What factors predict craniomandibular disorders in severe COVID-19 survivors after prolonged intubation?
Issued Date
2022-11-01
Resource Type
eISSN
24687855
Scopus ID
2-s2.0-85134852606
Pubmed ID
35809797
Journal Title
Journal of Stomatology, Oral and Maxillofacial Surgery
Volume
123
Issue
6
Start Page
e631
End Page
e638
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Stomatology, Oral and Maxillofacial Surgery Vol.123 No.6 (2022) , e631-e638
Suggested Citation
Pitak-Arnnop P., Tangmanee C., Mutirangura W., Apipan B., Auychai P., Meningaud J.P., Neff A. What factors predict craniomandibular disorders in severe COVID-19 survivors after prolonged intubation?. Journal of Stomatology, Oral and Maxillofacial Surgery Vol.123 No.6 (2022) , e631-e638. e638. doi:10.1016/j.jormas.2022.07.004 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/84423
Title
What factors predict craniomandibular disorders in severe COVID-19 survivors after prolonged intubation?
Author's Affiliation
Chulalongkorn Business School
Mahidol University, Faculty of Dentistry
Chulalongkorn University
Hôpital Henri Mondor
Universitätsklinikum Gießen und Marburg, Standort Marburg
Member of the German Association for Functional Diagnostics and Therapy of the TMJ (DGFDT) and of the German Association for Oral and Maxillofacial Surgeons (DGMKG)
Mahidol University, Faculty of Dentistry
Chulalongkorn University
Hôpital Henri Mondor
Universitätsklinikum Gießen und Marburg, Standort Marburg
Member of the German Association for Functional Diagnostics and Therapy of the TMJ (DGFDT) and of the German Association for Oral and Maxillofacial Surgeons (DGMKG)
Other Contributor(s)
Abstract
Purposes: To estimate and identify predictors of craniomandibular disorders (CMDs) in severe COVID-19 survivors after prolonged intubation ≥ 1 week (SCOVIDS-PI). Methods: This retrospective study enrolled two cohorts of SCOVIDS-PIs with vs. without CMD during a one-year period. The predictor variables were demographic, dental, anesthetic, and laboratory parameters. The main outcome was presence of CMD until six post-PI months (yes/no). Appropriate statistics were computed with α = 95%. Results: The sample comprised 176 subjects aged 59.2 ± 17.2 years (range, 27–89; 11.9% with CMDs; 30.1% females). CMDs were significantly associated with (1) bilateral posterior tooth loss (P = 0; number needed to screen [NNS] = 1.6), (2) dentofacial skeletal class II/convex face (P =.01; NNS = 2.2), and (3) peak CRP during intensive care ≥ 40 mg/l (P =.01; NNS = 3.5). With combined predictors, NNS became 2 to 4.3. Conclusions: Three predictors of CMDs in SCOVIDS-PIs: bilateral molar loss, convex face, and CRP ≥ 40 mg/l, indicate CMD screening and/or referral to a CMD specialist, regardless of patients’ age, gender, underlying CMDs, or previous dental checkups. Screening ∼2 to 4 “SCOVIDS-PIs with ≥ one predictor” will identify one CMD events/patients during the first six post-PI months.