Xerostomia and hyposalivation in orthogeriatric patients with fall history and impact on oral health-related quality of life.
Xerostomia and hyposalivation in orthogeriatric patients with fall history and impact on oral health-related quality of life.
复制标题
DOI：
10.2147/cia.s178370
复制
发表时间：
2018
影响因子：
3.6
通讯作者：
Röhrig G
中科院分区：
文献类型：
--
作者：
Barbe AG;Schmidt P;Bussmann M;Kunter H;Noack MJ;Röhrig G
福尔斯是老年人发病和死亡的常见原因，识别风险指标和风险因素以防止跌倒至关重要。口干（口腔干燥和唾液分泌不足）可加重已知为跌倒风险指标的疾病，如营养状况和肌肉减少症。但几乎没有证据表明它是否是跌倒的独立风险因素。我们探讨了住院老年患者口干症的患病率和严重程度以及客观流涎率，以确定它们是否与跌倒风险增加相关。比较有跌倒史和无跌倒史的住院老年患者。我们调查了几个口腔健康问题，包括口干症，刺激和非刺激流涎率，牙齿和修复体的总数，牙周状况和口腔健康相关的生活质量。共纳入40例患者，跌倒史组28例，对照组12例。所有患者都有口腔健康问题，影响其口腔健康相关的生活质量。然而，除了有跌倒史的患者吞咽困难增加和食物风味减少外，两组之间没有显著差异，包括口干和唾液分泌不足。口干似乎不是该人群跌倒的独立危险因素，但口腔健康受损。因此，重要的是，牙医和老年病学家意识到并调查患者的这些状况，并采取适当的行动来减少口腔健康受损的后果，包括减少福尔斯的可能性。
Falls are a common cause of morbidity and mortality in older people, and identification of risk indicators and risk factors to prevent falling is essential. Dry mouth (xerostomia and hyposalivation) can exacerbate conditions known to be fall risk indicators, such as nutritional status and sarcopenia. But there is little evidence regarding whether it is an independent risk factor for falling. We explored xerostomia prevalence and intensity and objective salivation rates in hospitalized geriatric patients to determine whether they were associated with an increased risk of falling. Hospitalized geriatric patients with and without a fall history were compared. We investigated several oral health issues including xerostomia, stimulated and unstimulated salivation rates, total number of teeth and prosthetics, periodontal status, and oral health-related quality of life. Forty patients were included, 28 in the fall history group and 12 in the control group. All patients had oral health issues that impacted on their oral health-related quality of life. However, there were no significant differences between the groups, including xerostomia and hyposalivation, apart from increased dysphagia and less flavor in food in patients with a fall history. Dry mouth does not appear to be an independent risk factor for falling in this population, but oral health was impaired. Thus, it is important that dentists and geriatricians are aware of and investigate these conditions in their patients and that appropriate action is taken to reduce the consequences of impaired oral health, including a potential reduction in falls.