在这项研究中,我们研究了在一家急性护理医院的肺炎患者中影响是否存在牙科干预的因素,重点是口服摄入及其地位。
观察性研究。
帝京大学医学院,Mizonokuchi医院.
帝京大学医学院收治的年龄≥65岁的患者,2018年1月1日至2019年12月31日期间的Mizonokuchi医院因疑似吞咽困难而转诊至康复科的肺炎被纳入研究。将50名接受牙科干预的患者与50名在牙科部门开业之前未接受牙科干预的对照组进行比较。
使用口腔健康评估工具(OHAT)回顾性地进行时间序列匹配。从医疗记录来看,入院年龄,性别,肺炎严重程度分类(年龄,脱水,呼吸衰竭,定向扰动,和血压[A-DROP]评分),身体质量指数,Charlson的合并症指数,OHAT,入院和出院时的功能性口腔摄入量表(FOIS)评分,并检索住院时间;FOIS水平≥4定义为已确定的口服摄入量.
对照组匹配前的患者数为179。12名信息缺失的患者和7名在医院死亡的患者被排除在本研究之外。多变量logistic回归分析显示,牙科干预(比值比3.0,p=0.014)与出院时口腔摄入量的建立相关。多因素logistic回归分析显示,牙科干预是影响出院时FOIS(p=0.002)和住院时间(p=0.039)的显著因素。
口腔管理与牙科干预与建立口腔摄入和减少肺炎患者的住院时间有关。无论肺炎的严重程度或合并症。
In this study, we examined the factors influencing the presence or absence of dental intervention in patients with pneumonia in an acute-care hospital, focusing on oral intake and its status.
Observational study.
Teikyo University School of Medicine, Mizonokuchi Hospital.
Patients ≥65 years of age who were admitted to the Teikyo University School of Medicine, Mizonokuchi Hospital between January 1, 2018 and December 31, 2019 with pneumonia who were referred to the Department of Rehabilitation with suspected dysphagia were included in the study. Fifty patients who underwent dental intervention were compared with 50 controls who had received no dental interventions prior to the opening of the dental department.
Time series matching was retrospectively performed using the Oral Health Assessment Tool (OHAT). From the medical records, age at admission, sex, pneumonia severity classification (age, dehydration, respiratory failure, orientation disturbance, and blood pressure [A-DROP] score), body mass index, Charlson\'s Comorbidity Index, OHAT, functional oral intake scale (FOIS) score at admission and discharge, and the length of hospital stay were retrieved; FOIS level ≥4 was defined as established oral intake.
The number of patients in the control group before matching was 179. Twelve patients with missing information and seven patients who died in the hospital were excluded from this study. Multivariable logistic regression analysis showed that dental intervention (odds ratio 3.0, p = 0.014) was associated with the establishment of oral intake at discharge. Multiple logistic regression analysis showed that dental intervention was a significant factor for FOIS at discharge (p = 0.002) and the length of hospital stay (p = 0.039).
Oral management with dental intervention was associated with establishing oral intake and reducing hospital stay in patients with pneumonia, regardless of pneumonia severity or comorbidities.