Ono Kaori, Hironaka Shouji, Utsumi Akemi, Yamaguchi Asako, Shibata Yumi, Osakabe Luna, Oka Shuichiro, Aoki Atsushi, Kotani Toru, Shirakura Kyoko, Yamaguchi Satoko, Myers Mie, Maruoka Yasubumi
Department of Perioperative Medicine, Showa University School of Dentistry, Tokyo, JPN.
Department of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, JPN.
Cureus. 2024 Jun 14;16(6):e62392. doi: 10.7759/cureus.62392. eCollection 2024 Jun.
Purpose Postoperative infections pose an important problem for patients with cardiac disease. Moreover, oral health status is associated with the risk of longer hospital stays. Therefore, the oral health status of patients was assessed before open-heart surgery. This study aimed to determine the relationship between oral health status and postoperative status. Methods The study included 25 patients who underwent open-heart surgery at our university hospital in 2020. Upon admission, dentists conducted an oral examination and assessed the oral health status of the patients, also using the Japanese version of the Oral Health Assessment Tool (OHAT-J), Revised Oral Assessment Guide (ROAG), oral moisture level, oral bacteria, and other relevant factors. The study investigated the association with postoperative status. Findings Significant postoperative infections were found in patients aged ≥70 years, with an OHAT-J score of ≥5, OHAT-J lip score of ≥1, γ count of 1.0 × 10^6 or higher (CFU/mL), and increased γ before and after surgery. The duration of hospitalization correlated with the OHAT-J, OHAT-J gum and tissue, and ROAG scores. The duration of intensive care unit (ICU) stays correlated with the OHAT-J score. Conclusions The study demonstrates that OHAT-J scores are linked with predicting not just postoperative infection but also the length of hospitalization and ICU stay. As OHAT-J scores do not necessitate specialized dental instruments, they are straightforward and beneficial for healthcare professionals outside of dentistry.
目的 术后感染对心脏病患者来说是一个重要问题。此外，口腔健康状况与住院时间延长的风险相关。因此，在心脏直视手术前对患者的口腔健康状况进行了评估。本研究旨在确定口腔健康状况与术后状况之间的关系。方法 该研究纳入了2020年在我校附属医院接受心脏直视手术的25例患者。入院时，牙医进行了口腔检查，并使用日语版口腔健康评估工具（OHAT-J）、修订版口腔评估指南（ROAG）、口腔湿度水平、口腔细菌及其他相关因素对患者的口腔健康状况进行了评估。该研究调查了其与术后状况的关联。结果 在年龄≥70岁、OHAT-J评分≥5、OHAT-J唇部评分≥1、γ计数为1.0×10^6或更高（CFU/mL）以及手术前后γ增加的患者中发现了显著的术后感染。住院时间与OHAT-J、OHAT-J牙龈和组织以及ROAG评分相关。重症监护病房（ICU）住院时间与OHAT-J评分相关。结论 该研究表明，OHAT-J评分不仅与预测术后感染有关，还与住院时间和ICU住院时间有关。由于OHAT-J评分不需要专门的牙科器械，它们简单易行，对牙科以外的医疗保健专业人员有益。
