The effect of oral health status on postoperative outcomes in cardiovascular surgery patients remains unclear. We investigated the effect of preoperative oral health status on postoperative complications and functional recovery after cardiovascular surgery. RESUME Contexte : Une mauvaise sante buccodentaire peut avoir des repercussions nefastes sur la sante generale et est frequemment observee chez les patients subissant une intervention chirurgicale cardiovasculaire. L’effet de l’etat de sante buccodentaire sur les issues postoperatoires chez les patients ayant subi une telle intervention est mal connu. Nous avons donc etudie l’effet de l’etat de sante buccodentaire avant l’intervention sur les complications
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