口腔/牙科疾病负担对术后感染并发症的影响:一项前性队列研究
Hanako Suenaga1,2, Mark Schifter3,4, Nancy Chen4
1Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Level 2-3 Westmead Centre for Oral Health, Westmead, NSW, 2145, Australia. hanako.suenaga@sydney.edu.au.
Clinical oral investigations
|September 21, 2023
概括
牙疾病,包括牙和舌头斑块,显著预测术后感染性并发症 (POICs). 手术前的牙科查可以帮助识别有风险的患者,并改善手术结果.
科学领域:
- 口腔医学是指口腔医学.
- 手术结果研究研究.
- 传染病流行病学 传染病流行病学
背景情况:
- 手术后感染性并发症 (POICs) 是主要外科手术过程中的一个重要问题.
- 预先存在的牙科疾病负担作为POIC预测因素的作用需要进一步调查.
- 了解风险因素对于制定有针对性的预防策略至关重要.
研究的目的:
- 评估牙疾病的程度和POICs的发生之间的关联.
- 确定特定的牙科指标,可以独立预测手术患者的POIC.
- 评估术前牙科评估在管理POIC风险方面的潜在益处.
主要方法:
- 一项前性队列研究,涉及285名在全身麻醉下接受重大手术的患者.
- 进行了手术前的牙科评估,记录了人口,手术和牙科变量.
- 后勤回归模型被用来确定POIC的独立预测因素,模型性能由AUC评估.
主要成果:
- 共有49名患者 (17.2%) 经历了POIC.
- POICs的独立预测因素包括:预期住院时间更长,四个或更多的牙和可见的舌头斑块.
- 开发的后勤回归模型表现出良好的歧视,AUC为0.78.
结论:
- 临床上可检测到的牙问题,特别是牙和舌头斑块,是POIC的显著独立预测因素.
- 这些发现凸显了口腔健康对手术患者结果的重要性.
- 手术前的牙科评估和护理可能有利于风险分层和改善术后结果.
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