TY - JOUR
T1 - Impaired oral health in older orthopaedic in-care patients
T2 - The influence of medication and morbidity
AU - Andersson, Pia
AU - Kragh Ekstam, Annika
N1 - Funding Information:
We are grateful for the skilled collection of oral health data performed by dental hygienists Elisabeth Fagerstr?m, Folktandv?rden Sk?ne and Sladjana Crit?n, Kristianstad University. This study was supported by grants from the Odontological Research Funds in Region Sk?ne (OFRS), the Research Platform for Collaboration for Health Kristianstad University and Swedish Dental Hygienists Association. The grants had no role in the design or other parts of the research or preparation and submission of the article.
Funding Information:
This study was supported by grants from the Odontological Research Funds in Region Skåne (OFRS), the Research Platform for Collaboration for Health Kristianstad University and Swedish Dental Hygienists Association. The grants had no role in the design or other parts of the research or preparation and submission of the article.
Publisher Copyright:
© 2021 Andersson and Kragh Ekstam.
PY - 2021
Y1 - 2021
N2 - Introduction: Fall-related injuries are prevalent in older patients and often lead to increased morbidity, medication, and impaired functions. We studied older trauma patients with the aim to describe their oral health in comparison to morbidity and medication.Material and Methods: The study included 198 patients, ≥65 years, admitted with an orthopedic trauma. Oral examinations included number of natural teeth, dental implants, missing, decayed and restored teeth, root remnants, and pocket depth. Data on comorbidities and medication were assembled. Statistical analyses were carried out with logistic regression models, adjusted for age, gender, comorbidity, and polypharmacy.Results: Overall, 198 patients participated, 71% women, mean age 81 years (±7.9), 85% resided in their own homes, 86% had hip fractures. Chronic diseases and drug use were present in 98.9%, a mean of 6.67 in Charlson comorbidity index (CCI), 40% heart diseases, 17% diabetes, and 14% dementia. Ninety-one percent were dentate (181), mean number of teeth 19.2 (±6.5), 24% had decayed teeth, 97% filled teeth, 44% <20 teeth, and 26% oral dryness. DFT (decayed, filled teeth) over mean were identified in patients with diabetes (p=0.037), COPD (p=0.048), polypharmacy (p=0.011), diuretics (p=0.007), and inhalation drugs (p=0.032). Use of ≥2 strong anticholinergic drugs were observed in patients with <20 teeth and DFT over mean (p=0.004, 0.003). Adjusted for age, gender, CCI, and polypharmacy.Conclusion: The study showed that impaired oral health was prevalent in older trauma patients and that negative effects on oral health were significantly associated with chronic diseases and drug use. The results emphasize the importance of identifying orthogeriatric patients with oral health problems and to stress the necessity to uphold good oral care during a period when functional decline can be expected.
AB - Introduction: Fall-related injuries are prevalent in older patients and often lead to increased morbidity, medication, and impaired functions. We studied older trauma patients with the aim to describe their oral health in comparison to morbidity and medication.Material and Methods: The study included 198 patients, ≥65 years, admitted with an orthopedic trauma. Oral examinations included number of natural teeth, dental implants, missing, decayed and restored teeth, root remnants, and pocket depth. Data on comorbidities and medication were assembled. Statistical analyses were carried out with logistic regression models, adjusted for age, gender, comorbidity, and polypharmacy.Results: Overall, 198 patients participated, 71% women, mean age 81 years (±7.9), 85% resided in their own homes, 86% had hip fractures. Chronic diseases and drug use were present in 98.9%, a mean of 6.67 in Charlson comorbidity index (CCI), 40% heart diseases, 17% diabetes, and 14% dementia. Ninety-one percent were dentate (181), mean number of teeth 19.2 (±6.5), 24% had decayed teeth, 97% filled teeth, 44% <20 teeth, and 26% oral dryness. DFT (decayed, filled teeth) over mean were identified in patients with diabetes (p=0.037), COPD (p=0.048), polypharmacy (p=0.011), diuretics (p=0.007), and inhalation drugs (p=0.032). Use of ≥2 strong anticholinergic drugs were observed in patients with <20 teeth and DFT over mean (p=0.004, 0.003). Adjusted for age, gender, CCI, and polypharmacy.Conclusion: The study showed that impaired oral health was prevalent in older trauma patients and that negative effects on oral health were significantly associated with chronic diseases and drug use. The results emphasize the importance of identifying orthogeriatric patients with oral health problems and to stress the necessity to uphold good oral care during a period when functional decline can be expected.
KW - DFT
KW - comorbidity
KW - medication
KW - oral health
KW - orthogeriatric patients
KW - risk factors
KW - Angiotensin Receptor Antagonists
KW - Humans
KW - Male
KW - Morbidity
KW - Angiotensin-Converting Enzyme Inhibitors
KW - Orthopedics
KW - Aged, 80 and over
KW - Female
KW - Aged
KW - Oral Health
U2 - https://doi.org/10.2147/CIA.S326095
DO - https://doi.org/10.2147/CIA.S326095
M3 - Article
C2 - 34566411
SN - 1176-9092
VL - 16
SP - 1691
EP - 1702
JO - Clinical Interventions in Aging
JF - Clinical Interventions in Aging
ER -
