Oral health, treatment burden and demographics of elders with care-resistant behavior: A cross-sectional study.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Special Care in Dentistry Pub Date : 2024-11-01 Epub Date: 2024-09-04 DOI:10.1111/scd.13057

Mohamed El Gedaily, Hansmartin Spatzier, Murali Srinivasan

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Abstract

Aims: To assess oral health, treatment burden, mortality risk, and demographics in elders with care-resistant behaviors (CRB) in nursing homes (NH) and compare them with those without CRB.

Methods and results: 503 participants from eight NH who received dental treatment through a mobile dental clinic were included. Their medical and dental records were screened regarding oral/dental health, treatment history, general health, demographics, and CRB. Statistical analysis was performed to show correlations between CRB and the measured parameters. Data were verified for normal distribution; a point-biserial correlation model was used (95% CI: α = 0.05). No correlation was found between CRB and Decayed Missing Filled Teeth (DMF-T) (r_pb= -0.061, p = .177), as well as periodontal status (r_pb= 0.004, p = .946). A negative correlation was observed between CRB and the required number of treatment procedures (r_pb= -0.181, p < .0001), time (r_pb= -0.118, p = .010), and costs (r_pb= -0.100, p = .028). Sex predilection for men regarding CRB was evident (r_pb= -0.155, p = .01). No correlation appeared between CRB and vital status (r_pb= -0.41, p = .355).

Conclusion: Oral health seems to be similar in institutionalized elders with or without CRB. Treatment burden was not elevated, but even reduced in elders with CRB, evincing that few/no treatment procedures were performed in those elders. CRB demonstrated a sex predilection for men. An association between CRB and increased mortality was not evident.

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有抗拒护理行为的老年人的口腔健康、治疗负担和人口统计学特征：横断面研究。

目的：评估疗养院中有护理抗拒行为（CRB）的老人的口腔健康、治疗负担、死亡风险和人口统计学特征，并将其与无护理抗拒行为的老人进行比较：纳入了来自 8 家养老院的 503 名通过流动牙科诊所接受牙科治疗的参与者。对他们的医疗和牙科记录进行了筛查，内容涉及口腔/牙科健康、治疗史、一般健康状况、人口统计学和 CRB。统计分析显示了 CRB 与测量参数之间的相关性。数据经检验呈正态分布；采用点-阶梯相关模型（95% CI：α = 0.05）。CRB 与龋坏缺失牙（DMF-T）（rpb = -0.061，p = .177）以及牙周状况（rpb = 0.004，p = .946）之间没有相关性。CRB 与所需治疗程序数量（rpb = -0.181，p pb = -0.118，p = .010）和费用（rpb = -0.100，p = .028）之间呈负相关。在 CRB 方面，男性的性别偏好非常明显（rpb = -0.155，p = 0.01）。CRB与生命状态之间没有相关性（rpb = -0.41，p = .355）：结论：有或没有 CRB 的机构养老者的口腔健康状况似乎相似。有 CRB 的老人的治疗负担不仅没有增加，甚至还减轻了，这表明这些老人很少或根本没有进行治疗。CRB显示出男性的性别偏好。CRB与死亡率增加之间的关系并不明显。

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

Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.40

自引率

14.30%

发文量

120

期刊介绍： Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.