Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery

Veerasathpurush Allareddy; Satheesh Elangovan; Sankeerth Rampa; Kyungsup Shin; Romesh P Nalliah; Veerajalandhar Allareddy

Journal article

Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery

Veerasathpurush Allareddy, Satheesh Elangovan, Sankeerth Rampa, Kyungsup Shin, Romesh P Nalliah and Veerajalandhar Allareddy

Journal of the Massachusetts Dental Society, Vol.63(4), pp.10-16

2015

PMID: 25872281

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Abstract

To examine the prevalence and impact of gingivitis and periodontitis in patients having heart valve surgical procedures. Nationwide Inpatient Sample for the years 2004-2010 was used. All patients who had heart valve surgical procedures were selected. Prevalence of gingivitis/periodontitis was examined in these patients. Impact of gingivitis/periodontitis on hospital charges, length of stay, and infectious complications was examined. 596,190 patients had heart valve surgical procedures. Gingivitis/periodontitis was present in 0.2 percent. Outcomes included: median hospital charges ($175,418 with gingivitis/ periodontitis versus $149,353 without gingivitis/periodontitis) and median length of stay (14 days with gingivitis/periodontitis versus 8 days without gingivitis/periodontitis). After adjusting for the effects of patient- and hospital-level confounding factors, hospital charges and length of stay were significantly higher (p < 0.001) in those with gingivitis/periodontitis compared to their counterparts. Further, patients with gingivitis/periodontitis had significantly higher odds for having bacterial infections (OR = 3.41, 95% CI = 2.33-4.98, p < 0.0001) when compared to those without gingivitis/periodontitis. Presence of gingivitis and periodontitis is associated with higher risk for bacterial infections and significant hospital resource utilization.

Postoperative Complications - economics

United States - epidemiology

Chronic Periodontitis - economics

Prevalence

Humans

Middle Aged

Hospitalization - statistics & numerical data

Hispanic Americans - statistics & numerical data

Male

Mitral Valve - surgery

Aortic Valve - surgery

Gingivitis - epidemiology

Pneumonia - economics

Hospital Charges - statistics & numerical data

Female

Periodontitis - economics

Retrospective Studies

Periodontitis - epidemiology

Length of Stay - statistics & numerical data

Sepsis - economics

Surgical Wound Infection - epidemiology

Pneumonia - epidemiology

Heart Valve Prosthesis Implantation - economics

Surgical Wound Infection - economics

Sepsis - epidemiology

Postoperative Complications - epidemiology

Gingivitis - economics

Heart Valve Prosthesis Implantation - statistics & numerical data

Medically Uninsured - statistics & numerical data

Aged

Chronic Periodontitis - epidemiology

Cohort Studies

Details

Title: Subtitle: Presence of gingivitis and periodontitis significantly increases hospital charges in patients undergoing heart valve surgery
Creators: Veerasathpurush Allareddy
Satheesh Elangovan
Sankeerth Rampa
Kyungsup Shin
Romesh P Nalliah
Veerajalandhar Allareddy
Resource Type: Journal article
Publication Details: Journal of the Massachusetts Dental Society, Vol.63(4), pp.10-16
PMID: 25872281
NLM abbreviation: J Mass Dent Soc
ISSN: 0025-4800
Publisher: United States
Language: English
Date published: 2015
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Orthodontics; Pharmaceutical Sciences and Experimental Therapeutics; Craniofacial Anomalies Research Center; Periodontics
Record Identifier: 9984065984902771

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