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Charlson comorbidity index as a predictor of periodontal disease in elderly participants

Authors
 Jae-Hong Lee  ;  Jung-Kyu Choi  ;  Seong-Nyum Jeong  ;  Seong-Ho Choi 
Citation
 Journal of Periodontal & Implant Science, Vol.48(2) : 92-102, 2018 
Journal Title
 Journal of Periodontal & Implant Science 
ISSN
 2093-2278 
Issue Date
2018
Keywords
Comorbidity ; Periodontal disease ; Risk factors
Abstract
Purpose: This study investigated the validity of the Charlson comorbidity index (CCI) as a predictor of periodontal disease (PD) over a 12-year period. Methods: Nationwide representative samples of 149,785 adults aged >/=60 years with PD (International Classification of Disease, 10th revision [ICD-10], K052-K056) were derived from the National Health Insurance Service-Elderly Cohort during 2002-2013. The degree of comorbidity was measured using the CCI (grade 0-6), including 17 diseases weighted on the basis of their association with mortality, and data were analyzed using multivariate Cox proportional-hazards regression in order to investigate the associations of comorbid diseases (CDs) with PD. Results: The multivariate Cox regression analysis with adjustment for sociodemographic factors (sex, age, household income, insurance status, residence area, and health status) and CDs (acute myocardial infarction, congestive heart failure, peripheral vascular disease, cerebral vascular accident, dementia, pulmonary disease, connective tissue disorders, peptic ulcer, liver disease, diabetes, diabetes complications, paraplegia, renal disease, cancer, metastatic cancer, severe liver disease, and human immunodeficiency virus [HIV]) showed that the CCI in elderly comorbid participants was significantly and positively correlated with the presence of PD (grade 1: hazard ratio [HR], 1.11; P<0.001; grade >/=2: HR, 1.12, P<0.001). Conclusions: We demonstrated that a higher CCI was a significant predictor of greater risk for PD in the South Korean elderly population.
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DOI
10.5051/jpis.2018.48.2.92
Appears in Collections:
1. Journal Papers (연구논문) > 2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실)
Yonsei Authors
최성호(Choi, Seong Ho) ORCID logo https://orcid.org/0000-0001-6704-6124
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162327
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