Factors That Affect Oral Care Outcomes for Institutionalized Elderly

The aim of this study was to evaluate the effect of an oral care intervention program on the incidence of pneumonia and fever as a surrogate endpoint. In addition, we tried to determine the oral care risk factors for the incidence of fever. We provided an oral care program for the elderly at one pri...

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Main Authors: Yoshiaki Nomura, Noriko Takei, Takanori Ishii, Koji Takada, Yasuharu Amitani, Hitomi Koganezawa, Shizuko Fukuhara, Keita Asai, Ryuji Uozumi, Kazuhisa Bessho
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2018/2478408
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author Yoshiaki Nomura
Noriko Takei
Takanori Ishii
Koji Takada
Yasuharu Amitani
Hitomi Koganezawa
Shizuko Fukuhara
Keita Asai
Ryuji Uozumi
Kazuhisa Bessho
author_facet Yoshiaki Nomura
Noriko Takei
Takanori Ishii
Koji Takada
Yasuharu Amitani
Hitomi Koganezawa
Shizuko Fukuhara
Keita Asai
Ryuji Uozumi
Kazuhisa Bessho
author_sort Yoshiaki Nomura
collection DOAJ
description The aim of this study was to evaluate the effect of an oral care intervention program on the incidence of pneumonia and fever as a surrogate endpoint. In addition, we tried to determine the oral care risk factors for the incidence of fever. We provided an oral care program for the elderly at one private nursing home in July 2013. The maximum capacity of the nursing home was 60 residents. The body temperatures of all residents were measured twice a day and were summarized as the incidence of fever over a one-month period, which was used as the dependent variable. The residents’ life conditions, number of teeth, and prescribed diet were used as independent variables. The factors that affected the incidence of fever were the number of remaining teeth, a prescribed diet of sliced food, the meal care level, and the oral Candida levels. These risk factors affected the incidence of fever independently or interactively with oral care. Some risk factors for the incidence of fever were enhanced by the oral care program. It is important to evaluate and control these factors before the implementation of an oral care program.
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institution Kabale University
issn 1687-8728
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series International Journal of Dentistry
spelling doaj-art-4204a53e1ed54ecdb483fbe0d9c90d422025-08-20T03:55:43ZengWileyInternational Journal of Dentistry1687-87281687-87362018-01-01201810.1155/2018/24784082478408Factors That Affect Oral Care Outcomes for Institutionalized ElderlyYoshiaki Nomura0Noriko Takei1Takanori Ishii2Koji Takada3Yasuharu Amitani4Hitomi Koganezawa5Shizuko Fukuhara6Keita Asai7Ryuji Uozumi8Kazuhisa Bessho9Department of Translational Research, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama 230-8501, JapanThe Lion Foundation for Dental Health, 3-7 Honjo 1-Chome, Sumida-ku 130-8644, JapanThe Lion Foundation for Dental Health, 3-7 Honjo 1-Chome, Sumida-ku 130-8644, JapanThe Lion Foundation for Dental Health, 3-7 Honjo 1-Chome, Sumida-ku 130-8644, JapanDepartment of Mathematics, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama 230-8501, JapanMedical Corporation Hakuoukai Koganezawa Dental Clinic, 5-6 Ooishihigashi 4-Chome, Otsu-Shi Siga 520-2264, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-Cho, Sakyo-Ku, Kyoto 606-8507, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-Cho, Sakyo-Ku, Kyoto 606-8507, JapanDepartment of Biomedical Statistics and Bioinformatics, Graduate School of Medicine, Kyoto University, 54 Kawahara-Cho, Sakyo-Ku, Kyoto 606-8507, JapanDepartment of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-Cho, Sakyo-Ku, Kyoto 606-8507, JapanThe aim of this study was to evaluate the effect of an oral care intervention program on the incidence of pneumonia and fever as a surrogate endpoint. In addition, we tried to determine the oral care risk factors for the incidence of fever. We provided an oral care program for the elderly at one private nursing home in July 2013. The maximum capacity of the nursing home was 60 residents. The body temperatures of all residents were measured twice a day and were summarized as the incidence of fever over a one-month period, which was used as the dependent variable. The residents’ life conditions, number of teeth, and prescribed diet were used as independent variables. The factors that affected the incidence of fever were the number of remaining teeth, a prescribed diet of sliced food, the meal care level, and the oral Candida levels. These risk factors affected the incidence of fever independently or interactively with oral care. Some risk factors for the incidence of fever were enhanced by the oral care program. It is important to evaluate and control these factors before the implementation of an oral care program.http://dx.doi.org/10.1155/2018/2478408
spellingShingle Yoshiaki Nomura
Noriko Takei
Takanori Ishii
Koji Takada
Yasuharu Amitani
Hitomi Koganezawa
Shizuko Fukuhara
Keita Asai
Ryuji Uozumi
Kazuhisa Bessho
Factors That Affect Oral Care Outcomes for Institutionalized Elderly
International Journal of Dentistry
title Factors That Affect Oral Care Outcomes for Institutionalized Elderly
title_full Factors That Affect Oral Care Outcomes for Institutionalized Elderly
title_fullStr Factors That Affect Oral Care Outcomes for Institutionalized Elderly
title_full_unstemmed Factors That Affect Oral Care Outcomes for Institutionalized Elderly
title_short Factors That Affect Oral Care Outcomes for Institutionalized Elderly
title_sort factors that affect oral care outcomes for institutionalized elderly
url http://dx.doi.org/10.1155/2018/2478408
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