Impact of Hospital Dentistry on Patients' Food Intake Status in Convalescent Rehabilitation Ward

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-08-29 DOI:10.1111/joor.13848

Tomohisa Ohno, Izumi Terada, Akiko Nomoto, Ichiro Fujishima, Yasuyuki Iwasa, Yoshiko Umeda, Daisuke Kanamori, Masako Kishima, Hideo Sakaguchi, Koichiro Matsuo, Yasutomo Motohashi, Kenichiro Ozaki, Shunsuke Minakuchi

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Abstract

Background

Treating oral problems with dentist intervention during hospitalisation may improve patients' food intake status.

Objectives

This study aimed to clarify whether convalescent rehabilitation ward inpatients in a hospital with hospital dentistry (HHD) had a better diet at discharge than those in a hospital without hospital dentistry (HNHD).

Methods

Retrospective observational study including inpatients with dental involvement in a HHD with dentists and dental hygienists and HNHD with dental hygienist and visiting dental service between 1 March and 31 August 2022. Data included age, sex, body mass index (BMI), Functional Independent Measure (FIM) motor and cognitive, Oral Health Assessment Tool (OHAT) score, Food Intake LEVEL Scale (FILS), whether the FILS ≥8 (indicating that patient eats also a non-texture-modified diet), remained and functional tooth numbers and speech language hearing therapist (SLHT) and dentist interventions. Comparisons between the two hospitals and factors that affected the FILS ≥8 were examined.

Results

A total of 333 and 89 inpatients were included in the HHD and HNHD groups, respectively. After propensity score matching, the HHD group had a significantly higher rate of FILS ≥8, functional tooth numbers at discharge, and SLHT and dentist intervention rates. The multivariable logistic regression analysis for propensity score matching participants showed that the significant independent variables for FILS ≥8 were age, BMI, FILS, FIM motor (all at admission) and SLHT and dentist interventions. Odds ratio for dentist intervention was 14.46 (95% CI: 4.36–48.01).

Conclusions

Dentists are necessary to improve patients' food intake status in convalescent rehabilitation wards.

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医院牙科对康复疗养病房病人食物摄入状况的影响。

背景：住院期间通过牙医干预治疗口腔问题可改善患者的食物摄入状况：住院期间通过牙医干预治疗口腔问题可改善患者的食物摄入状况：本研究旨在明确在有医院牙科（HHD）的医院中，康复疗养病房的住院患者出院时的饮食情况是否优于没有医院牙科（HNHD）的医院：方法：回顾性观察研究，包括2022年3月1日至8月31日期间在有牙医和牙科保健师的医院牙科康复病房以及有牙科保健师和上门牙科服务的医院牙科康复病房接受牙科治疗的住院患者。数据包括年龄、性别、体重指数（BMI）、运动和认知功能独立测量（FIM）、口腔健康评估工具（OHAT）评分、食物摄入水平量表（FILS）、食物摄入水平量表是否≥8（表明患者同时进食非质地改良饮食）、残留和功能性牙齿数量以及语言听力治疗师（SLHT）和牙医干预。研究了两家医院之间的比较以及影响 FILS ≥8 的因素：HHD组和HNHD组分别有333名和89名住院患者。经过倾向得分匹配后，HHD 组的 FILS ≥8、出院时的功能性牙齿数量、SLHT 和牙医干预率均明显高于 HNHD 组。对倾向得分匹配参与者进行的多变量逻辑回归分析表明，FILS ≥8 的重要自变量是年龄、体重指数、FILS、FIM 运动（均在入院时）以及 SLHT 和牙医干预。牙医干预的比值比为 14.46（95% CI：4.36-48.01）：结论：牙医对于改善康复疗养病房患者的食物摄入状况十分必要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.