Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/14658 |
Resumo: | Objective: To analyze the relationship between oral disease and the risk of developing hospital pneumonia, mediastinitis, endocarditis, surgical site infection and hospital death in patients undergoing elective cardiac surgery. Assess which risk factors would be related to the risk of nosocomial infection and death after cardiac surgery. Methodology: It was an analytical, observational, prospective study, carried out from January to December 2018. The study included 46 patients candidates for elective cardiac surgery and evaluated as to the type of heart disease, type of surgery, associated comorbidities, age, NYHA classification, BMI, ICU stay days, oral health assessment by a dental surgeon, occurrence of infection and hospital death. The analysis was done through analysis of absolute and relative frequencies, estimation of odds ratios, chi-square test and Mann-Whitney test. Results: Of the 46 patients analyzed, 11 (23.9%) of them had hospital infections and 4 (8.7%) died, there was no statistically significant difference in the variables studied with the occurrence of infection or death. The heterogeneity of the findings in the oral evaluation that ranged from edentulous patients with partial or total dentures, partial edentulous with or without prosthesis and varying degrees of oral disease that ranged from gingivitis, periodontitis to abscesses. The prostheses had varying degrees of conservation and hygiene. This great variability of findings may have implied no statistical significance in the variables. Conclusion: There was no statistical difference in the occurrence of hospital pneumonia, mediastinitis, endocarditis, surgical site infection and hospital death according to the patients' oral health condition. |
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Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery Salud bucodental e incidencia de infecciones nosocomiales y mortalidad en pacientes sometidos a cirugía cardíaca electiva Saúde oral e incidência de infecção nosocomial e mortalidade em pacientes submetidos a cirurgia cardíaca eletiva Thoracic SurgeryOral HealthCross infection. Cirugía TorácicaSalud BucalInfección hospitalaria.Cirurgia TorácicaSaúde BucalInfecção hospitalar.Objective: To analyze the relationship between oral disease and the risk of developing hospital pneumonia, mediastinitis, endocarditis, surgical site infection and hospital death in patients undergoing elective cardiac surgery. Assess which risk factors would be related to the risk of nosocomial infection and death after cardiac surgery. Methodology: It was an analytical, observational, prospective study, carried out from January to December 2018. The study included 46 patients candidates for elective cardiac surgery and evaluated as to the type of heart disease, type of surgery, associated comorbidities, age, NYHA classification, BMI, ICU stay days, oral health assessment by a dental surgeon, occurrence of infection and hospital death. The analysis was done through analysis of absolute and relative frequencies, estimation of odds ratios, chi-square test and Mann-Whitney test. Results: Of the 46 patients analyzed, 11 (23.9%) of them had hospital infections and 4 (8.7%) died, there was no statistically significant difference in the variables studied with the occurrence of infection or death. The heterogeneity of the findings in the oral evaluation that ranged from edentulous patients with partial or total dentures, partial edentulous with or without prosthesis and varying degrees of oral disease that ranged from gingivitis, periodontitis to abscesses. The prostheses had varying degrees of conservation and hygiene. This great variability of findings may have implied no statistical significance in the variables. Conclusion: There was no statistical difference in the occurrence of hospital pneumonia, mediastinitis, endocarditis, surgical site infection and hospital death according to the patients' oral health condition.Objetivo: Analizar la relación de la enfermedad oral con el riesgo de desarrollar neumonía adquirida en el hospital, mediastinitis, endocarditis, infección del sitio quirúrgico y muerte hospitalaria en pacientes sometidos a cirugías cardíacas electivas. Evaluar qué factores de riesgo estarían relacionados con el riesgo de infección hospitalaria y muerte tras las cirugías cardíacas. Metodología: Se trata de un estudio analítico, observacional y prospectivo realizado de enero a diciembre de 2018. Se incluyeron 46 pacientes candidatos a cirugía cardíaca electiva y se evaluaron el tipo de cardiopatía, el tipo de cirugía, las comorbilidades asociadas, la edad, la clasificación de la NYHA, el IMC, los días de estancia en la UCI, la evaluación de la salud oral, la aparición de infecciones y la muerte en el hospital. El análisis se realizó mediante el análisis de frecuencias absolutas y relativas, la estimación de odds ratio, la prueba de chi-cuadrado y la prueba de Mann-Whitney. Resultados: De los 46 pacientes analizados, 11 (23,9%) tuvieron infecciones hospitalarias y 4 (8,7%) fallecieron, no existiendo diferencias estadísticamente significativas de las variables estudiadas con la ocurrencia de infección o muerte hospitalaria. La heterogeneidad de los hallazgos en la evaluación oral que varió desde pacientes edéntulos con prótesis parcial o total, edéntulos parciales con prótesis o sin prótesis y grados variados de enfermedad oral que variaron desde gingivitis, periodontitis hasta abscesos. Las prótesis presentaban diversos grados de conservación e higiene. Esta gran variabilidad de los hallazgos puede haber implicado la no significación estadística de las variables. Conclusión: No hubo diferencias estadísticas en la aparición de neumonía hospitalaria, mediastinitis, endocarditis, infección del sitio quirúrgico y muerte hospitalaria según el estado de salud bucodental de los pacientes.Objetivo: Analisar a relação de doença bucal com o risco de desenvolvimento de pneumonia hospitalar, mediastinite, endocardite, infecção de sítio cirúrgico e óbito hospitalar em pacientes submetidos a cirurgias cardíacas eletivas. Avaliar quais fatores de risco estariam relacionados ao risco de infecção hospitalar e morte pós cirurgias cardíacas. Metodologia: Foi um estudo analítico, observacional, prospectivo, realizado no período de Janeiro a Dezembro de 2018. Foram incluídos 46 pacientes candidatos à cirurgia cardíaca eletiva e avaliados quanto ao tipo de doença cardíaca, o tipo de cirurgia, co-morbidades associadas, idade, classificação NYHA, IMC, dias de internação em UTI, avaliação da saúde bucal, ocorrência de infecção e óbito hospitalar. A análise foi feita através de análise de frequências absoluta e relativa, estimativa de odds ratio, teste de qui-quadrado e teste de Mann-Whitney. Resultados: Dos 46 pacientes analisados, 11 (23,9%) deles tiverem infecções hospitalares e 4 (8,7%) foram a óbito, não houve diferença estatisticamente significativa das variáveis estudadas com a ocorrência de infecção ou óbito hospitalar. A heterogeneidade dos achados na avaliação bucal que variou desde de pacientes edêntulos com próteses parciais ou totais, desdentados parciais com próteses ou sem próteses e graus variados de doença bucal que variou de gengivites, periodontites até abscessos. As próteses apresentavam graus variados de conservação e higiene. Esta grande variabilidade de achados pode ter implicado não significância estatística das variáveis Conclusão: Não houve diferença estatística na ocorrência de pneumonia hospitalar, mediastinite, endocardite, infecção de sítio cirúrgico e óbito hospitalar segundo a condição de saúde bucal dos pacientes.Research, Society and Development2021-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1465810.33448/rsd-v10i5.14658Research, Society and Development; Vol. 10 No. 5; e14910514658Research, Society and Development; Vol. 10 Núm. 5; e14910514658Research, Society and Development; v. 10 n. 5; e149105146582525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/14658/13264Copyright (c) 2021 Gabriela Margraf Gehring; Mario Augusto Cray da Costa; Renan Bordini Cardoso; Ana Carolina Mello Fontoura de Souza; Marcelo Carlos Bortoluzzihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGehring, Gabriela MargrafCosta, Mario Augusto Cray daCardoso, Renan BordiniSouza, Ana Carolina Mello Fontoura de Bortoluzzi, Marcelo Carlos2021-05-17T18:20:49Zoai:ojs.pkp.sfu.ca:article/14658Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:35:43.399985Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery Salud bucodental e incidencia de infecciones nosocomiales y mortalidad en pacientes sometidos a cirugía cardíaca electiva Saúde oral e incidência de infecção nosocomial e mortalidade em pacientes submetidos a cirurgia cardíaca eletiva |
title |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery |
spellingShingle |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery Gehring, Gabriela Margraf Thoracic Surgery Oral Health Cross infection. Cirugía Torácica Salud Bucal Infección hospitalaria. Cirurgia Torácica Saúde Bucal Infecção hospitalar. |
title_short |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery |
title_full |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery |
title_fullStr |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery |
title_full_unstemmed |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery |
title_sort |
Oral health and incidence of nosocomial infection and mortality in patients undergoing elective cardiac surgery |
author |
Gehring, Gabriela Margraf |
author_facet |
Gehring, Gabriela Margraf Costa, Mario Augusto Cray da Cardoso, Renan Bordini Souza, Ana Carolina Mello Fontoura de Bortoluzzi, Marcelo Carlos |
author_role |
author |
author2 |
Costa, Mario Augusto Cray da Cardoso, Renan Bordini Souza, Ana Carolina Mello Fontoura de Bortoluzzi, Marcelo Carlos |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gehring, Gabriela Margraf Costa, Mario Augusto Cray da Cardoso, Renan Bordini Souza, Ana Carolina Mello Fontoura de Bortoluzzi, Marcelo Carlos |
dc.subject.por.fl_str_mv |
Thoracic Surgery Oral Health Cross infection. Cirugía Torácica Salud Bucal Infección hospitalaria. Cirurgia Torácica Saúde Bucal Infecção hospitalar. |
topic |
Thoracic Surgery Oral Health Cross infection. Cirugía Torácica Salud Bucal Infección hospitalaria. Cirurgia Torácica Saúde Bucal Infecção hospitalar. |
description |
Objective: To analyze the relationship between oral disease and the risk of developing hospital pneumonia, mediastinitis, endocarditis, surgical site infection and hospital death in patients undergoing elective cardiac surgery. Assess which risk factors would be related to the risk of nosocomial infection and death after cardiac surgery. Methodology: It was an analytical, observational, prospective study, carried out from January to December 2018. The study included 46 patients candidates for elective cardiac surgery and evaluated as to the type of heart disease, type of surgery, associated comorbidities, age, NYHA classification, BMI, ICU stay days, oral health assessment by a dental surgeon, occurrence of infection and hospital death. The analysis was done through analysis of absolute and relative frequencies, estimation of odds ratios, chi-square test and Mann-Whitney test. Results: Of the 46 patients analyzed, 11 (23.9%) of them had hospital infections and 4 (8.7%) died, there was no statistically significant difference in the variables studied with the occurrence of infection or death. The heterogeneity of the findings in the oral evaluation that ranged from edentulous patients with partial or total dentures, partial edentulous with or without prosthesis and varying degrees of oral disease that ranged from gingivitis, periodontitis to abscesses. The prostheses had varying degrees of conservation and hygiene. This great variability of findings may have implied no statistical significance in the variables. Conclusion: There was no statistical difference in the occurrence of hospital pneumonia, mediastinitis, endocarditis, surgical site infection and hospital death according to the patients' oral health condition. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-05-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/14658 10.33448/rsd-v10i5.14658 |
url |
https://rsdjournal.org/index.php/rsd/article/view/14658 |
identifier_str_mv |
10.33448/rsd-v10i5.14658 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/14658/13264 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 5; e14910514658 Research, Society and Development; Vol. 10 Núm. 5; e14910514658 Research, Society and Development; v. 10 n. 5; e14910514658 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052785312661504 |