Comparison of Oral Assessment Results Between Non-Oral and Oral Feeding Patients: A Preliminary Study

Ohno, Tomohisa; Heshiki, Yoshihiro; Kogure, Masanori; Sumi, Yasunori; Miura, Hisayuki

doi:10.3928/00989134-20161109-05

Cited by 7 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The statistical differences remained significant after adjusting for FIM total score and age in the multivariate model. Oral health tends to diminish easily in patients with non‐oral feeding or dysphagia 44,45 . The findings of our study are consistent with those of previous reports on the significant association of oral health and oral feeding status in stroke patients admitted to a rehabilitation unit.…”

Section: Discussionsupporting

confidence: 92%

Association between oral health status and oral food intake level in subacute stroke patients admitted to a convalescent rehabilitation unit

et al. 2021

View full text Add to dashboard Cite

Background Stroke patients often suffer from dysphagia during their recovery. We hypothesised that subacute stroke patients with dysphagia had more deteriorated oral health status including muscle strength and motor function. Objective Quantitatively investigate oral health status and identify associations with oral feeding status in stroke patients admitted to a convalescent rehabilitation unit. Methods We prospectively recruited 187 stroke patients admitted to a convalescent rehabilitation unit. Oral feeding status was examined using the Functional Oral Intake Scale (FOIS), and the cohort was divided into three groups based on FOIS score as non‐oral feeding (FOIS‐123; 22 patients), dysphagic diet (FOIS‐45; 74 patients), and regular diet (FOIS‐67; 91 patients) groups. Activities of daily living (ADL) were assessed with the Functional Independence Measure (FIM). Oral health status was measured quantitatively in six oral function parameters and Oral Health Assessment Tool (OHAT), and differences according to the FOIS, age and FIM were statistically tested. Results In bivariate analysis, two parameters, tongue pressure and tongue‐lip motor functions were significantly higher in the regular diet group than in the other groups (P < .01). Gross OHAT score was also significantly better in the regular diet group than in the other groups (P < .01). These significant associations mostly remained in the multiple model after adjusting for age and FIM. Conclusion This study suggests that, amongst oral health status, tongue strength and motor function, as well as OHAT score, may have strong associations with oral feeding status in subacute stroke patients at convalescent rehabilitation units regardless of ADL levels.

show abstract

Section: Discussionsupporting

confidence: 92%

Association between oral health status and oral food intake level in subacute stroke patients admitted to a convalescent rehabilitation unit

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Matsuo et al [ 30 ] divided patients receiving palliative care into two groups based on days to death and compared the oral health between the two groups; the shorter prognosis group had a higher incidence of oral health problems such as glossitis and dry mouth and a higher proportion of patients with dysphagia who required oral care. Ohno et al [ 31 ] reported poorer oral health in inpatients receiving non-oral nutrition than in those receiving oral nutrition and noted that, in particular, speech, swallowing, saliva, and the tongue were significantly worse. Previous reports and the present study revealed that prognostic level, in terms of days to death and nutritional intake status, had a negative effect on oral health.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting the oral health of inpatients with advanced cancer in palliative care

Furuya

Suzuki

Hidaka

et al. 2021

Support Care Cancer

View full text Add to dashboard Cite

Purpose Patients with terminal cancer undergoing multidisciplinary palliative care often have oral health problems, but these details are still unclear. This cross-sectional study aimed to elucidate the oral health of patients with terminal-stage cancer who are inpatient recipients of acute-phase palliative care, and to unveil the factors affecting their oral health. Methods Participants were 121 patients with terminal-stage cancer (68 males, 53 females, mean age: 73.6 ± 11.1 years) and oral health complaints. They received palliative care at Tokyo Medical and Dental University Medical Hospital between April 2017 and August 2019. Their demographic and medical details were extracted, retrospectively, from their medical records, and their oral health status, such as the number of natural teeth, removable denture usage, Oral Health Assessment Tool (OHAT), and Dysphagia Severity Scale, were evaluated. All outcomes were assessed by a dentist from the palliative care team. Results The problems with soft tissue, saliva, and oral cleanliness were observed. The absence of posterior occlusal support was common, and the use of removable dentures was often inadequate. In contrast, swallowing function was relatively well-conserved and 46.3% of the participants were capable of nutrition intake solely by mouth. Multiple regression analysis revealed a significant association between total OHAT score and age, consciousness level, prognostic level, and method of nutritional intake. Conclusion The results revealed that the oral health of terminal cancer patients under palliative care declined despite receiving routine oral care from nurses, and suggest the importance of including dental professionals in multidisciplinary palliative care.

show abstract

“…Additionally, it is suitable for convalescent hospitals because it can evaluate abnormalities in items that affect oral intake, such as dental pain and the condition of the natural teeth and dentures, which are not included in the OAG. Ohno et al investigated the relationship between oral feeding and oral health status using OAG [6], targeting patients in acute care hospitals. The majority of the subjects in the study were hospitalized for pneumonia.…”

Section: Discussionmentioning

confidence: 99%

“…In a previous study [6], the oral status of an oral feeding group and a non-oral feeding group in an acute hospital was compared using the oral assessment guide (OAG) [7]. Results showed that the non-oral feeding group had significantly lower voice, swallowing, saliva, and tongue related OAG scores than the feeding group in the unadjusted analysis.…”

Section: Introductionmentioning

confidence: 99%

Relationship between oral intake level and oral health assessment tool scores in the convalescent ward

et al. 2021

View full text Add to dashboard Cite

Purpose: To examine the relationship between oral intake function and oral health status in convalescent inpatients. Methods: Subjects were 222 patients admitted to a convalescent hospital between 1 January and 30 June 2018. Investigation items were age, sex, causative disease, body mass index, functional oral intake scale (FOIS), functional independence measure, occlusal contact, assistance with oral cleaning, and oral health assessment tool (OHAT) scores. Multiple regression analysis was performed with FOIS as the dependent variable, and investigation items were related to FOIS as independent variables. Results: Results of multiple regression analysis for all patients suggested that saliva and denture scores were significantly associated with FOIS. However, analysis excluding non-oral feeding patients did not show a significant association between FOIS and OHAT scores. Conclusion: The results of this study suggest that oral health status is associated with oral intake function. In addition, the oral health status of inpatients may be strongly related to whether or not they are eating orally. Therefore, it is necessary to take good care of oral health in non-oral feeding patients in the convalescent ward.

show abstract

Comparison of Oral Assessment Results Between Non-Oral and Oral Feeding Patients: A Preliminary Study

Cited by 7 publications

References 16 publications

Association between oral health status and oral food intake level in subacute stroke patients admitted to a convalescent rehabilitation unit

Association between oral health status and oral food intake level in subacute stroke patients admitted to a convalescent rehabilitation unit

Factors affecting the oral health of inpatients with advanced cancer in palliative care

Relationship between oral intake level and oral health assessment tool scores in the convalescent ward

Contact Info

Product

Resources

About