Prevalence of oral health‐related conditions that could trigger accidents for patients with moderate‐to‐severe dementia
Prevalence of oral health‐related conditions that could trigger accidents for patients with moderate‐to‐severe dementia
复制标题
可能引发中度至重度痴呆症患者发生意外的口腔健康相关疾病的患病率
作者：
Naoki Kobayashi;Y. Soga;K. Maekawa;Yuko Kanda;Eiko Kobayashi;H. Inoue;Aya Kanao;Y. Himuro;Yumi Fujiwara
目的
本研究旨在确定医生和病房工作人员未注意到的口腔健康状况的患病率，这些状况可能会增加中重度痴呆住院患者发生事件和/或事故的风险。
关于该领域现状的背景资料
痴呆症患者可能无法识别口腔中的风险，例如牙齿移动或不合适的假牙和/或假牙。除了窒息的风险外，牙齿塌陷或修复的锋利边缘也可能造成风险。然而，许多以前的出版物仅限于病例报告或系列。
材料和方法
本研究入组了92例连续住院痴呆患者（男性：52例，女性：40例，中位年龄：82.5岁，范围：62-99岁，2011年至2014年），转诊至牙科进行吞咽困难康复。被病房工作人员发现有牙齿问题而转介接受牙科治疗的参与者被排除在外。所有参与者的全球临床痴呆症评分均>2。他们的牙科记录进行了回顾性评估，可能会导致事件和/或事故的问题。
结果
在51.1%的参与者（47/92）中检测到口腔问题，例如残牙、龋齿和不合适的假牙。此外，23.9%（22/92）显示出可能导致事件和/或事故的风险因素，例如牙齿和/或修复体脱落或牙齿和/或修复体的锋利边缘损伤。
结论
住院的中重度痴呆症患者口腔健康状况的患病率很高，医生和病房工作人员没有注意到，这可能会增加事件和/或事故的风险。
OBJECTIVE
This study was performed to determine the prevalence of oral health conditions unnoticed by doctors and ward staff that may increase risk of incidents and/or accidents in hospitalised patients with moderate-severe dementia.
BACKGROUND DATA DISCUSSING THE PRESENT STATUS OF THE FIELD
Dementia patients may not recognise risks in the mouth, such as tooth mobility or ill-fitting dental prostheses and/or dentures. In addition to the risk of choking, injury by sharp edges of collapsed teeth or prosthodontics could pose risks. However, many previous publications were limited to case reports or series.
MATERIALS AND METHODS
Ninety-two consecutive hospitalised dementia patients (M: 52, F: 40, median age: 82.5 years, range: 62-99 years, from 2011 to 2014), referred for dentistry for dysphagia rehabilitation, were enrolled in this study. Participants referred for dental treatment with dental problems detected by ward staff were excluded. All participants had a Global Clinical Dementia Rating Score >2. Their dental records were evaluated retrospectively for issues that may cause incidents and/or accidents.
RESULTS
Problems in the mouth, for example tooth stumps, dental caries, and ill-fitting dentures, were detected in 51.1% of participants (47/92). Furthermore, 23.9% (22/92) showed risk factors that could lead to incidents and/or accidents, for example falling out of teeth and/or prosthodontics or injury by sharp edges of teeth and/or prosthodontics.
CONCLUSIONS
Hospitalised moderate-severe dementia patients had a high prevalence of oral health conditions unnoticed by doctors and ward staff that may increase risk of incidents and/or accidents.
对认知障碍疗养院居民进行牙科检查的策略。
DOI：
10.1111/j.1754-4505.1996.tb00833.x
发表时间：
1996
期刊：
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
影响因子：
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作者：
Kayser-Jones,J;Bird,WF;Redford,M;Schell,ES;Einhorn,SH
通讯作者：
Einhorn,SH