Relationship between Oral Assessment Guide score and hypoalbuminemia in newly hospitalized patients

Abstract

This cross-sectional study investigated the relationship between Oral Assessment Guide (OAG) scores and malnutrition in newly hospitalized patients. A total of 880 hospitalized adults were enrolled. Hypoalbuminemia was defined as serum albumin less than 3.5 g/dL. Patients with hypoalbuminemia were older (P < 0.001), had a higher prevalence of respiratory diseases (P < 0.01), a higher prevalence of digestive diseases (P < 0.01), a lower prevalence of oral feeding (P < 0.001), a lower body mass index (P < 0.001), and higher OAG scores (P < 0.001) than those without hypoalbuminemia. Multivariate logistic regression analyses showed that the prevalence of hypoalbuminemia was significantly related to age (odds ratio [OR] = 1.05, P < 0.001), absence of oral feeding (OR = 2.72, P < 0.001), presence of respiratory diseases (OR = 2.53, P < 0.01), presence of digestive diseases (OR = 1.64, P < 0.01), and OAG scores (OR = 1.14, P < 0.01). Regarding OAG scores, the OR of hypoalbuminemia was greater in patients with disorders (scores 2 or 3) of swallowing (vs. score 1, OR = 1.83, P < 0.05) and saliva (vs. score 1, OR = 1.51, P < 0.05). There appears to be a positive association between OAG scores and hypoalbuminemia in hospitalized patients.

Effect of Health Education Combined with Dietary Guidance on Nutritional Indicator, Immune Level, and Quality of Life of Patients with Pulmonary Tuberculosis

“…To assess Hb and ALB levels at the time of admission and 6 months after release, fasting venous blood was taken early in the morning and serum was extracted by centrifugation at 3500 r/min for 10 minutes. Patients were considered anemic when Hb was less than 120 g/L and hypoproteinemic when ALB was less than 35 g/L [ 11 ].…”

Implication of serum and salivary albumin tests in the recent oral health related epidemiological studies: A narrative review

“…Dysphagia and candidiasis were strongly associated with albumin, but not BMI, salivary flow, or posterior occluding pairs. Yes ( Ohshima et al, 2020 ) 880 hospitalized patients (median age: 76 years) Cross-sectional OAG (A scale including eight items: swallowing, voice, oral mucosa, tongue, lips, saliva, teeth and gingiva) Hypoalbuminemia Serum albumin Hypoalbuminemia was linked to poor oral health in hospitalized individuals. Yes ( Okada et al, 2010 ) 200 subjects (mean age: 76) Cross-sectional Chewing ability and anthropometric measurements Nutritional status Serum albumin Chewing ability and anthropometric parameters associated with serum albumin.…”

“…Hypoalbuminaemia is also associated with poor oral health in hospitalised patients ( Ohshima et al, 2020 ). Additionally, geriatric chewing skills and anthropometric measures are associated with serum albumin levels ( Okada et al, 2010 ).…”