학술논문
A retrospective chart review evaluating pre-operative dental extractions on patients with end-stage heart failure undergoing advanced surgical cardiac therapies.
Document Type
Academic Journal
Author
Mincer RC; UCLA School of Dentistry, Los Angeles, CA, USA. Electronic address: rmincer@g.ucla.edu.; Zahr RH; UCLA School of Dentistry, Los Angeles, CA, USA.; Chung EM; UCLA School of Dentistry, Los Angeles, CA, USA.; Kubak B; David Geffen School of Medicine, University of California, Los Angeles, CA, USA.; Sung EC; UCLA School of Dentistry, Los Angeles, CA, USA.
Source
Publisher: Elsevier Country of Publication: United States NLM ID: 101576782 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-4411 (Electronic) NLM ISO Abbreviation: Oral Surg Oral Med Oral Pathol Oral Radiol Subsets: MEDLINE
Subject
Language
English
Abstract
Objectives: End-stage heart failure patients are functionally compromised by multiple physiologic mechanisms, placing them at increased risk of peri- and post-operative complications. This study aimed to evaluate if dental treatment performed before advanced cardiac interventions, including orthotopic heart transplant and mechanical circulatory support, increases the risk of adverse events.
Study Design: A retrospective chart review spanning January 2011 to December 2020 was performed. Inpatients with end-stage heart disease were evaluated by the hospital dentistry service at UCLA Ronald Reagan Medical Center. Three hundred and five consults met the inclusion criteria. The patients were divided into 2 groups: those who underwent dental treatment and those who did not require dental treatment. The wait time from dental consultation to cardiac intervention (days), dental complications, medical adverse events, and deaths were evaluated.
Results: Dental complications were only experienced in the form of intraoral bleeding. There was no significant difference in the number of medical adverse events or deaths between groups.
Conclusions: The elimination of oral infection before advanced cardiac interventions does not increase the risk of morbidity or mortality.
(Published by Elsevier Inc.)
Study Design: A retrospective chart review spanning January 2011 to December 2020 was performed. Inpatients with end-stage heart disease were evaluated by the hospital dentistry service at UCLA Ronald Reagan Medical Center. Three hundred and five consults met the inclusion criteria. The patients were divided into 2 groups: those who underwent dental treatment and those who did not require dental treatment. The wait time from dental consultation to cardiac intervention (days), dental complications, medical adverse events, and deaths were evaluated.
Results: Dental complications were only experienced in the form of intraoral bleeding. There was no significant difference in the number of medical adverse events or deaths between groups.
Conclusions: The elimination of oral infection before advanced cardiac interventions does not increase the risk of morbidity or mortality.
(Published by Elsevier Inc.)