Is there a relationship between periodontal disease and causes of death? A cross sectional study.

Is there a relationship between periodontal disease and causes of death? A cross sectional study.
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牙周病和死亡原因之间有关系吗?

DOI:
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发表时间:
2015
影响因子:
--
通讯作者:
A. Papas
A. Papas
中科院分区:
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文献类型:
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作者:
Z. Natto;Majdi A Aladmawy;M. Alasqah;A. Papas

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这项研究的目的是评估老年人群中牙周病与死亡因素之间是否存在相关性,如心血管疾病和糖尿病。塔夫茨大学牙科诊所的一名检查员对284名患者进行了牙科评估。用UNC-15手动牙周探头测量6个部位的牙袋深度和临床附着水平(CAL),进行牙周评估。从死亡证明中提取的死因。统计分析采用单因素方差分析、卡方检验和多因素Logistic回归分析。人口统计数据表明,大多数是女性(糖尿病除外),白人,已婚,完成13年教育,平均年龄83岁。在列联表分析(卡方检验)中,CAL(连续或二分)和婚姻状况有统计学意义(P<0.05)。CAL增加的个体死于心血管疾病的可能性是对照组的2.16倍(OR=2.16,95%CI=1.47-3.17),即使在控制了年龄、婚姻状况、性别、种族、受教育年限后(OR=2.03,95%CI=1.35-3.03),这种影响仍然存在。在死于糖尿病或马萨诸塞州以外的人中,CAL(连续的或二分的)要高得多。然而,这些结果在统计学上并不显著。眼袋深度(连续的或二分的)也观察到了同样的模式,但这些结果也没有统计学意义。卡尔似乎对慢性病比口袋深度更敏感。在这些疾病中,心血管疾病的影响最大。
The aim of this study was to evaluate whether there is any correlation between periodontal disease and mortality contributing factors, such as cardiovascular disease and diabetes mellitus in the elderly population. A dental evaluation was performed by a single examiner at Tufts University dental clinics for 284 patients. Periodontal assessments were performed by probing with a manual UNC-15 periodontal probe to measure pocket depth and clinical attachment level (CAL) at 6 sites. Causes of death abstracted from death certificate. Statistical analysis involved ANOVA, chi-square and multivariate logistic regression analysis. The demographics of the population sample indicated that, most were females (except for diabetes mellitus), white, married, completed 13 years of education and were 83 years old on average. CAL (continuous or dichotomous) and marital status attained statistical significance (p<0.05) in contingency table analysis (Chi-square for independence). Individuals with increased CAL were 2.16 times more likely (OR=2.16, 95% CI=1.47-3.17) to die due to CVD and this effect persisted even after control for age, marital status, gender, race, years of education (OR=2.03, 95% CI=1.35-3.03). CAL (continuous or dichotomous) was much higher among those who died due to diabetes mellitus or out of state of Massachusetts. However, these results were not statistically significant. The same pattern was observed with pocket depth (continuous or dichotomous), but these results were not statistically significant either. CAL seems to be more sensitive to chronic diseases than pocket depth. Among those conditions, cardiovascular disease has the strongest effect.
DOI: 10.1111/j.1600-0528.2009.00467.x
发表时间: 2009
影响因子: 2.3
作者:
Thorstensson,Helene;Johansson,Boo
通讯作者: Johansson,Boo