Impact of Periapical Abscess on Infectious Complications in Patients Undergoing Extracorporeal Circulation Auxiliary to Open-Heart Surgical Procedures

Veerasathpurush Allareddy, Sivaraman Prakasam, Sankeerth Rampa, Kyle Stein, Romesh P. Nalliah, Veerajalandhar Allareddy, Shankar Rengasamy Venugopalan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective Extracorporeal circulation auxiliary to open-heart surgeries (ECAOHS) may exert nonphysiological stresses on periapical abscessed tissues leading to hematogenous spread of microbes. The aim of this report was to estimate risk of postoperative infectious complications in patients with periapical abscesses and undergoing ECAOHS. Methods A retrospective analysis of Nationwide Inpatient Sample (years 2009 and 2010) was conducted. All patients (aged 19 to 65 years) who underwent ECAOHS were selected. International Classification of Diseases-9-Clinical Modification codes were used to identify the presence of periapical abscess and infectious complications. Multivariable logistic regression models were used to examine the associations between the presence of periapical abscess and occurrence of infectious complications. Results A total of 265,235 patients underwent an ECAOH procedure. Of these, 431 patients had a periapical abscess. Septicemia developed in 16% of those with periapical abscess (compared with 4.2% in those without periapical abscess). Those with periapical abscess had higher rates of any of the infectious complications when compared with those without periapical abscess (30.2% vs 11.6%, respectively). After adjustment for multiple confounders, those with periapical abscess were associated with higher odds for developing septicemia (odds ratio = 2.51, 95% confidence interval = 1.06-5.91, P = .04) and any of the infectious complications (odds ratio = 2.23, 95% confidence interval = 1.08-4.59, P = .03) when compared with those who did not have periapical abscess. Conclusions Those with periapical abscess are associated with higher odds for infectious complications when compared with those without periapical abscess.

Original languageEnglish (US)
Pages (from-to)13-22
Number of pages10
JournalJournal of Evidence-Based Dental Practice
Volume17
Issue number1
DOIs
StatePublished - Mar 1 2017

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Periapical Abscess
Cardiac Surgical Procedures
Extracorporeal Circulation
Thoracic Surgery
Sepsis
Periapical Tissue
Logistic Models
Odds Ratio
Confidence Intervals
International Classification of Diseases

Keywords

  • Abscesses
  • Cardiovascular diseases
  • Outcome assessment
  • Surgical procedures

ASJC Scopus subject areas

  • Medicine(all)
  • Dentistry(all)

Cite this

Impact of Periapical Abscess on Infectious Complications in Patients Undergoing Extracorporeal Circulation Auxiliary to Open-Heart Surgical Procedures. / Allareddy, Veerasathpurush; Prakasam, Sivaraman; Rampa, Sankeerth; Stein, Kyle; Nalliah, Romesh P.; Allareddy, Veerajalandhar; Rengasamy Venugopalan, Shankar.

In: Journal of Evidence-Based Dental Practice, Vol. 17, No. 1, 01.03.2017, p. 13-22.

Research output: Contribution to journalArticle

Allareddy, Veerasathpurush ; Prakasam, Sivaraman ; Rampa, Sankeerth ; Stein, Kyle ; Nalliah, Romesh P. ; Allareddy, Veerajalandhar ; Rengasamy Venugopalan, Shankar. / Impact of Periapical Abscess on Infectious Complications in Patients Undergoing Extracorporeal Circulation Auxiliary to Open-Heart Surgical Procedures. In: Journal of Evidence-Based Dental Practice. 2017 ; Vol. 17, No. 1. pp. 13-22.
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abstract = "Objective Extracorporeal circulation auxiliary to open-heart surgeries (ECAOHS) may exert nonphysiological stresses on periapical abscessed tissues leading to hematogenous spread of microbes. The aim of this report was to estimate risk of postoperative infectious complications in patients with periapical abscesses and undergoing ECAOHS. Methods A retrospective analysis of Nationwide Inpatient Sample (years 2009 and 2010) was conducted. All patients (aged 19 to 65 years) who underwent ECAOHS were selected. International Classification of Diseases-9-Clinical Modification codes were used to identify the presence of periapical abscess and infectious complications. Multivariable logistic regression models were used to examine the associations between the presence of periapical abscess and occurrence of infectious complications. Results A total of 265,235 patients underwent an ECAOH procedure. Of these, 431 patients had a periapical abscess. Septicemia developed in 16{\%} of those with periapical abscess (compared with 4.2{\%} in those without periapical abscess). Those with periapical abscess had higher rates of any of the infectious complications when compared with those without periapical abscess (30.2{\%} vs 11.6{\%}, respectively). After adjustment for multiple confounders, those with periapical abscess were associated with higher odds for developing septicemia (odds ratio = 2.51, 95{\%} confidence interval = 1.06-5.91, P = .04) and any of the infectious complications (odds ratio = 2.23, 95{\%} confidence interval = 1.08-4.59, P = .03) when compared with those who did not have periapical abscess. Conclusions Those with periapical abscess are associated with higher odds for infectious complications when compared with those without periapical abscess.",
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T1 - Impact of Periapical Abscess on Infectious Complications in Patients Undergoing Extracorporeal Circulation Auxiliary to Open-Heart Surgical Procedures

AU - Allareddy, Veerasathpurush

AU - Prakasam, Sivaraman

AU - Rampa, Sankeerth

AU - Stein, Kyle

AU - Nalliah, Romesh P.

AU - Allareddy, Veerajalandhar

AU - Rengasamy Venugopalan, Shankar

PY - 2017/3/1

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N2 - Objective Extracorporeal circulation auxiliary to open-heart surgeries (ECAOHS) may exert nonphysiological stresses on periapical abscessed tissues leading to hematogenous spread of microbes. The aim of this report was to estimate risk of postoperative infectious complications in patients with periapical abscesses and undergoing ECAOHS. Methods A retrospective analysis of Nationwide Inpatient Sample (years 2009 and 2010) was conducted. All patients (aged 19 to 65 years) who underwent ECAOHS were selected. International Classification of Diseases-9-Clinical Modification codes were used to identify the presence of periapical abscess and infectious complications. Multivariable logistic regression models were used to examine the associations between the presence of periapical abscess and occurrence of infectious complications. Results A total of 265,235 patients underwent an ECAOH procedure. Of these, 431 patients had a periapical abscess. Septicemia developed in 16% of those with periapical abscess (compared with 4.2% in those without periapical abscess). Those with periapical abscess had higher rates of any of the infectious complications when compared with those without periapical abscess (30.2% vs 11.6%, respectively). After adjustment for multiple confounders, those with periapical abscess were associated with higher odds for developing septicemia (odds ratio = 2.51, 95% confidence interval = 1.06-5.91, P = .04) and any of the infectious complications (odds ratio = 2.23, 95% confidence interval = 1.08-4.59, P = .03) when compared with those who did not have periapical abscess. Conclusions Those with periapical abscess are associated with higher odds for infectious complications when compared with those without periapical abscess.

AB - Objective Extracorporeal circulation auxiliary to open-heart surgeries (ECAOHS) may exert nonphysiological stresses on periapical abscessed tissues leading to hematogenous spread of microbes. The aim of this report was to estimate risk of postoperative infectious complications in patients with periapical abscesses and undergoing ECAOHS. Methods A retrospective analysis of Nationwide Inpatient Sample (years 2009 and 2010) was conducted. All patients (aged 19 to 65 years) who underwent ECAOHS were selected. International Classification of Diseases-9-Clinical Modification codes were used to identify the presence of periapical abscess and infectious complications. Multivariable logistic regression models were used to examine the associations between the presence of periapical abscess and occurrence of infectious complications. Results A total of 265,235 patients underwent an ECAOH procedure. Of these, 431 patients had a periapical abscess. Septicemia developed in 16% of those with periapical abscess (compared with 4.2% in those without periapical abscess). Those with periapical abscess had higher rates of any of the infectious complications when compared with those without periapical abscess (30.2% vs 11.6%, respectively). After adjustment for multiple confounders, those with periapical abscess were associated with higher odds for developing septicemia (odds ratio = 2.51, 95% confidence interval = 1.06-5.91, P = .04) and any of the infectious complications (odds ratio = 2.23, 95% confidence interval = 1.08-4.59, P = .03) when compared with those who did not have periapical abscess. Conclusions Those with periapical abscess are associated with higher odds for infectious complications when compared with those without periapical abscess.

KW - Abscesses

KW - Cardiovascular diseases

KW - Outcome assessment

KW - Surgical procedures

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