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Comparison of oral health status on admission and discharge in a group of geriatric rehabilitation patients
Kristianstad University, Department of Health Sciences.ORCID iD: 0000-0003-0269-730X
Kristianstad University, Department of Health Sciences.
Kristianstad University, Department of Health Sciences.ORCID iD: 0000-0003-0992-2362
2003 (English)In: Oral Health and Preventive Dentistry, Vol. 1, no 3, p. 221-228Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to compare oral health status on a geriatric rehabilitation ward among patients who were assessed using the Revised Oral Assessment Guide (ROAG) on admission and at discharge; and to investigate in what respect the oral health procedures (OHP) suggested in ROAG were applied when oral health problems were detected. MATERIALS AND METHODS: Registered nurses on the ward performed oral health assessments using ROAG with 107 patients on admission and at discharge. When oral health problems were detected measures to be taken were suggested using ROAG. RESULTS: Oral health problems were common among the patients on admission (86%), as well as at discharge (51%). The frequency of the problems was significantly lower at discharge compared to admission. The OHP that were recommended in ROAG were completely followed when saliva flow-related problems were detected. Regarding other oral health problems, measures other than the recommended ones were often performed. CONCLUSION: This study demonstrated that the oral health was better at the end of the hospital stay compared to admission.

Place, publisher, year, edition, pages
2003. Vol. 1, no 3, p. 221-228
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-5240PubMedID: 15641500OAI: oai:DiVA.org:hkr-5240DiVA, id: diva2:275443
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2014-06-17Bibliographically approved
In thesis
1. Assessments of oral health status in frail patients in hospital
Open this publication in new window or tab >>Assessments of oral health status in frail patients in hospital
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aims of this thesis were to evaluate the usefulness of an oral assess¬ment guide and to determine the oral health status among frail patients in hospital settings. A further aim was to analyze possible factors that may be associated with oral health status, with special focus on the relationship between oral health and nutritional status among elderly rehabilitation patients. The Oral Assessment Guide (OAG) was used in patients with haematological malignancies undergoing chemotherapy. In further studies a Revised Oral Assessment Guide (ROAG) was used among geriatric rehabilitation patients. The inter-rater reliability of the OAG between registered nurses at the ward and a dental hygienist (DH) was good, as well as between a registered nurse and a DH using ROAG. Problems in the oral cavity were detected in all patients with haematological malignancies undergoing chemotherapy. Problems related to mucous membranes, teeth and/or dentures were most frequent. Oral health problems were also a frequent finding among the geriatric rehabilitation patients. The frequency of oral health problems was significantly lower at discharge compared to admission. Oral health problems were more often found among patients that stayed for longer periods at the hospital, were more dependent on help with daily activities and suffered for dysphagia, than among the healthier patients. Oral health problems were more common among the patients being at risk of undernourishment, suspected to be or severely undernourished (UN), than among the well-nourished patients. Problems in oral health status were significantly associated with the occurrence of respiratory diseases, living in special accommodation, being UN and being a woman. The highest Odds Ratio (OR) was found in problems with gums in relation to the occurrence of respiratory diseases (OR 8.9; 95 % CI 2.8-27.8). OAG as well as ROAG were found to be useful for assessing oral health status in frail patients at hospital. Oral health problems were a frequent finding among the patients. The use of an oral assessment tool on a routine basis may facilitate the detection of problems which otherwise can be hidden, and can serve as a guide for initiating individualised oral health procedures.

Place, publisher, year, edition, pages
Malmö: Malmö högskola, 2004. p. 68
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5307 (URN)91-628-6019-4 (ISBN)
Public defence
(English)
Available from: 2009-12-10 Created: 2009-11-13 Last updated: 2014-06-17Bibliographically approved

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Andersson, PiaRenvert, Stefan

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