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Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery.

Publication ,  Journal Article
Allareddy, V; Elangovan, S; Rampa, S; Shin, K; Nalliah, RP; Allareddy, V
Published in: J Mass Dent Soc
2015

OBJECTIVE: To examine the prevalence and impact of gingivitis and periodontitis in patients having heart valve surgical procedures. METHODS: Nationwide Inpatient Sample for the years 2004-2010 was used. All patients who had heart valve surgical procedures were selected. Prevalence of gingivitis/periodontitis was examined in these patients. Impact of gingivitis/periodontitis on hospital charges, length of stay, and infectious complications was examined. RESULTS: 596,190 patients had heart valve surgical procedures. Gingivitis/periodontitis was present in 0.2 percent. Outcomes included: median hospital charges ($175,418 with gingivitis/ periodontitis versus $149,353 without gingivitis/periodontitis) and median length of stay (14 days with gingivitis/periodontitis versus 8 days without gingivitis/periodontitis). After adjusting for the effects of patient- and hospital-level confounding factors, hospital charges and length of stay were significantly higher (p < 0.001) in those with gingivitis/periodontitis compared to their counterparts. Further, patients with gingivitis/periodontitis had significantly higher odds for having bacterial infections (OR = 3.41, 95% CI = 2.33-4.98, p < 0.0001) when compared to those without gingivitis/periodontitis. CONCLUSION: Presence of gingivitis and periodontitis is associated with higher risk for bacterial infections and significant hospital resource utilization.

Duke Scholars

Published In

J Mass Dent Soc

ISSN

0025-4800

Publication Date

2015

Volume

63

Issue

4

Start / End Page

10 / 16

Location

United States

Related Subject Headings

  • United States
  • Surgical Wound Infection
  • Sepsis
  • Retrospective Studies
  • Prevalence
  • Postoperative Complications
  • Pneumonia
  • Periodontitis
  • Mitral Valve
  • Middle Aged
 

Citation

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Allareddy, V., Elangovan, S., Rampa, S., Shin, K., & Nalliah, R. P. (2015). Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery. J Mass Dent Soc, 63(4), 10–16.
Allareddy, Veerasathpurush, Satheesh Elangovan, Sankeerth Rampa, Kyungsup Shin, Romesh P. Nalliah, and Veerajalandhar Allareddy. “Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery.J Mass Dent Soc 63, no. 4 (2015): 10–16.
Allareddy V, Elangovan S, Rampa S, Shin K, Nalliah RP. Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery. J Mass Dent Soc. 2015;63(4):10–6.
Allareddy, Veerasathpurush, et al. “Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery.J Mass Dent Soc, vol. 63, no. 4, 2015, pp. 10–16.
Allareddy V, Elangovan S, Rampa S, Shin K, Nalliah RP. Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery. J Mass Dent Soc. 2015;63(4):10–16.

Published In

J Mass Dent Soc

ISSN

0025-4800

Publication Date

2015

Volume

63

Issue

4

Start / End Page

10 / 16

Location

United States

Related Subject Headings

  • United States
  • Surgical Wound Infection
  • Sepsis
  • Retrospective Studies
  • Prevalence
  • Postoperative Complications
  • Pneumonia
  • Periodontitis
  • Mitral Valve
  • Middle Aged