TY - JOUR
T1 - Oral Management by a Full-Time Resident Dentist in the Hospital Ward Reduces the Incidence of Pneumonia in Patients with Acute Stroke
AU - Ozaki, Kenichiro
AU - Teranaka, Satoshi
AU - Tohara, Haruka
AU - Minakuchi, Shunsuke
AU - Komatsumoto, Satoru
N1 - Publisher Copyright:
© 2022 Kenichiro Ozaki et al.
PY - 2022
Y1 - 2022
N2 - Background. A full-time dentist was assigned to a ward at our hospital to improve the quality of oral healthcare for hospitalized patients. A dental care system (DCS) was created to facilitate the collaboration between the full-time dentist and the nursing department. Objective. To investigate the effects of DCS implementation on the incidence of pneumonia in patients with acute stroke. Methods. This retrospective cohort study comprised 945 hospitalized acute stroke patients categorized into three groups: pre-, during-, and post-DCS. The DCS comprised dentist-led lectures and practical sessions, oral assessments, standardized oral care techniques, and information on the procedures for nurse-requested dental intervention. Data were extracted from the Japanese Diagnosis Procedure Combination database and medical records. The attributes of the patients, incidence of pneumonia, and number of patients who requested dental intervention were determined. Results. The odds ratios of pneumonia onset were 3.16 (95% confidence interval [CI], 1.65-6.05; P=0.001) in the pre-DCS and 2.80 (95% CI, 1.48-5.31; P=0.002) in the during-DCS group compared with the post-DCS group, thereby confirming the effect of DCS on the incidence of pneumonia. The number of dental requests in the post-DCS group was noted to be higher than that in the pre-DCS group (P=0.002). Conclusion. Oral management by a full-time dentist was found to be effective in reducing the incidence of pneumonia in patients with acute stroke. To implement the best oral care practices in the hospital wards, the full-time dentist should work as a member of the medical team.
AB - Background. A full-time dentist was assigned to a ward at our hospital to improve the quality of oral healthcare for hospitalized patients. A dental care system (DCS) was created to facilitate the collaboration between the full-time dentist and the nursing department. Objective. To investigate the effects of DCS implementation on the incidence of pneumonia in patients with acute stroke. Methods. This retrospective cohort study comprised 945 hospitalized acute stroke patients categorized into three groups: pre-, during-, and post-DCS. The DCS comprised dentist-led lectures and practical sessions, oral assessments, standardized oral care techniques, and information on the procedures for nurse-requested dental intervention. Data were extracted from the Japanese Diagnosis Procedure Combination database and medical records. The attributes of the patients, incidence of pneumonia, and number of patients who requested dental intervention were determined. Results. The odds ratios of pneumonia onset were 3.16 (95% confidence interval [CI], 1.65-6.05; P=0.001) in the pre-DCS and 2.80 (95% CI, 1.48-5.31; P=0.002) in the during-DCS group compared with the post-DCS group, thereby confirming the effect of DCS on the incidence of pneumonia. The number of dental requests in the post-DCS group was noted to be higher than that in the pre-DCS group (P=0.002). Conclusion. Oral management by a full-time dentist was found to be effective in reducing the incidence of pneumonia in patients with acute stroke. To implement the best oral care practices in the hospital wards, the full-time dentist should work as a member of the medical team.
UR - http://www.scopus.com/inward/record.url?scp=85135348487&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85135348487&partnerID=8YFLogxK
U2 - 10.1155/2022/6193818
DO - 10.1155/2022/6193818
M3 - Article
AN - SCOPUS:85135348487
SN - 1687-8728
VL - 2022
JO - International Journal of Dentistry
JF - International Journal of Dentistry
M1 - 6193818
ER -