COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study

<h3>Objectives</h3><p dir="ltr">Apical <u>periodontitis </u>(AP) has been associated with systemic inflammatory biomarkers that have also been associated with COVID-19 severity. This study was designed to test the hypothesis that the presence of apical periodo...

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Main Author: Nadya Marouf (14150724) (author)
Other Authors: Raidan Ba-Hattab (17773230) (author), Fatima Al-Sheeb (21633377) (author), Amal Diab (21633380) (author), Hanan Diab (14779462) (author), Maryam Al-Majed (21633383) (author), Khalid Al-Haithami (21633386) (author), Ghanim Al-Mannai (21633389) (author), Noha Barhom (14150748) (author), Shailaja Tharupeedikayil (21633392) (author), Faleh Tamimi (2867255) (author)
Published: 2024
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_version_ 1864513545507438592
author Nadya Marouf (14150724)
author2 Raidan Ba-Hattab (17773230)
Fatima Al-Sheeb (21633377)
Amal Diab (21633380)
Hanan Diab (14779462)
Maryam Al-Majed (21633383)
Khalid Al-Haithami (21633386)
Ghanim Al-Mannai (21633389)
Noha Barhom (14150748)
Shailaja Tharupeedikayil (21633392)
Faleh Tamimi (2867255)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Nadya Marouf (14150724)
Raidan Ba-Hattab (17773230)
Fatima Al-Sheeb (21633377)
Amal Diab (21633380)
Hanan Diab (14779462)
Maryam Al-Majed (21633383)
Khalid Al-Haithami (21633386)
Ghanim Al-Mannai (21633389)
Noha Barhom (14150748)
Shailaja Tharupeedikayil (21633392)
Faleh Tamimi (2867255)
author_role author
dc.creator.none.fl_str_mv Nadya Marouf (14150724)
Raidan Ba-Hattab (17773230)
Fatima Al-Sheeb (21633377)
Amal Diab (21633380)
Hanan Diab (14779462)
Maryam Al-Majed (21633383)
Khalid Al-Haithami (21633386)
Ghanim Al-Mannai (21633389)
Noha Barhom (14150748)
Shailaja Tharupeedikayil (21633392)
Faleh Tamimi (2867255)
dc.date.none.fl_str_mv 2024-07-04T06:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.identj.2024.01.002
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/COVID-19_Severity_in_Patients_With_Apical_Periodontitis_A_Case_Control_Study/29445950
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Dentistry
Health sciences
Epidemiology
Public health
Biomarkers
Inflammation
Oral diseases
Periapical diseases
Radiography panoramic
SARS-CoV-2
dc.title.none.fl_str_mv COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objectives</h3><p dir="ltr">Apical <u>periodontitis </u>(AP) has been associated with systemic inflammatory biomarkers that have also been associated with COVID-19 severity. This study was designed to test the hypothesis that the presence of apical periodontitis could be associated with increased risk of COVID-19 complications. </p><h3>Methods</h3><p dir="ltr">A case control study (<i>N</i> = 949) was performed using the medical and dental records of patients diagnosed with COVID-19 in the State of Qatar between March 2020 and February 2021. Cases comprised COVID-19 patients (<i>n</i> = 63) who experienced complications (death, <u>intensive care unit </u>admissions, mechanical ventilation), and controls were COVID-19 patients (<i>n</i> = 886) who recovered without such complications. The presence of periapical apical periodontitis was assessed on the radiographic records taken prior to COVID-19 infection. Associations between apical periodontitis and <u>COVID 19 </u>complications were analysed using <u>logistic regression</u> models adjusted for demographic and medical factors. Blood biomarkers were assessed in both groups and compared using the Kruskal–Wallis test. </p><h3>Results</h3><p dir="ltr">COVID-19 complications were found to be associated with the presence of apical periodontitis (adjusted odds ratio = 2.72; 95% CI, 1.30–5.68; <i>P </i>= .008). Blood analyses revealed that COVID-19 patients with apical periodontitis had higher levels of white blood cells and <u>haemoglobin A1c </u>than the patients without apical periodontitis. </p><h3>Conclusions</h3><p dir="ltr">The presence of apical periodontitis could be associated with increased risk of COVID-19 complications.</p><h2>Other Information</h2><p dir="ltr">Published in: International Dental Journal<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.identj.2024.01.002" target="_blank">https://dx.doi.org/10.1016/j.identj.2024.01.002</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1016/j.identj.2024.01.002
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29445950
publishDate 2024
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spelling COVID-19 Severity in Patients With Apical Periodontitis: A Case Control StudyNadya Marouf (14150724)Raidan Ba-Hattab (17773230)Fatima Al-Sheeb (21633377)Amal Diab (21633380)Hanan Diab (14779462)Maryam Al-Majed (21633383)Khalid Al-Haithami (21633386)Ghanim Al-Mannai (21633389)Noha Barhom (14150748)Shailaja Tharupeedikayil (21633392)Faleh Tamimi (2867255)Biomedical and clinical sciencesDentistryHealth sciencesEpidemiologyPublic healthBiomarkersInflammationOral diseasesPeriapical diseasesRadiography panoramicSARS-CoV-2<h3>Objectives</h3><p dir="ltr">Apical <u>periodontitis </u>(AP) has been associated with systemic inflammatory biomarkers that have also been associated with COVID-19 severity. This study was designed to test the hypothesis that the presence of apical periodontitis could be associated with increased risk of COVID-19 complications. </p><h3>Methods</h3><p dir="ltr">A case control study (<i>N</i> = 949) was performed using the medical and dental records of patients diagnosed with COVID-19 in the State of Qatar between March 2020 and February 2021. Cases comprised COVID-19 patients (<i>n</i> = 63) who experienced complications (death, <u>intensive care unit </u>admissions, mechanical ventilation), and controls were COVID-19 patients (<i>n</i> = 886) who recovered without such complications. The presence of periapical apical periodontitis was assessed on the radiographic records taken prior to COVID-19 infection. Associations between apical periodontitis and <u>COVID 19 </u>complications were analysed using <u>logistic regression</u> models adjusted for demographic and medical factors. Blood biomarkers were assessed in both groups and compared using the Kruskal–Wallis test. </p><h3>Results</h3><p dir="ltr">COVID-19 complications were found to be associated with the presence of apical periodontitis (adjusted odds ratio = 2.72; 95% CI, 1.30–5.68; <i>P </i>= .008). Blood analyses revealed that COVID-19 patients with apical periodontitis had higher levels of white blood cells and <u>haemoglobin A1c </u>than the patients without apical periodontitis. </p><h3>Conclusions</h3><p dir="ltr">The presence of apical periodontitis could be associated with increased risk of COVID-19 complications.</p><h2>Other Information</h2><p dir="ltr">Published in: International Dental Journal<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.identj.2024.01.002" target="_blank">https://dx.doi.org/10.1016/j.identj.2024.01.002</a></p>2024-07-04T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.identj.2024.01.002https://figshare.com/articles/journal_contribution/COVID-19_Severity_in_Patients_With_Apical_Periodontitis_A_Case_Control_Study/29445950CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/294459502024-07-04T06:00:00Z
spellingShingle COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
Nadya Marouf (14150724)
Biomedical and clinical sciences
Dentistry
Health sciences
Epidemiology
Public health
Biomarkers
Inflammation
Oral diseases
Periapical diseases
Radiography panoramic
SARS-CoV-2
status_str publishedVersion
title COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
title_full COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
title_fullStr COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
title_full_unstemmed COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
title_short COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
title_sort COVID-19 Severity in Patients With Apical Periodontitis: A Case Control Study
topic Biomedical and clinical sciences
Dentistry
Health sciences
Epidemiology
Public health
Biomarkers
Inflammation
Oral diseases
Periapical diseases
Radiography panoramic
SARS-CoV-2