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The Influence of Prior Dental Pathology on Medical Complications and Peri-prosthetic Joint Infections Following Primary Shoulder Arthroplasty by Adam M. Gordon; Andrew R. Horn; Keith B. Diamond; Eric S. Roth; Miriam D. Weisberg; Ramin Sadeghpour; Jack Choueka is a Medicine article available to read on EtoBox.
What is The Influence of Prior Dental Pathology on Medical Complications and Peri-prosthetic Joint Infections Following Primary Shoulder Arthroplasty about?
Purpose Antibiotic prophylaxis before invasive dental procedures is a common practice in the USA. Consensus regarding the influence of prior dental pathology (DP) on postoperative complications is lacking. The objectives are to determine the association of DP prior to shoulder arthroplasty (SA) on: (1) lengths of stay (LOS), (2) medical complications, (3) readmissions, (4) implant-related complications including peri-prosthetic joint infections (PJIs) and ( ) healthcare expenditures. Methods The PearlDiver database was queried for primary shoulder arthroplasty from 2010 to 2020. Patients with history of dental caries or dental implant placement before SA represented the study group (n = 1419). Patients without prior DP represented controls (n = 7062). Study group patients were 1:5 ratio matched to controls by age, sex, and comorbidities. Outcomes included LOS, 90-day complications, readmissions, 2-year implant-related complications, and healthcare reimbursements. Logistic regression was used to calculate odds ratios (OR) of complications and readmissions. T tests compared LOS and costs. P values < 0.003 were significant. Results LOS (2.17 vs. 2.07 days; p = 0.071) were similar betw
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- Author
- Adam M. Gordon; Andrew R. Horn; Keith B. Diamond; Eric S. Roth; Miriam D. Weisberg; Ramin Sadeghpour; Jack Choueka
- Publisher
- Springer Science and Business Media LLC
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)