The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database
Abstract Background Previous observational studies have shown that people with dental scaling (DS) had decreased risk of stroke. However, limited information is available on the association between DS and poststroke outcomes. The present study aimed to evaluate the effects of regular DS on the compl...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-07-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-023-03178-6 |
| _version_ | 1797778621799071744 |
|---|---|
| author | Li-Chin Sung Chuen-Chau Chang Chun-Chieh Yeh Chia-Yen Lee Chaur-Jong Hu Yih-Giun Cherng Ta-Liang Chen Chien-Chang Liao |
| author_facet | Li-Chin Sung Chuen-Chau Chang Chun-Chieh Yeh Chia-Yen Lee Chaur-Jong Hu Yih-Giun Cherng Ta-Liang Chen Chien-Chang Liao |
| author_sort | Li-Chin Sung |
| collection | DOAJ |
| description | Abstract Background Previous observational studies have shown that people with dental scaling (DS) had decreased risk of stroke. However, limited information is available on the association between DS and poststroke outcomes. The present study aimed to evaluate the effects of regular DS on the complications and mortality after stroke. Methods We conducted a retrospective cohort study of 49,547 hospitalized stroke patients who received regular DS using 2010–2017 claims data of Taiwan’s National Health Insurance. Using a propensity-score matching procedure, we selected 49,547 women without DS for comparison. Multiple logistic regressions were used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) of poststroke complications and in-hospital mortality associated with regular DS. Results Stroke patients with regular DS had significantly lower risks of poststroke pneumonia (OR 0.58, 95% CI 0.54–0.63), septicemia (OR 0.58, 95% CI 0.54–0.63), urinary tract infection (OR 0.68, 95% CI 0.66–0.71), intensive care (OR 0.81, 95% CI 0.78–0.84), and in-hospital mortality (OR 0.66, 95% CI 0.62–0.71) compared with non-DS stroke patients. Stroke patients with regular DS also had shorter hospital stays (p < 0.0001) and less medical expenditures (p < 0.0001) during stroke admission than the control group. Lower rates of poststroke adverse events in patients with regular DS were noted in both sexes, all age groups, and people with various types of stroke. Conclusion Stroke patients with regular DS showed fewer complications and lower mortality compared with patients had no DS. These findings suggest the urgent need to promote regular DS for this susceptible population of stroke patients. |
| first_indexed | 2024-03-12T23:20:05Z |
| format | Article |
| id | doaj.art-2a897f12c0fb4f64b51173a639c2d2c1 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-12T23:20:05Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-2a897f12c0fb4f64b51173a639c2d2c12023-07-16T11:29:59ZengBMCBMC Oral Health1472-68312023-07-012311910.1186/s12903-023-03178-6The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world databaseLi-Chin Sung0Chuen-Chau Chang1Chun-Chieh Yeh2Chia-Yen Lee3Chaur-Jong Hu4Yih-Giun Cherng5Ta-Liang Chen6Chien-Chang Liao7Division of Cardiology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical UniversityDepartment of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical UniversityDepartment of Surgery, China Medical University HospitalDepartment of Dentistry, Taiwan Adventist HospitalDepartment of Neurology, Shuang Ho Hospital, Taipei Medical UniversityDepartment of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical UniversityDepartment of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical UniversityDepartment of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical UniversityAbstract Background Previous observational studies have shown that people with dental scaling (DS) had decreased risk of stroke. However, limited information is available on the association between DS and poststroke outcomes. The present study aimed to evaluate the effects of regular DS on the complications and mortality after stroke. Methods We conducted a retrospective cohort study of 49,547 hospitalized stroke patients who received regular DS using 2010–2017 claims data of Taiwan’s National Health Insurance. Using a propensity-score matching procedure, we selected 49,547 women without DS for comparison. Multiple logistic regressions were used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) of poststroke complications and in-hospital mortality associated with regular DS. Results Stroke patients with regular DS had significantly lower risks of poststroke pneumonia (OR 0.58, 95% CI 0.54–0.63), septicemia (OR 0.58, 95% CI 0.54–0.63), urinary tract infection (OR 0.68, 95% CI 0.66–0.71), intensive care (OR 0.81, 95% CI 0.78–0.84), and in-hospital mortality (OR 0.66, 95% CI 0.62–0.71) compared with non-DS stroke patients. Stroke patients with regular DS also had shorter hospital stays (p < 0.0001) and less medical expenditures (p < 0.0001) during stroke admission than the control group. Lower rates of poststroke adverse events in patients with regular DS were noted in both sexes, all age groups, and people with various types of stroke. Conclusion Stroke patients with regular DS showed fewer complications and lower mortality compared with patients had no DS. These findings suggest the urgent need to promote regular DS for this susceptible population of stroke patients.https://doi.org/10.1186/s12903-023-03178-6ComplicationsDental scalingMortalityHospitalizationStroke |
| spellingShingle | Li-Chin Sung Chuen-Chau Chang Chun-Chieh Yeh Chia-Yen Lee Chaur-Jong Hu Yih-Giun Cherng Ta-Liang Chen Chien-Chang Liao The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database BMC Oral Health Complications Dental scaling Mortality Hospitalization Stroke |
| title | The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database |
| title_full | The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database |
| title_fullStr | The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database |
| title_full_unstemmed | The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database |
| title_short | The effects of regular dental scaling on the complications and mortality after stroke: a retrospective cohort study based on a real-world database |
| title_sort | effects of regular dental scaling on the complications and mortality after stroke a retrospective cohort study based on a real world database |
| topic | Complications Dental scaling Mortality Hospitalization Stroke |
| url | https://doi.org/10.1186/s12903-023-03178-6 |
| work_keys_str_mv | AT lichinsung theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chuenchauchang theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chunchiehyeh theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chiayenlee theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chaurjonghu theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT yihgiuncherng theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT taliangchen theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chienchangliao theeffectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT lichinsung effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chuenchauchang effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chunchiehyeh effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chiayenlee effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chaurjonghu effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT yihgiuncherng effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT taliangchen effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase AT chienchangliao effectsofregulardentalscalingonthecomplicationsandmortalityafterstrokearetrospectivecohortstudybasedonarealworlddatabase |