Department of Cariology, Endodontology and Periodontology, University Leipzig, Liebigstr. 12, D 04103, Leipzig, Germany.
University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany.
Clin Oral Investig. 2021 Oct;25(10):5879-5887. doi: 10.1007/s00784-021-03893-w. Epub 2021 Mar 22.
The aim of this cross-sectional study was to compare oral health-related quality of life (OHRQoL) of patients with left ventricular assist device (LVAD) and heart failure (HF).
Seventy-four patients with LVAD were recruited from University Department for Cardiac Surgery, Leipzig Heart Center, Germany. A group of 72 patients with HF was composed by matching (age, gender, smoking). The German short form of oral health impact profile (OHIP G14) was applied. Health-related quality of life (HRQoL) was measured by short form 36 survey (SF-36). Dental conditions (decayed-, missing- and filled-teeth [DMF-T]), remaining teeth and periodontal findings were assessed.
t-test, Mann-Whitney U test, Kruskal-Wallis test, chi-square or Fisher test, linear regression.
Age, gender, smoking, underlying disease, co-morbidities and oral findings were comparable between groups (p > 0.05). OHIP G14 sum score was 3.53 ± 6.82 (LVAD) and 2.92 ± 5.35 (HF; p = 0.70), respectively. The scales SF-36 physical functioning (p = 0.05) and SF-36 social functioning (p < 0.01) were worse in LVAD. In the LVAD group, the DMF-T and remaining teeth negatively correlated with OHIP G14 sum score (p < 0.01). In HF patients, positive correlations were found between OHIP G14 and D-T (p < 0.01) and remaining teeth (p = 0.04). Moreover, DMF-T (p = 0.03) and remaining molars/premolars (p = 0.02) were negatively correlated with SF-36 scales in HF.
Oral health and OHRQoL was comparable between LVAD and HF; thereby, OHRQoL reflected the clinical oral status.
Dental care, with beginning in early stage of HF, should be fostered to preserve teeth and support quality of life before and after LVAD implantation.
本横断面研究旨在比较左心室辅助装置（LVAD）和心力衰竭（HF）患者的口腔健康相关生活质量（OHRQoL）。
从德国莱比锡心脏中心心脏外科大学系招募了 74 名 LVAD 患者。通过匹配（年龄、性别、吸烟状况）组成了一组 72 名 HF 患者。使用德国口腔健康影响简表（OHIP G14）的简短形式。通过短格式 36 调查（SF-36）测量健康相关生活质量（HRQoL）。评估牙齿状况（龋齿、缺失和补牙[DMF-T]）、剩余牙齿和牙周发现。
t 检验、Mann-Whitney U 检验、Kruskal-Wallis 检验、卡方或 Fisher 检验、线性回归。
年龄、性别、吸烟、基础疾病、合并症和口腔发现两组间无差异（p > 0.05）。OHIP G14 总分分别为 3.53 ± 6.82（LVAD）和 2.92 ± 5.35（HF；p = 0.70）。SF-36 生理功能（p = 0.05）和 SF-36 社会功能（p < 0.01）在 LVAD 中更差。在 LVAD 组中，DMF-T 和剩余牙齿与 OHIP G14 总分呈负相关（p < 0.01）。在 HF 患者中，OHIP G14 与 D-T（p < 0.01）和剩余牙齿（p = 0.04）之间存在正相关。此外，DMF-T（p = 0.03）和剩余磨牙/前磨牙（p = 0.02）与 HF 中的 SF-36 量表呈负相关。
LVAD 和 HF 之间的口腔健康和 OHRQoL 相当；因此，OHRQoL 反映了临床口腔状况。
应在 HF 的早期阶段开始进行口腔护理，以保留牙齿并在 LVAD 植入前后支持生活质量。
