不充分的预防性牙科护理与基于心电图的人工智能算法识别的较高心血管风险有关
Negin Mahmoudi Hamidabad1, Matteo Manzato1, Elias Hellou1
1Department of Cardiovascular Medicine Mayo Clinic Rochester MN USA.
不充分的预防性牙科护理与心血管疾病风险增加有关,包括心房动和大动脉狭窄. 人工智能启用心电图 (AI-ECG) 可以帮助识别牙健康不佳的患者的这些风险.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 人工智能的人工智能
背景情况:
- 不充分的预防性牙科护理是导致全身炎症和心血管疾病 (CVD) 风险增加的潜在因素.
- 人工智能启用心电图 (AI-ECG) 算法在估计心血管疾病风险方面表现出高准确性.
- 不良牙科护理与AI-ECG识别的特定心血管疾病之间的联系需要进一步调查.
研究的目的:
- 调查预防性牙科护理不足与AI-ECG估计的各种心血管疾病风险之间的关联.
- 探索牙科护理和心血管衰老之间的关系.
- 确定不充分的预防性牙科护理是否预测所有原因的死亡率.
主要方法:
- 梅奥诊所 (Mayo Clinic) 的266,637名患者 (2018-2024) 的回顾性分析,使用健康调查的社会决定因素数据和心电图.
- 利用AI-ECG算法生成心房动,大动脉狭窄,低射出分数和粉症的风险得分.
- 采用后勤和考克斯回归模型来评估牙科护理和心血管结果之间的关联,包括全因死亡率.
主要成果:
- 18.7%的个人报告说,预防性牙科护理不足.
- 不足够的牙科护理与较高的心脏衰老 (三角形年龄) 和增加AI-ECG风险与心房动,大动脉狭窄,粉样化和排泄率降低有关.
- 不充分的预防性牙科护理独立预测了所有原因的死亡率 (HR,1.45).
结论:
- 不充分的预防性牙科护理与亚临床心血管疾病有显著的关联.
- 人工智能-心电图 (AI-ECG) 工具在牙科护理机会有限的人群中显示出心血管风险分层的前景.
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