Journal of the American Medical Directors Association · 2025
In-Hospital Professional Oral Health Management is Associated With Improved Outcomes in Older Adults With Acute Pneumonia.
СтатьяНаблюдательное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ohi Takashi, Hattori Yoshinori, Yamaguchi Satoshi, Tanaka Yasue, Igari Yohei, Komiyama Takamasa, Ito Yoshihiko, Ito Yuki, Kobayashi Seiichi, Yanai Masaru
Аннотация
OBJECTIVES: Pneumonia remains a major cause of morbidity and mortality among older adults. Although oral health care can prevent pneumonia, limited data exist on hospital-based interventions after onset. This study investigates the association between professional oral health management (POHM) by hospital dentistry and discharge outcomes in older patients hospitalized with acute pneumonia.
DESIGN: Observational cohort study using prospectively enrolled participants with retrospective analysis of clinical data. The intervention evaluated was POHM, which included mechanical oral cleaning and condition-specific dental treatments such as periodontal therapy, caries restoration, denture adjustment, and tooth extraction.
SETTING AND PARTICIPANTS: The study included 1415 patients aged 65 years and older who were hospitalized with acute pneumonia at a regional core hospital in Japan between November 2017 and December 2024. Patients with hospital-acquired pneumonia, COVID-19-related pneumonia, or atypical pneumonia were excluded.
METHODS: Data extracted from medical records included age, sex, pneumonia acquisition and severity (A-DROP score), serum albumin levels, duration of hospital stay, comorbidities, and receipt of POHM. Clinical outcomes were categorized as favorable (discharge to home or a care facility) or unfavorable (transfer to another hospital for continued care or in-hospital death). Multivariate logistic regression analysis was conducted to examine the association between POHM and clinical outcomes, adjusting for potential confounders.
RESULTS: Among the total cohort, 983 (69.5%) patients experienced favorable outcomes, and 293 (20.7%) received POHM. After adjusting for confounding variables, receipt of POHM was independently associated with favorable discharge outcomes (adjusted odds ratio, 1.96; 95% confidence interval, 1.39-2.76; P < .001).
CONCLUSIONS AND IMPLICATIONS: POHM provided by hospital dentistry during the acute phase of pneumonia was significantly associated with improved clinical outcomes in older patients. These findings underscore the potential value of integrating hospital-based dental care into the multidisciplinary inpatient management of pneumonia in aging populations.
DESIGN: Observational cohort study using prospectively enrolled participants with retrospective analysis of clinical data. The intervention evaluated was POHM, which included mechanical oral cleaning and condition-specific dental treatments such as periodontal therapy, caries restoration, denture adjustment, and tooth extraction.
SETTING AND PARTICIPANTS: The study included 1415 patients aged 65 years and older who were hospitalized with acute pneumonia at a regional core hospital in Japan between November 2017 and December 2024. Patients with hospital-acquired pneumonia, COVID-19-related pneumonia, or atypical pneumonia were excluded.
METHODS: Data extracted from medical records included age, sex, pneumonia acquisition and severity (A-DROP score), serum albumin levels, duration of hospital stay, comorbidities, and receipt of POHM. Clinical outcomes were categorized as favorable (discharge to home or a care facility) or unfavorable (transfer to another hospital for continued care or in-hospital death). Multivariate logistic regression analysis was conducted to examine the association between POHM and clinical outcomes, adjusting for potential confounders.
RESULTS: Among the total cohort, 983 (69.5%) patients experienced favorable outcomes, and 293 (20.7%) received POHM. After adjusting for confounding variables, receipt of POHM was independently associated with favorable discharge outcomes (adjusted odds ratio, 1.96; 95% confidence interval, 1.39-2.76; P < .001).
CONCLUSIONS AND IMPLICATIONS: POHM provided by hospital dentistry during the acute phase of pneumonia was significantly associated with improved clinical outcomes in older patients. These findings underscore the potential value of integrating hospital-based dental care into the multidisciplinary inpatient management of pneumonia in aging populations.