Dental caries experience in children with congenital heart disease: a case‐control study

Stecksén‐Blicks, Christina; Rydberg, Annika; Nyman, Linda; Asplund, S; Svanberg, Christina

doi:10.1111/j.1365-263x.2004.00531.x

Cited by 76 publications

(121 citation statements)

References 9 publications

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“…2,4,5,7,19 A high caries index was found in the present study, in contrast with recent data on the whole Brazilian population, in which a mean dmft value of 2.43 was found for a 5-year-old population in which 46.6% were caries free. 20 This may be related to the high complexity of congenital cardiac disease and the greater health demands made by this medical condition.…”

Section: Discussioncontrasting

confidence: 55%

“…2,5 The use of sucrose as a sweetening agent in liquid medicines, particularly in pediatric practice, could explain this finding.…”

Section: Discussionmentioning

confidence: 93%

“…2,4 In addition, the chronic administration of liquid medicines sweetened with sucrose may increase the incidence of caries and gingivitis in children. 2,5 Dental disease may lead to dental extractions in young children, possibly requiring general anesthesia, thus compounding the problem with additional financial, emotional and physical burdens. 6 Hallet et al 2 compared the oral health of children suffering from congenital heart disease with that of children from healthy controls, and found that the incidence of caries lesions was significantly higher in the former group.…”

Section: Introductionmentioning

confidence: 99%

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Caries experience in young children with congenital heart disease in a developing country

et al. 2013

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Oral care is frequently suboptimal in children from developing countries, especially those suffering from severe systemic diseases. The aim of the present study was to analyze the oral epidemiological profile of 3-to-5-year-old children with congenital heart disease. Dental and medical records of children evaluated at the Dental Service of the National Institute of Cardiology, Rio de Janeiro, Brazil, were reviewed. Caries experience was reported using the dmft index. Negative behavior towards dental management was recorded. The sample consisted of 144 children aged 4.41 ± 0.95 years. The mean dmft value was 5.4 ± 4.9, and 80.5% had at least one caries lesion. Dmft index was greater in the presence of cyanotic cardiac disease and in children with negative behavior. An increase in the "missing" component of the dmft index was also found in children using medicine on a daily basis. A higher caries experience was associated with children whose fathers had only an elementary education. In conclusion, children with congenital heart disease had high levels of caries experience at a young age. Cyanosis, negative behavior, daily use of medicine, one-parent family and the educational level of fathers seem to influence caries experience in children with congenital cardiac disease.

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Section: Discussioncontrasting

confidence: 55%

“…2,5 The use of sucrose as a sweetening agent in liquid medicines, particularly in pediatric practice, could explain this finding.…”

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

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Caries experience in young children with congenital heart disease in a developing country

et al. 2013

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“…These conditions are not currently recognized as one of the most common noncardiac inpatient needs for this population, although a few previous studies [15][16][17][18] have reported worse dental caries experience and comorbidities in digestive system for children with heart disease. However, it is unclear from this study whether these admissions simply reflect more inpatient needs for this population on commonly seen conditions due to anesthesia concerns or that these children indeed had worse dental and digestive outcomes.…”

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confidence: 99%

Hospital Inpatient Costs for Single Ventricle Patients Surviving the Fontan Procedure

Huang

Schilling

Dalziel

et al. 2017

The American Journal of Cardiology

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We estimated the inpatient resource use for a Fontan patient from birth to adulthood and explored factors that might induce cost differences (2014 US dollar). Inpatient costing records from four hospitals with greatest numbers of Fontan patients in Australia and New Zealand were linked with the Fontan registry database. Inpatient records between July 1995 and September 2014 for 420 Fontan patients were linked, and the most frequent primary diagnoses were hypoplastic left heart syndrome (HLHS) (20.7%), tricuspid atresia (19.7%), and double inlet left ventricle (17.1%). The mean hospital cost for a Fontan patient from birth to 18 years of age was estimated to be $390,601 (95% confidence interval [CI] $264,703 to $516,499), corresponding to 164 (95% CI 98 to 231) inpatient days. The cost incurred from birth through to Fontan completion (the staged procedures period) was $219,482 (95% CI $202,410 to $236,553) and the cost thereafter over 15 years was $146,820 (95% CI $44,409 to $249,231), corresponding to 82 (95% CI 72 to 92) and 65 (95% CI 18 to 112) inpatient days respectively. Costs were higher in male and HLHS patients in the staged procedures period (P<0.001). Having fenestration was associated with higher costs in the staged procedures period (P<0.001) and lower cost post Fontan over 15 years (P=0.66). In conclusion, patients with single-ventricle congenital heart disease continue to demand considerable inpatient resources after the staged procedures period. Over 40% of the pediatric hospital costs for Fontan patients were estimated to occur after the last planned surgery.Key Words: Fontan patients, hospital cost, congenital heart disease, health serviceThe Fontan procedure is the final in a series of staged palliations for single-ventricle congenital heart disease, affecting approximately 1 in 2000 live births. 1, 2 As the outcomes of the staged procedures improve, an increasing number of children with complex heart conditions have survived into adulthood. [2][3][4][5] More patients are now undergoing staged procedures 6-8 but the trend in long-term inpatient cost and care needs for this population are unclear. Using hospital billing data associated with encounters, Keren et al. (2012) have shown that the cumulative costs of the 10 most expensive pediatric conditions in the US accounted for approximately one third of the standardized costs for all pediatric visits to hospital, and single-ventricle congenital heart defects such as hypoplastic left heart syndrome (HLHS) ranked 7 th on the list. 9 Previous studies also documented the costs of a single staged procedure 10, 11 , the costs of non-cardiac admissions to pediatric hospitals 12 , and the costs of admissions in adults for this patient group. 13 Nevertheless, the literature is limited by its focus on single encounters and knowledge regarding the long-term trend in hospital costs for single-ventricle patients is lacking. The purpose of this study was to assess the trend in longterm hospital costs for single-ventricle patients surviving the F...

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“…Neuropsychiatric conditions such as ADHD and autism have been shown to influence caries prevalence in groups of children with these diagnosis (Chandra, Anandakrishna et al 2009, Blomqvist, Ahadi et al 2011, El Khatib, El Tekeya et al 2014 and HRQoL (Danckaerts, Sonuga-Barke et al 2010, Kuhlthau, Orlich et al 2010, Domellöf, Hedlund et al 2014, Lee, Yang et al 2016, Peasgood, Bhardwaj et al 2016. Also asthma, congenital heart disease and diabetes can increase caries risk (Ponte, Tabaj et al 2001, Stecksén-Blicks, Rydberg et al 2004, Alavaikko, Jaakkola et al 2011, Johnston and Vieira 2014, Sivertsen, Assmus et al 2016) and impair HRQoL (Varni, Limbers et al 2007, Chaplin, Hanas et al 2009, Hanberger, Ludvigsson et al 2009). Although the proportion of affected children was slightly higher in children with CL/P than in the non-cleft controls this alone could not explain the difference in caries prevalence and frequency in 5-year-old children, or the differences in caries risk.…”

Section: Methodological Considerations Participantsmentioning

confidence: 99%

Children with orofacial clefts : dental caries and health-related quality of life

Sundell¹

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Dental caries experience in children with congenital heart disease: a case‐control study

Cited by 76 publications

References 9 publications

Caries experience in young children with congenital heart disease in a developing country

Caries experience in young children with congenital heart disease in a developing country

Hospital Inpatient Costs for Single Ventricle Patients Surviving the Fontan Procedure

Children with orofacial clefts : dental caries and health-related quality of life

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