Effectiveness of oral health care intervention for stroke patients following the introduction of Oral Health Assessment Tool.

Autor: Matsunaga K; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan.; Department of Periodontics and Endodontics, Division of Dentistry, Okayama University Hospital, Okayama, Japan., Yoshida-Tsuboi A; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan.; Department of Periodontics and Endodontics, Division of Dentistry, Okayama University Hospital, Okayama, Japan., Inohara K; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan.; Inohara Dental and Rehabilitation Clinic, Fukuyama, Japan., Yoshida Y; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Nakahama K; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Sasaki K; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Souda F; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Terasawa Y; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Shimoe Y; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Takeuchi-Hatanaka K; Department of Periodontics and Endodontics, Division of Dentistry, Okayama University Hospital, Okayama, Japan., Yamamoto T; The Center for Graduate Medical Education (Dental Division), Okayama University Hospital, Okayama, Japan., Omori K; Department of Pathophysiology - Periodontal Science, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan., Kohriyama T; Brain Attack Center, Ota Memorial Hospital, Fukuyama, Japan., Takashiba S; Department of Pathophysiology - Periodontal Science, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
Jazyk: angličtina
Zdroj: Geriatrics & gerontology international [Geriatr Gerontol Int] 2024 Dec 09. Date of Electronic Publication: 2024 Dec 09.
DOI: 10.1111/ggi.15035
Abstrakt: Aim: This study aimed to evaluate the effectiveness of oral health assessment tools in facilitating oral health care interventions by dental care providers for acute stroke patients within 48 h of admission, following a reform of the nursing system.
Methods: Data were gathered from a retrospective cohort study conducted at a stroke center, comparing 10 months before and after the implementation of the reformed system, with a 2-month interval. Parameters assessed included stroke type, severity measured using the National Institutes of Health Stroke Scale, stroke history, stroke-related factors, number of teeth, hospitalization cost and duration, occurrence of fever and pneumonia, stroke treatment, days from admission to dental intervention, and intervention frequency.
Results: Implementation of the new system significantly reduced the time before dental intervention (P < 0.001), increased the frequency of interventions (P < 0.001), and allowed for the management of more severe cases (P = 0.007). However, there was a slight increase in the occurrence of fevers and the days of fever (P = 0.039 and P = 0.015, respectively). Multiple regression analysis showed that fever days were positively correlated with stroke severity and the number of days from admission to dental intervention (P < 0.001 and P = 0.013, respectively). Even after propensity score matching adjusting for stroke severity, these associations persisted. Additional multiple regression analysis was performed after this, but fever days were positively correlated with stroke severity and sex (P < 0.001 and P = 0.008, respectively), as well as with the presence of other factors affecting the occurrence of fever.
Conclusions: Although the frequency and duration of fevers increased slightly, this approach, incorporating oral health assessment tools, made it possible to provide early dental intervention, particularly for patients with severe strokes. Geriatr Gerontol Int 2024; ••: ••-••.
(© 2024 The Author(s). Geriatrics & Gerontology International published by John Wiley & Sons Australia, Ltd on behalf of Japan Geriatrics Society.)
Databáze: MEDLINE
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