Zhumakyz Kussainova, Mukhit Kulmaganbetov, Askar Abiltayev, Tolkyn Bulegenov, Islam Salikhanov
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引用次数: 0
摘要
目的：本系统综述和荟萃分析旨在综合证据并确定IE与牙科手术（包括侵入性和非侵入性手术）之间的关系。方法：我们对PubMed、谷歌Scholar和Cochrane数据库进行了系统检索，涉及年龄≥15岁的个体的拔牙、洗牙、牙髓治疗、口腔手术和牙周治疗等过程的研究。主要结果是这些手术后IE的发生率。结果：IE与侵入性牙科手术之间存在关联(OR 1.49, 95% CI 1.25-1.76；P < 0.00001)。亚组分析显示拔牙后IE风险增加(OR 2.73, 95% CI 1.46-5.11；p = 0.002)和口腔手术(OR 6.33, 95% CI 2.43-16.49；P = 0.0002)。结论：我们的研究发现，侵入性牙科手术与IE风险增加之间存在很强的关联，特别是在高危人群中拔牙和口腔手术。系统评价注册：https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023488546，标识符CRD42023488546。
Risk of Infective Endocarditis Following Invasive Dental Procedures: A Systematic Review and Meta-Analysis.
Objectives: This systematic review and meta-analysis aimed to synthesize evidence and determine the association between IE and dental procedures, including invasive and non-invasive procedures.
Methods: We conducted a systematic search of PubMed, Google Scholar, and Cochrane databases for studies involving procedures such as tooth extraction, scaling, endodontic treatment, oral surgery, and periodontal treatment involving individuals aged ≥15 years. The primary outcome was the incidence of IE following these procedures.
Results: An association was found between IE and invasive dental procedures (OR 1.49, 95% CI 1.25-1.76; p < 0.00001). Subgroup analysis showed an increased risk of IE following tooth extraction (OR 2.73, 95% CI 1.46-5.11; p = 0.002) and oral surgery (OR 6.33, 95% CI 2.43-16.49; p = 0.0002) in high-risk patients.
Conclusion: Our study found a strong association between invasive dental procedures and increased IE risk, particularly for tooth extraction and oral surgery in high-risk individuals.
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