Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis

Ishimaru, Miho; Ono, Sachiko; Matsui, Hiroki; Yasunaga, Hideo

doi:10.1007/s00784-018-2783-5

Cited by 20 publications

(21 citation statements)

References 39 publications

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“…Ishimaru et al conducted a study on the preventive effects of oral care on the onset of pneumonia among patients after malignant tumor surgery using the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) analysis [ 16 , 17 ] ( Table 6 ). The NDB is a database developed by the Ministry of Health, Labour and Welfare, which collects information on health insurance claims and specific health checkups/specific health guidance from 2009 under the “Act on Assurance of Medical Care for Elderly People”.…”

Section: Discussionmentioning

confidence: 99%

Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery

Sekiya

Kurasawa

Kaneko

et al. 2021

IJERPH

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Perioperative oral management is widely recognized in the healthcare system of Japan. Conventionally, the surgeon refers patients with oral problems to a dental or oral surgery clinic in the hospital. However, frequent in-house referrals were found to increase the number of incoming patients resulting in unsustainable situations due to an insufficient workforce. In 2011, the Center for Perioperative Medicine was established at our hospital to function as a management gateway for patients scheduled to undergo surgery under general anesthesia. The “oral triage” system, wherein a dental hygienist conducts an oral screening to select patients who need preoperative oral hygiene and functional management, was established in 2012. A total of 37,557 patients who underwent surgery at our hospital from April 2010 to March 2019 (two years before and seven years after introducing the system) were evaluated in this study. The sustainability and effectiveness of introducing the system were examined in 7715 cancer surgery patients. An oral management intervention rate of 20% and a significant decrease in the incidence of postoperative pneumonia (aOR = 0.50, p = 0.03) indicated that this system could be useful as a sustainable and developmental oral management strategy to manage surgical patients with minimal human resources.

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Section: Discussionmentioning

confidence: 99%

Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery

Sekiya

Kurasawa

Kaneko

et al. 2021

IJERPH

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“…Evidence-practice gap [11][12][13][14][15] 4. Effectiveness of intervention [16][17][18] 5. Cost and economic analysis [19][20][21][22] 6.…”

Section: Data Re Source Ba S I C Smentioning

confidence: 99%

Data resource profile: JMDC claims database sourced from health insurance societies

Nagai¹,

Tsuruo²,

Kodaira³

et al. 2021

J of Gen and Family Med

125

104

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“…Therefore, TCM treatment mainly focuses on releasing pulmonary qi and relieving superficies as well as purging heat and relieving asthma [ 15 – 17 ]. Chaige Qinlian decoction has the effects such as relieving fever and promoting fluid production to quench thirst and the pharmacological actions including antibiosis, bringing down fever, promoting bile secretion, and enhancing liver detoxification, which can effectively remove inflammatory factors in the body, thereby, improving the lung function of patients [ 18 ]. Acupuncture has the efficacy of regulating spirit, qi, and depression of five viscera, so that the qi and blood of five viscera are reconciled, thus achieving the internal concentration of mental state and peace of qi and blood [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Correlation Analysis of Chaige Qinlian Decoction and Acupuncture Combined Intervention on Prognosis of Children with Pneumonia

Sun

Shang³

et al. 2021

Journal of Healthcare Engineering

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Background. Traditional Chinese medicine (TCM) treatment is of great importance to improve the clinical symptoms of children with pneumonia, and this study was conducted in this context. Methods. The clinical data of 82 child patients with pneumonia admitted to our hospital from February 2019 to February 2020 were retrospectively analyzed, and the patients were divided into the conventional group and the combined group according to the parity of their admission numbers, with 41 cases each. Conventional Western medicine therapy was given to children in the conventional group, and on this basis, acupuncture combined with Chaige Qinlian decoction was performed on children in the combined group, so as to evaluate the clinical application value of combined treatment and analyze its relationship with prognosis by recording the recovery time of each symptom, serum indicators, and immune indicators. Results. Children in the combined group had significantly shorter recovery time of each symptom and lower mean CPIS scores after treatment than the conventional group ( P < 0.001 ); the TCM symptom scores at T1 (1 d after treatment), T2 (3 d after treatment), T3 (7 d after treatment), and T4 (10 d after treatment) of children in the combined group were significantly higher than those in the conventional group ( P < 0.05 ); various immune indicators of the combined group before and after treatment were significantly different ( P < 0.001 ), and after treatment, the combined group obtained significantly higher IgG levels and lower IgA, complement C3, and complement C4 levels than the conventional group ( P < 0.001 ); and there was a positive correlation between the CPIS scores and serum IL-8, IL-6, and CRP levels at the first day (r = 0.706, 0.712, 0.734, P < 0.001 ). Conclusion. Acupuncture combined with Chaige Qinlian decoction can effectively shorten the course of disease, reduce the levels of serum inflammatory factors, and improve the immune function of body for child patients with pneumonia. Serum IL-8, IL-6, and CRP levels in child patients can reflect the clinical prognosis, with higher levels indicating worse prognosis.

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Association between perioperative oral care and postoperative pneumonia after cancer resection: conventional versus high-dimensional propensity score matching analysis

Cited by 20 publications

References 39 publications

Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery

Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery

Data resource profile: JMDC claims database sourced from health insurance societies

Correlation Analysis of Chaige Qinlian Decoction and Acupuncture Combined Intervention on Prognosis of Children with Pneumonia

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