Effects of perioperative oral care on postoperative inflammation following heart valve surgery.


Journal

Oral diseases
ISSN: 1601-0825
Titre abrégé: Oral Dis
Pays: Denmark
ID NLM: 9508565

Informations de publication

Date de publication:
Sep 2021
Historique:
revised: 12 09 2020
received: 05 03 2020
accepted: 30 09 2020
pubmed: 18 10 2020
medline: 17 8 2021
entrez: 17 10 2020
Statut: ppublish

Résumé

Whether oral health care during the perioperative period can lead to a better outcome after heart valve surgery has not been adequately elucidated. We examined the effects of perioperative oral care on postoperative inflammation response in patients who underwent heart valve surgery. In this retrospective cohort study, 223 patients scheduled for single valve heart surgery were divided into the oral care, who underwent professional teeth cleaning or scaling within 3 days prior to surgery, and also following surgery at least twice a week (n = 111), and non-oral care (n = 112) groups. After propensity score matching, records of both groups (80:80) were examined after surgery to evaluate inflammation markers (white blood cell count [WBC], neutrophil/white blood cell ratio [NWR], C-reactive protein [CRP] level, body temperature [BT]). WBC, NWR, CRP level, and BT were increased in both groups the day following surgery. Thereafter, CRP level, WBC, NWR, and BT on various days after surgery in the oral care group showed greater decreases as compared to the non-oral care group. Perioperative oral health care can decrease postoperative inflammation in patients undergoing heart valve surgery and may be important to ensure a better outcome in those patients.

Identifiants

pubmed: 33067895
doi: 10.1111/odi.13682
doi:

Substances chimiques

C-Reactive Protein 9007-41-4

Types de publication

Journal Article

Langues

eng

Pagination

1542-1550

Subventions

Organisme : Grant-in-Aid for Scientific Research from the Japan Society for Scientific Research (C) of the Ministry of Education, Culture, Sports, Science and Technology of Japan
ID : 17K11839

Informations de copyright

© 2020 Wiley Periodicals LLC.

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Auteurs

Hiromi Nishi (H)

Department of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan.

Shinya Takahashi (S)

Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.

Kouji Ohta (K)

Department of Public Oral Health, Program of Oral Health Sciences, Hiroshima University, Hiroshima, Japan.

Megumi Takamoto (M)

Department of Dentistry and Oral Surgery, Shinshu University Hospital, Nagano, Japan.

Hideo Shigeishi (H)

Department of Public Oral Health, Program of Oral Health Sciences, Hiroshima University, Hiroshima, Japan.

Seimei Go (S)

Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.

Taiji Obayashi (T)

Department of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan.

Yukio Yoshioka (Y)

Department of Molecular Oral Medicine and Maxillofacial Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Masaru Konishi (M)

Department of Oral and Maxillofacial Radiology, Hiroshima University Hospital, Hiroshima, Japan.

Yoshitaka Shimizu (Y)

Department of Dental Anesthesiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Kanako Yano (K)

Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan.

Tsuyoshi Miyagawa (T)

Center for Integrated Medical Research, Hiroshima University Hospital, Japan.

Naoya Kakimoto (N)

Department of Oral and Maxillofacial Radiology, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.

Hiroki Ohge (H)

Department of Infectious diseases, Hiroshima University Hospital, Hiroshima, Japan.

Hiroyuki Kawaguchi (H)

Department of General Dentistry, Hiroshima University Hospital, Hiroshima, Japan.

Hidemi Kurihara (H)

Department of Periodontal Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

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