Association of Tooth Scaling with Acute Myocardial Infarction and Analysis of the Corresponding Medical Expenditure: A Nationwide Population-Based Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
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Tooth Scaling Group | Comparison Group | p-Value | |
---|---|---|---|
n | 7164 | 7164 | |
Gender = male (%) | 3307 (46.2) | 3307 (46.2) | 1.000 |
Age (mean (SD)) | 56.10 (4.34) | 56.09 (4.35) | 0.820 |
Hypertension = Yes (%) | 1545 (21.6) | 1468 (20.5) | 0.119 |
Diabetes mellitus = Yes (%) | 741 (10.3) | 734 (10.2) | 0.869 |
Hyperlipidemia = Yes (%) | 751 (10.5) | 749 (10.5) | 0.978 |
Coronary artery disease = Yes (%) | 514 (7.2) | 512 (7.1) | 0.974 |
Chronic renal disease = Yes (%) | 201 (2.8) | 185 (2.6) | 0.439 |
Tooth Scaling Group | Comparison Group | |
---|---|---|
n | 7164 | 7164 |
Acute myocardial infarction = Yes (%) | 136 ( 1.9) | 250 (3.5) |
Hazard Ratio(95%CI) | 0.543 (0.441, 0.670) 1 | 1.000 (reference) |
All tooth scaling expenditure | 2,916,823 | 0 |
Total exp. in dental (exclude tooth scaling) | 10,098,446 | 1,273,043 |
All acute myocardial infarction (AMI) expenditure | 32,419,393 | 58,543,492 |
All acute myocardial infarction (AMI) expenditure/per person share | 4525.32 | 8171.90 |
Ratio of AMI expenditure/All of expenditure | 1.25% | 1.55% |
Sum of expenditure Total expenditure | 45,434,66 23,625,412,192 | 59,816,535 3,851,848,824 |
Avg. Number Per Year | Group A | Group B | |
---|---|---|---|
<1 Tooth Scaling | 1–2 Tooth Scaling | p-Value | |
n | 5453 | 1711 | |
Gender = male (%) | 2532 (46.4) | 775 (45.3) | 0.426 |
Age (mean (SD)) | 56.21 (4.35) | 55.76 (4.30) | <0.001 |
Hypertension = Yes (%) | 1227 (22.5) | 318 (18.6) | 0.001 |
Diabetes mellitus = Yes (%) | 579 (10.6) | 162 (9.5) | 0.188 |
Hyperlipidemia = Yes (%) | 550 (10.1) | 201 (11.7) | 0.056 |
Coronary artery disease = Yes (%) | 402 (7.4) | 112 (6.5) | 0.271 |
Chronic renal disease = Yes (%) | 154 (2.8) | 47 (2.7) | 0.932 |
Charlson comorbidity index (%) | 0.345 | ||
0 | 4353 (79.8) | 1364 (79.7) | |
1~2 | 840 (15.4) | 278 (16.2) | |
3+ | 260 (4.8) | 69 (4.0) |
Group A | Group B | p-Value | |
---|---|---|---|
Avg. number per year | <1 tooth scaling | 1–2 tooth scaling | |
N | 5453 | 1711 | |
Acute myocardial infarction = Yes (%) | 108 (2.0) | 28 (1.6) | 0.419 |
Adjusted Hazard Ratio(95%CI) | 0.557(0.444, 0.698) | 0.497(0.336, 0.734) | <0.001 |
average exp. in dental (mean (SD)) | 1405.05 (1627.22) | 3128.87 (1441.73) | <0.001 |
number of visits to the dentist (mean (SD)) | 1.22 (0.86) | 2.84 (1.16) | <0.001 |
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Kao, Y.-W.; Shia, B.-C.; Chiang, H.-C.; Chen, M.; Wu, S.-Y. Association of Tooth Scaling with Acute Myocardial Infarction and Analysis of the Corresponding Medical Expenditure: A Nationwide Population-Based Study. Int. J. Environ. Res. Public Health 2021, 18, 7613. https://doi.org/10.3390/ijerph18147613
Kao Y-W, Shia B-C, Chiang H-C, Chen M, Wu S-Y. Association of Tooth Scaling with Acute Myocardial Infarction and Analysis of the Corresponding Medical Expenditure: A Nationwide Population-Based Study. International Journal of Environmental Research and Public Health. 2021; 18(14):7613. https://doi.org/10.3390/ijerph18147613
Chicago/Turabian StyleKao, Yi-Wei, Ben-Chang Shia, Huei-Chen Chiang, Mingchih Chen, and Szu-Yuan Wu. 2021. "Association of Tooth Scaling with Acute Myocardial Infarction and Analysis of the Corresponding Medical Expenditure: A Nationwide Population-Based Study" International Journal of Environmental Research and Public Health 18, no. 14: 7613. https://doi.org/10.3390/ijerph18147613