Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery.
Adult
Aged
Aged, 80 and over
Dental Care
/ methods
Female
Healthcare-Associated Pneumonia
/ epidemiology
Humans
Incidence
Japan
/ epidemiology
Male
Middle Aged
Neoplasms
/ surgery
Oral Hygiene
Perioperative Care
/ methods
Postoperative Complications
/ epidemiology
Retrospective Studies
Risk Factors
Treatment Outcome
oral health
perioperative care
pneumonia
Journal
Clinical and experimental dental research
ISSN: 2057-4347
Titre abrégé: Clin Exp Dent Res
Pays: United States
ID NLM: 101692332
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
16
10
2019
revised:
26
10
2019
accepted:
04
11
2019
entrez:
7
4
2020
pubmed:
7
4
2020
medline:
17
6
2021
Statut:
ppublish
Résumé
We conducted a multicenter study to explore the risk factors of developing pneumonia and the effectiveness of perioperative oral management (POM) for the prevention of pneumonia in postsurgical patients. A survey covering eight regional hospitals was conducted over 4 years, from April 2010 to March 2014. Using the Diagnosis Procedure Combination database, a target group of 25,554 patients with cancer who underwent surgery was selected and assessed from a population of 346,563 patients without pneumonia on admission (sample population). The study compared the incidence of pneumonia and attempted to identify the significant predictive factors for its occurrence in these patients using multiple logistic regression analysis. Comparative assessment for the occurrence of pneumonia before and after POM implementation showed a significant incidence decrease after POM introduction in the target group, with no such change observed in the sample population. Multiple logistic regression analysis showed that the odds ratio for pneumonia occurrence after POM introduction was 0.44, indicating a reduced risk of pneumonia. POM in cancer patients was indeed effective in reducing the incidence of pneumonia in hospitals and thereby helped in preventing pneumonia during hospitalization.
Identifiants
pubmed: 32250567
doi: 10.1002/cre2.264
pmc: PMC7133725
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
165-173Informations de copyright
© 2019 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.
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