Pneumonia incidence and oral health management by dental hygienists in long‐term care facilities: A 1‐year prospective multicentre cohort study

• DOI: 10.1111/ger.12604
• Publication Date: 2021-11-09T09:30:29Z
• Authors: Kaoko Hama; Yasuyuki Iwasa; Yuki Ohara; Masanori Iwasaki; Kayoko Ito; Junko Nakajima; Takae Matsushita; Takashi Tohara; Mayumi Sakamoto; Masataka Itoda; Ken Inohara; Yoshie Ozaki; Rikimaru Sasaki; Yasuhiro Nishi; Midori Tsuneishi; Junichi Furuya; Yutaka Watanabe; Yoshihiko Watanabe; Yuji Sato; Mitsuyoshi Yoshida
• Keywords: Male; Aged, 80 and over; Incidence; Oral Health; Original Articles; Pneumonia; Long-Term Care; 3. Good health; Cohort Studies; 03 medical and health sciences; 0302 clinical medicine; Humans; Dental Hygienists; Prospective Studies; Aged

Abstract Objective To investigate the association between oral health management (OHM) by dental hygienists and occurrence of pneumonia, determine effectiveness OHM in pneumonia prevention. Background In long‐term care facilities Japan, need for professional is increasing with an increase number severely debilitated residents. Materials methods A 1‐year prospective multicentre cohort study was conducted using data from 504 residents (63 men; mean age: 87.4 ± 7.8 years) Japanese facilities. Basic information, medical history, willingness to engage hygiene behaviour, conditions were investigated at baseline. addition, information on collected a follow‐up survey after one year. Poisson regression analysis robust standard errors conducted, as dependent variable, factors associated explanatory variables. Results Overall, 349 (69.2%) required during that year follow‐up. Of those, 238 (68.2%) provided OHM, 18 (7.5%) developed pneumonia. Among 111 patients (31.8%) who not 21 (18.9%) The group had lower rates than non‐OHM (prevalence rate ratio: 0.374; 95% CI: 0.210‐0.665). Conclusion Oral incidence among facilities, underlining importance such individuals. It recommended be practised routinely