Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery
| Autor: | Kazunari Karakida, Yukihiro Michiwaki, Masaru Ohashi, Akihide Negishi, Yutaka Maruoka, Jumpei Sugizaki, Hitoshi Mukohyama, Hideki Sekiya, Yasuhiro Kurasawa, Shiro Shigematsu, Masayuki Ueno |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty perioperative care Population MEDLINE Postoperative Complications Japan Risk Factors Neoplasms Internal medicine medicine Humans pneumonia Dental Care education General Dentistry Aged Retrospective Studies Aged 80 and over education.field_of_study business.industry Incidence Incidence (epidemiology) Healthcare-Associated Pneumonia Cancer Original Articles Perioperative Odds ratio Middle Aged Oral Hygiene medicine.disease respiratory tract diseases lcsh:RK1-715 Pneumonia Treatment Outcome lcsh:Dentistry oral health Original Article Female sense organs business Cancer surgery |
| Zdroj: | Clinical and Experimental Dental Research, Vol 6, Iss 2, Pp 165-173 (2020) Clinical and Experimental Dental Research |
| ISSN: | 2057-4347 |
| DOI: | 10.1002/cre2.264 |
| Popis: | Aim 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. Methods and results 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. Conclusion POM in cancer patients was indeed effective in reducing the incidence of pneumonia in hospitals and thereby helped in preventing pneumonia during hospitalization. |
| Databáze: | OpenAIRE |
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