Association between dental caries and out-of-hospital cardiac arrests of cardiac origin in Japan

Suematsu, Yasunori; Miura, Shin‐ichiro; Zhang, Bo; Uehara, Yoshio; Ogawa, Masahiro; Yonemoto, Naohiro; Nonogi, Hiroshi; Nagao, Ken; Kimura, Takeshi; Saku, Keijiro

doi:10.1016/j.jjcc.2015.06.012

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…Oral health variables such as the presence of dental caries, periodontitis, periapical infections, tooth loss and the number of teeth significantly ( P -values < .05) increased the risk of cardiovascular diseases among the elderly population in 7 studies after adjusting for confounding variables such as smoking status, obesity, diabetes, and sex. 23,45,46,48,118,120,122 Schillinger et al suggested oral hygiene and dental status, particularly edentulousness, as significant predictors of progression of carotid stenosis, where edentulous Australian elderly aged between 62 and 76 years had twice (adjusted OR = 2.10, 95% CI: 1.06-4.16) the risk for disease progression when compared to those with teeth. 118 With respect to periodontitis, Chen et al reported that Japanese elderly having periodontitis aged between 53 and 73 years with periodontitis had 5 (OR = 5.45, 95%CI: 1.57-18.89) times the risk for peripheral arterial disease (PAD) compared to those with healthy periodontium.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen articles evaluated the risk of cardiovascular diseases due to poor oral health. 23,26,[33][34][35]45,46,48,[118][119][120][121][122] The majority of the studies were prospective cohort, 5 studies were case-control, 33,45,48,119,120 and only 1 study was a retrospective cohort. 46 Outcomes for cardiovascular diseases included stroke, cardiac arrest, hypertension, coronary heart disease, non-fatal ischemic stroke, acute myocardial infarction, cerebrovascular disease, peripheral artery disease, carotid stenosis, pulmonary embolism, and heart failure.…”

Section: List Of Outcomesmentioning

confidence: 99%

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Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review

Badewy

Singh

Quiñonez

et al. 2021

Health�Serv�Insights

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The aim of this scoping review was to determine health-related impacts of poor oral health among community-dwelling seniors. Using MeSH terms and keywords such as elderly, general health, geriatrics, 3 electronic databases—Medline, CINAHL, and Age Line were searched. Title and abstracts were independently screened by 3 reviewers, followed by full-texts review. A total of 131 articles met our inclusion criteria, the majority of these studies were prospective cohort (77%, n = 103), and conducted in Japan (42 %, n = 55). These studies were categorized into 16 general health outcomes, with mortality (24%, n = 34), and mental health disorders (21%, n = 30) being the most common outcomes linked with poor oral health. 90% (n = 120) of the included studies reported that poor oral health in seniors can subsequently lead to a higher risk of poor general health outcomes among this population. Improving access to oral healthcare services for elderly can help not only reduce the burden of oral diseases in this population group but also address the morbidity and mortality associated with other general health diseases and conditions caused due to poor oral health. Findings from this study can help identify shortcomings in existing oral healthcare programs for elderly and develop future programs and services to improve access and utilization of oral care services by elderly.

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Section: Resultsmentioning

confidence: 99%

Section: List Of Outcomesmentioning

confidence: 99%

Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review

Badewy

Singh

Quiñonez

et al. 2021

Health�Serv�Insights

View full text Add to dashboard Cite

show abstract

“…[7] The cause of OHCA-CA is also an important public health problem. We have reported the associations between OHCA-CA and dental caries, [8] seafood consumption, [9] and consumption of carbonated beverages [10] using the All-Japan Utstein Registry. Cold month in the toilet, [11] severe emotional stress, [12,13] climate, [14][15][16] and temperature [17][18][19] have also been reported to be causes of OHCA-CA in Japan.…”

Section: Introductionmentioning

confidence: 99%

Adult influenza epidemic is associated with out-of-hospital cardiac arrest

et al. 2022

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It has been reported that influenza infection is associated with out-of-hospital cardiac arrest of cardiac origin (OHCA-CA). However, the association between OHCA-CA and influenza epidemics in adults has not been well investigated.We analyzed data from the All-Japan Utstein Registry, a prospective, nationwide, population-based, observational study, regarding OHCA-CA cases and the Infectious Diseases Weekly Report for influenza cases: 17,710 OHCA-CA cases and 764,808 influenza cases were recorded between 2005 and 2015 in Fukuoka, Japan. The weekly average number of OHCA-CA cases was positively associated with the number of patients with influenza infection (r = 0.70, P < .0001). To eliminate the effects of season and age, we investigated only adults in winter. The weekly number of OHCA-CA cases was positively associated with the number of patients with influenza infection in weeks when there was a high frequency of influenza infection in adults (r = 0.36, P = .006), but not in weeks with a medium (r = 0.26, P = .05) or low frequency of influenza infection (r = 0.003, P = 1.0). In weeks during which there was a high frequency of influenza infection, the weekly number of OHCA-CA cases was positively associated with the number of influenza infections in males (r = 0.37, P = .006), but not females (r = 0.18, P = .2).The number of OHCA-CA cases was positively associated with the number of influenza infections in adult males during weeks in which there was a high frequency of influenza infections. To help prevent OHCA-CA in males, it might be beneficial to announce influenza epidemics specifically in adults, in addition to all ages.Abbreviations: EMS = emergency medical services, OHCA = out-of-hospital cardiac arrest, OHCA-CA = out-of-hospital cardiac arrest of cardiac origin.

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“…Several studies evaluated the prevalence or severity of dental caries as a risk factor for CVD [ 8 , 41 , 42 , 67 , 68 , 69 , 70 , 71 ]. The authors concluded that caries, especially in the advanced/severe stage, were significantly associated with increased CHD risk.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Quality of Endodontic Treatment in Patients with Cardiovascular Disease and Associated Risk Factors

Dash

Mishra

Singh

et al. 2022

JCM

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This study aimed to determine the prevalence and quality of endodontic treatment, by radiographically assessing the periapical periodontitis and endodontic treatment status in patients with cardiovascular disease (CVD) and cardiovascular risk (CVR) factors. Patients who visited the Out Patient Department of Institute of Dental Sciences and Department of Cardiology, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan University, Bhubaneswar, from August 2021 to February 2022, for a check-up or dental problem were considered as participants in this study. After obtaining informed consent, the participants were enrolled on the Oral Infections and Vascular Disease Epidemiology Study (INVEST) IDS, BHUBANESWAR. After testing negative for COVID-19, patients’ demographic details, such as age and gender were recorded, followed by a panoramic radiographic examination (OPG). A total sample of 408 patients were divided into three groups: Group 1/control (without any cardiovascular manifestation) consisting of 102 samples, group 2 of 222 CVR patients, and group 3 of 84 CVD cases. The CVR and CVD groups had a preponderance of elderly age groups between 60 to 70 years, with a significantly higher proportion of males. Co-morbidities such as diabetes mellitus, hypertension, and dyslipidemia were significantly associated with the CVR and CVD groups. From OPG interpretation, it was observed that the periapical radiolucency was greater in the CVR and CVD groups than in the control group (p = 0.009). The prevalence of endodontically treated teeth was higher in CVR and CVD than in the control group (p = 0.028). A high prevalence of dental caries, about 70%, was reported in all three groups (p = 0.356). The presence of dental restoration among all the groups was low (p = 0.079). The proportion of periodontal bone loss in the control group was significantly lower than CVR and CVD (p = 0.000). There was a strong association between periapical radiolucency, endodontically treated teeth, and periodontal bone loss in CVR and CVD patients. Notably, the associations reported herein do not reflect a cause-effect relationship; however, individuals with endodontic pathologies may accumulate additional risk factors predisposing them to hypertension or other CVDs. The results emphasize that eliminating local infections may decrease the systemic infection burden.

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Association between dental caries and out-of-hospital cardiac arrests of cardiac origin in Japan

Abstract: While oral hygiene is important in all age groups, it may be particularly associated with OHCAs of cardiac origin in males over 65 years.

Cited by 6 publications

References 31 publications

Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review

Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review

Adult influenza epidemic is associated with out-of-hospital cardiac arrest

Prevalence and Quality of Endodontic Treatment in Patients with Cardiovascular Disease and Associated Risk Factors

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