Systemic and Oral Characteristics of Convalescent Inpatients Requiring Oral-Health Management by a Dental Specialist during Hospitalization.

convalescent hospital dentures dysphagia malnutrition oral health rehabilitation

Journal

Geriatrics (Basel, Switzerland)
ISSN: 2308-3417
Titre abrégé: Geriatrics (Basel)
Pays: Switzerland
ID NLM: 101704019

Informations de publication

Date de publication:
17 Jun 2024
Historique:
received: 15 04 2024
revised: 11 06 2024
accepted: 13 06 2024
medline: 26 6 2024
pubmed: 26 6 2024
entrez: 26 6 2024
Statut: epublish

Résumé

Older adults often experience poor oral functions, hindering rehabilitation post-acute disease treatment. However, characteristics of hospitalized patients who would benefit from professional oral-health management (POHM) have not been clarified. Therefore, we aimed to elucidate systemic and oral characteristics of patients requiring POHM during hospitalization in a convalescent hospital. This study included 312 participants admitted to the rehabilitation department of a convalescent hospital for a year. The patients were categorized according to POHM requirements (no-POHM group: 137 patients; POHM group: 175 patients) by discharge. Age, sex, primary disease at admission, Glasgow coma scale (GCS), Functional Independence Measurement (FIM), Mini nutritional assessment-short form (MNA-SF), Functional oral intake scale (FOIS), number of present and functional teeth, Oral Health Assessment Tool (OHAT) scores, and POHM details provided during patient hospitalization were compared. Binomial logistic-regression analysis identified patients requiring POHM as those who had suffered a stroke and had a low number of present teeth, poor overall oral health, low food form, and low motor skills at admission. A high percentage of POHM interventions comprised oral-hygiene care and denture treatment. In summary, patients whose oral health has deteriorated and those experiencing oral-intake difficulties upon admission to a convalescent hospital may require oral-health management.

Identifiants

pubmed: 38920438
pii: geriatrics9030082
doi: 10.3390/geriatrics9030082
pii:
doi:

Types de publication

Journal Article

Langues

eng

Auteurs

Naoki Todayama (N)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Ryuzo Hara (R)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Tomohiro Tabata (T)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Yukiko Hatanaka (Y)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Tomoko Mukai (T)

Division of Oral Function Management, Department of Oral Health Management, School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Mika Someya (M)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Miki Kuwazawa (M)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.
Dental Department, Fujigaoka Hospital, Yokohama 227-8501, Japan.

Hiroyuki Suzuki (H)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Shouji Hironaka (S)

Department of Hygiene and Oral Health, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Nobuyuki Kawate (N)

Department of Rehabilitation Medicine, Graduate School of Medicine, Showa University, Tokyo 142-8555, Japan.

Junichi Furuya (J)

Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan.

Classifications MeSH