Oral health and functional outcomes following mechanical thrombectomy for ischemic stroke
| Autor: | Michael J Feldman, Stefan W Koester, Ryan S Chaliff, Aaron Yengo-Kahn, Gunther Wong, Steven Roth, Michael Longo, Matthew R Fusco, Michael T Froehler, Rohan Chitale |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of NeuroInterventional Surgery. :jnis-2022 |
| ISSN: | 1759-8486 1759-8478 |
| Popis: | BackgroundAn association between poor dentition and the risk of ischemic stroke has previously been reported in the literature. In this study we assessed oral hygiene (OH), including tooth loss and the presence of dental disease, to determine if an association exists with functional outcomes following mechanical thrombectomy (MT) for large-vessel ischemic stroke.MethodsA retrospective review was conducted of consecutive adult patients at a single comprehensive stroke center who underwent MT from 2012 to 2018. Inclusion criteria included availability of CT imaging to radiographically assess OH. A multivariate analysis was performed, with the primary outcome being 90-day post-thrombectomy modified Rankin Scale (mRS) score >2.ResultsA total of 276 patients met the inclusion criteria. The average number of missing teeth was significantly higher in patients with a poor functional outcome (mean (SD) 10 (11) vs 4 (6), pConclusionMissing teeth and the presence of dental disease are inversely correlated with functional independence following MT, independent of thrombectomy success or tPA status. |
| Databáze: | OpenAIRE |
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