J Clin Periodontol:血液透析患者牙周病与肺炎死亡率的7年队列研究

2018-01-28 MedSci MedSci原创

评估血液透析患者牙周病与肺炎死亡率的关系。

评估血液透析患者牙周病与肺炎死亡率的关系。

该前瞻性队列研究包括在同一个医疗中心进行血液透析的211名患者(平均年龄64.4岁)。患者在2008年接受了基础临床牙科检查,随后一直持续到2015年7月。牙周疾病被定义为≥30%的探诊位点临床附着丧失≥4mm。主要终点,即肺炎死亡,通过审查死亡证书确定,并使用竞争风险回归模型进行分析。在开始时,92名患者(43.6%)患有牙周病。中位随访期为84个月(四分位间距36-86个月)。发生的68例死亡中,有21例来自肺炎。多变量竞争风险回归模型显示,在调整其他基础健康特征后,牙周病与肺炎死亡显着相关(调整后的危险比为3.49; 95%可信区间为1.14?10.64)。

结论:这项研究的结果表明,牙周病与血液透析患者的肺炎死亡率独立相关。未来的研究评估口腔干预改善牙周健康对血液透析患者肺炎的潜在影响将是非常有意义的。

原始出处:

Masanori Iwasaki, et al. Periodontal disease and pneumonia mortality in haemodialysis patients: A 7-year cohort study. Journal of Clinical Periodontology. 2018 January. doi:10.1111/jcpe.12828

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    2018-11-02 feather89
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    2018-02-02 李东泽

    是很好的学习材料.不错.以后会多学习.

    0

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    2018-01-30 habb
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    2018-01-29 天地飞扬

    了解.谢谢分享!

    0

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    2018-01-29 戒馋,懒,贪

    谢谢分享学习了

    0

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