Posterior teeth occlusion is related independently to onset of fever in residents of aged person welfare facility: prospective cohort study
Posterior teeth occlusion is related independently to onset of fever in residents of aged person welfare facility: prospective cohort study
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后牙咬合与老年人福利机构居民的发烧独立相关：前瞻性队列研究
DOI：
10.1111/ger.12551
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发表时间：
2022
期刊：
影响因子：
2
通讯作者：
Akifusa Sumio
中科院分区：
文献类型：
--
作者：
Izumi Maya;Isobe Ayaka;Akifusa Sumio
研究背景发热是老年人常见的临床表现。后牙咬合缺失引起吞咽困难，这通常与呼吸道感染性疾病有关。然而，尚未研究后牙咬合和发热发作之间的相关性。本研究的目的是调查后牙咬合是否与老年人福利设施的居民发烧的发病相关。MethodsThis透视队列研究于2019年2月至2019年12月在日本北九州市进行。随访期为8个月。总体而言，纳入了来自10个老年人福利机构的141名年龄≥ 65岁的居民。记录了参与者体温超过37.2°C的日期。后牙咬合通过评估功能牙单位（FTUs）进行评估。结果来自100名参与者[中位年龄89（67 - 102）]的数据用于分析。共有53名参与者发烧。Kaplan-Meier分析显示，FTU评分为0、1 - 11和12的受试者中，至发热发作的平均时间分别为7.7 ± 0.6、7.4 ± 1.0和3.9 ± 1.0。考克斯的比例风险回归模型显示，FTU = 0的参与者与FTU = 12的参与者相比，发烧的风险更高（风险比：3.2，95%置信区间：1.4 - 7.7），调整可能的混杂因素。
BackgroundOnset of fever is a common presentation of symptoms in older adults. Loss of posterior teeth occlusion provokes dysphagia, which is commonly related to infectious diseases of the respiratory tract. However, a correlation between posterior teeth occlusion and the onset of fever has not been studied. The aim of the present study was to investigate whether posterior teeth occlusion is correlated with the onset of fever in residents of aged person welfare facilities.MethodsThis perspective cohort study was carried out from February 2019 to December 2019 in Kitakyushu, Japan. The follow‐up period was 8 months. Overall, 141 residents aged ≥ 65 years from 10 aged person welfare facility were included. Dates when the body temperatures of participants were more than 37.2°C were recorded. Posterior teeth occlusion was evaluated by assessing functional tooth units (FTUs).ResultsData from 100 participants [median age, 89 (67‐102)] were used for analysis. Total of 53 participants got a fever. The Kaplan‐Meier analysis showed that the average period until onset of fever in participants with scores 0, 1‐11 and 12 for FTU was 7.7 ± 0.6, 7.4 ± 1.0 and 3.9 ± 1.0, respectively. Cox's proportional hazards regression model revealed that participants with FTU = 0 were at higher risk of fever compared with those with FTU = 12 (hazards ratio: 3.2, 95% confidence interval: 1.4‐7.7), adjusted for possible confounders.ConclusionsPosterior teeth occlusion correlated with the risk of fever in older residents of nursing homes.