Pneumonia prevention effects of perioperative oral management in approximately 25,000 patients following cancer surgery

Autor: Yasuhiro Kurasawa, Yutaka Maruoka, Hideki Sekiya, Akihide Negishi, Hitoshi Mukohyama, Shiro Shigematsu, Jumpei Sugizaki, Kazunari Karakida, Masaru Ohashi, Masayuki Ueno, Yukihiro Michiwaki
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinical and Experimental Dental Research, Vol 6, Iss 2, Pp 165-173 (2020)
Druh dokumentu: article
ISSN: 2057-4347
DOI: 10.1002/cre2.264
Popis: Abstract 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.
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