Evidence map›Paper›PMID 34189757›Full record

ArticleJournal of clinical periodontology2021

Invasive dental procedures as risk factors for postoperative spinal infection and the effect of antibiotic prophylaxis.

Sahyun Sung, Eun Hwa Kim, Ji-Won Kwon, Jung-Seok Lee, Soo-Bin Lee, Seong-Hwan Moon, Hwan-Mo Lee, Inkyung Jung, Byung Ho Lee

Open access · hybridAbstract read
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Article in Journal of clinical periodontology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Sahyun SungDepartment of Orthopedic Surgery, College of Medicine, Ewha Womans University Seoul Hospital, Seoul, South Korea.
Eun Hwa KimBiostatistics Collaboration Unit, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, South Korea.
Ji-Won KwonDepartment of Orthopedic surgery, Yonsei University College of Medicine, Seoul, South Korea.
Jung-Seok LeeDepartment of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, South Korea.ORCID 0000-0003-1276-5978
Soo-Bin LeeDepartment of Orthopedic Surgery, Catholic Kwandong University International Saint Mary's Hospital, Incheon, South Korea.
Seong-Hwan MoonDepartment of Orthopedic surgery, Yonsei University College of Medicine, Seoul, South Korea.
Hwan-Mo LeeDepartment of Orthopedic surgery, Yonsei University College of Medicine, Seoul, South Korea.
Inkyung JungDivision of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, South Korea.
Byung Ho LeeDepartment of Orthopedic surgery, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0001-7235-4981
Yonsei University · KRCatholic Kwandong University International St. Mary's Hospital · KREwha Womans University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify invasive dental procedures as a risk factor for postoperative spinal infection (PSI) and evaluate the effectiveness of antibiotic prophylaxis. MATERIALS AND

methodsWe analysed 229,335 patients who underwent spinal surgery with instrumentation from 2010 to 2017, using the nationwide database. The incidence of spinal infection 2 years after surgery was determined. Invasive dental procedures as a risk factor for PSI and the effects of antibiotic prophylaxis during this period were also analysed.

resultsA total of 15,346 patients (6.69%) were diagnosed with PSI. It was found that advanced age, male sex, and a high Charlson Comorbidity Index were risk factors for PSI. The risk of PSI did not increase following dental procedures (adjusted hazard ratio [HR] 0.850; 95% confidence interval [CI], 0.793-0.912) and was not affected by antibiotics (adjusted HR 1.097; 95% CI, 0.987-1.218). Patients who received dental treatment as early as 3 months after spinal surgery had the lowest risk of postoperative infection (adjusted HR 0.869; 95% CI, 0.795-0.950).

conclusionsInvasive dental procedure does not increase the risk of PSI, and antibiotic prophylaxis before dental procedure was not effective in preventing spinal infection.

Indexed as

Anti-Bacterial AgentsAntibiotic ProphylaxisDentistryHumansMalePostoperative ComplicationsRisk FactorsAnti-Bacterial Agentsantibiotic prophylaxisinvasive dental procedurenationwide databasepostoperative spinal infectionspinal surgery

Identifiers

PMID34189757
PMCPMC8457097
OpenAlexW3173894284

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.