Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia
Identifieur interne : 000136 ( Main/Exploration ); précédent : 000135; suivant : 000137Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia
Auteurs : Anna-Luisa Klotz ; Alexander Jochen Hassel ; Johannes Schröder [Allemagne] ; Peter Rammelsberg ; Andreas ZenthöferSource :
- Clinical Interventions in Aging [ 1176-9092 ] ; 2017.
Abstract
The objective of this cross-sectional study was to evaluate the effect of prosthetic status on the oral health-related quality of life (OHRQoL) of nursing home residents with or without dementia.
The study was performed in 14 nursing homes across the federal state of Baden-Württemberg, Germany. All eligible participants were included, and general and medical information and information about their dental and prosthetic statuses were collected. The Geriatric Oral Health Assessment Index (GOHAI) was administered to evaluate OHRQoL. The Mini-Mental State Examination (MMSE) served to classify participants into living or not living with dementia according to the established cutoff value for dementia (MMSE <24). Parametric bivariate statistics and logistic regression models were used to analyze data at
A total of 169 participants were included in this study. The mean age of the participants was 82.9 years. A total of some 70% of the sample was living with dementia. The mean GOHAI score along the sample was 49.1 (8.3), and 41% of the sample reported substantially compromised OHRQoL (GOHAI <50). OHRQoL was statistically similar for people with or without dementia (
The OHRQoL of elderly nursing home residents is substantially compromised. Several prosthetic treatment needs for residents living with or without dementia were identified. Edentulism without tooth replacement and having <5 teeth resulted in an increased risk of substantially compromised OHRQoL. Further studies should be conducted to determine whether improvements in prosthetic status can increase OHRQoL.
Url:
DOI: 10.2147/CIA.S125128
PubMed: 28442895
PubMed Central: 5396830
Affiliations:
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Schröder</name><affiliation><nlm:aff id="af2-cia-12-659">Institute of Gerontology</nlm:aff></affiliation><affiliation wicri:level="3"><nlm:aff id="af3-cia-12-659">Section of Geriatric Psychiatry, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Section of Geriatric Psychiatry, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Rammelsberg, Peter" sort="Rammelsberg, Peter" uniqKey="Rammelsberg P" first="Peter" last="Rammelsberg">Peter Rammelsberg</name><affiliation><nlm:aff id="af1-cia-12-659">Department of Prosthodontics, Dental School</nlm:aff><wicri:noCountry code="subfield">Dental School</wicri:noCountry></affiliation></author><author><name sortKey="Zenthofer, Andreas" sort="Zenthofer, 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Jochen" sort="Hassel, Alexander Jochen" uniqKey="Hassel A" first="Alexander Jochen" last="Hassel">Alexander Jochen Hassel</name><affiliation><nlm:aff id="af1-cia-12-659">Department of Prosthodontics, Dental School</nlm:aff><wicri:noCountry code="subfield">Dental School</wicri:noCountry></affiliation></author><author><name sortKey="Schroder, Johannes" sort="Schroder, Johannes" uniqKey="Schroder J" first="Johannes" last="Schröder">Johannes Schröder</name><affiliation><nlm:aff id="af2-cia-12-659">Institute of Gerontology</nlm:aff></affiliation><affiliation wicri:level="3"><nlm:aff id="af3-cia-12-659">Section of Geriatric Psychiatry, University of Heidelberg, Heidelberg, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Section of Geriatric Psychiatry, University of Heidelberg, Heidelberg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Rammelsberg, Peter" sort="Rammelsberg, Peter" uniqKey="Rammelsberg P" first="Peter" last="Rammelsberg">Peter Rammelsberg</name><affiliation><nlm:aff id="af1-cia-12-659">Department of Prosthodontics, Dental School</nlm:aff><wicri:noCountry code="subfield">Dental School</wicri:noCountry></affiliation></author><author><name sortKey="Zenthofer, Andreas" sort="Zenthofer, Andreas" uniqKey="Zenthofer A" first="Andreas" last="Zenthöfer">Andreas Zenthöfer</name><affiliation><nlm:aff id="af1-cia-12-659">Department of Prosthodontics, Dental School</nlm:aff><wicri:noCountry code="subfield">Dental School</wicri:noCountry></affiliation></author></analytic><series><title level="j">Clinical Interventions in Aging</title><idno type="ISSN">1176-9092</idno><idno type="eISSN">1178-1998</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The objective of this cross-sectional study was to evaluate the effect of prosthetic status on the oral health-related quality of life (OHRQoL) of nursing home residents with or without dementia.</p></sec><sec><title>Methods</title><p>The study was performed in 14 nursing homes across the federal state of Baden-Württemberg, Germany. All eligible participants were included, and general and medical information and information about their dental and prosthetic statuses were collected. The Geriatric Oral Health Assessment Index (GOHAI) was administered to evaluate OHRQoL. The Mini-Mental State Examination (MMSE) served to classify participants into living or not living with dementia according to the established cutoff value for dementia (MMSE <24). Parametric bivariate statistics and logistic regression models were used to analyze data at <italic>P</italic><0.05.</p></sec><sec><title>Results</title><p>A total of 169 participants were included in this study. The mean age of the participants was 82.9 years. A total of some 70% of the sample was living with dementia. The mean GOHAI score along the sample was 49.1 (8.3), and 41% of the sample reported substantially compromised OHRQoL (GOHAI <50). OHRQoL was statistically similar for people with or without dementia (<italic>P</italic>=0.234); objective oral health was also similar in both groups (<italic>P</italic>>0.05). The number of teeth (odds ratio [OR]: 2.0), the type of prosthetic status (OR: 6.5), and denture-related treatment needs (OR: 2.4) were the major factors significantly affecting OHRQoL (<italic>P</italic><0.05).</p></sec><sec><title>Conclusion</title><p>The OHRQoL of elderly nursing home residents is substantially compromised. Several prosthetic treatment needs for residents living with or without dementia were identified. Edentulism without tooth replacement and having <5 teeth resulted in an increased risk of substantially compromised OHRQoL. Further studies should be conducted to determine whether improvements in prosthetic status can increase OHRQoL.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adam, H" uniqKey="Adam H">H Adam</name></author><author><name sortKey="Preston, Aj" uniqKey="Preston A">AJ Preston</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Montal, S" uniqKey="Montal S">S Montal</name></author><author><name sortKey="Tramini, P" uniqKey="Tramini P">P Tramini</name></author><author><name sortKey="Triay, Ja" uniqKey="Triay J">JA Triay</name></author><author><name sortKey="Valcarcel, J" uniqKey="Valcarcel J">J Valcarcel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zenthofer, A" uniqKey="Zenthofer A">A Zenthofer</name></author><author><name sortKey="Dieke, R" uniqKey="Dieke R">R Dieke</name></author><author><name sortKey="Dieke, A" uniqKey="Dieke A">A 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uniqKey="Zenthofer A" first="Andreas" last="Zenthöfer">Andreas Zenthöfer</name></noCountry><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Schroder, Johannes" sort="Schroder, Johannes" uniqKey="Schroder J" first="Johannes" last="Schröder">Johannes Schröder</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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