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Impaired oral health in older orthopaedic in-care patients: The influence of medication and morbidity
Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Department of Oral Health.ORCID iD: 0000-0003-0269-730X
Region Skåne Koncernkontoret - Regionhuset.
2021 (English)In: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 16, p. 1691-1702Article in journal (Refereed) Published
Abstract [en]

Introduction: Fall-related injuries are prevalent in older patients and often lead to increased morbidity, medication, and impaired functions. We studied older trauma patients with the aim to describe their oral health in comparison to morbidity and medication.

Material and Methods: The study included 198 patients, ≥65 years, admitted with an orthopedic trauma. Oral examinations included number of natural teeth, dental implants, missing, decayed and restored teeth, root remnants, and pocket depth. Data on comorbidities and medication were assembled. Statistical analyses were carried out with logistic regression models, adjusted for age, gender, comorbidity, and polypharmacy.

Results: Overall, 198 patients participated, 71% women, mean age 81 years (±7.9), 85% resided in their own homes, 86% had hip fractures. Chronic diseases and drug use were present in 98.9%, a mean of 6.67 in Charlson comorbidity index (CCI), 40% heart diseases, 17% diabetes, and 14% dementia. Ninety-one percent were dentate (181), mean number of teeth 19.2 (±6.5), 24% had decayed teeth, 97% filled teeth, 44% <20 teeth, and 26% oral dryness. DFT (decayed, filled teeth) over mean were identified in patients with diabetes (p=0.037), COPD (p=0.048), polypharmacy (p=0.011), diuretics (p=0.007), and inhalation drugs (p=0.032). Use of ≥2 strong anticholinergic drugs were observed in patients with <20 teeth and DFT over mean (p=0.004, 0.003). Adjusted for age, gender, CCI, and polypharmacy.

Conclusion: The study showed that impaired oral health was prevalent in older trauma patients and that negative effects on oral health were significantly associated with chronic diseases and drug use. The results emphasize the importance of identifying orthogeriatric patients with oral health problems and to stress the necessity to uphold good oral care during a period when functional decline can be expected.

Place, publisher, year, edition, pages
2021. Vol. 16, p. 1691-1702
Keywords [en]
DFT, comorbidity, medication, oral health, orthogeriatric patients, risk factors
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-22599DOI: 10.2147/CIA.S326095ISI: 000701974100001PubMedID: 34566411OAI: oai:DiVA.org:hkr-22599DiVA, id: diva2:1600927
Note

This study was supported by grants from the Odontological Research Funds in Region Skåne (OFRS), the Research Platform for Collaboration for Health Kristianstad University and Swedish Dental Hygienists Association. The grants had no role in the design or other parts of the research or preparation and submission of the article.

Available from: 2021-10-06 Created: 2021-10-06 Last updated: 2021-10-14Bibliographically approved

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