Aspiration pneumonia: Dental and oral risk factors in an older veteran population
Identifieur interne : 008B38 ( Main/Exploration ); précédent : 008B37; suivant : 008B39Aspiration pneumonia: Dental and oral risk factors in an older veteran population
Auteurs : Margaret S. Terpenning [États-Unis] ; George W. Taylor [États-Unis] ; Dennis E. Lopatin [États-Unis] ; Connie Kinder Kerr [États-Unis] ; B. Liza Dominguez [États-Unis] ; Walter J. Loesche [États-Unis]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2001.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (), Activités de la vie quotidienne, Anciens combattants (), Bouche édentée (), Bronchopneumopathies obstructives (), Caries dentaires (), Caries dentaires (microbiologie), Complications du diabète, Facteurs de l'âge, Facteurs de risque, Humains, Incidence, Infections à staphylocoques (), Infections à staphylocoques (microbiologie), Infections à streptocoques (), Infections à streptocoques (microbiologie), Michigan (épidémiologie), Modèles logistiques, Plaque dentaire (), Plaque dentaire (microbiologie), Pneumopathie de déglutition (épidémiologie), Pneumopathie de déglutition (étiologie), Répartition par âge, Salive (microbiologie), Santé buccodentaire, Staphylococcus aureus, Streptococcus sobrinus, Sujet âgé, Sujet âgé de 80 ans ou plus, Évaluation gériatrique.
- MESH :
- microbiologie : Caries dentaires, Infections à staphylocoques, Infections à streptocoques, Plaque dentaire, Salive.
- épidémiologie : Michigan, Pneumopathie de déglutition.
- étiologie : Pneumopathie de déglutition.
- Pascal (Inist)
- Accident vasculaire cérébral, Activités de la vie quotidienne, Anciens combattants, Bouche édentée, Bronchopneumopathies obstructives, Caries dentaires, Complications du diabète, Facteurs de l'âge, Facteurs de risque, Humains, Incidence, Infections à staphylocoques, Infections à streptocoques, Modèles logistiques, Plaque dentaire, Pneumopathie aspiration, Dent pathologie, Epidémiologie, Facteur risque, Personne âgée, Répartition par âge, Santé buccodentaire, Santé publique, Ancien combattant, Staphylococcus aureus, Streptococcus sobrinus, Sujet âgé, Sujet âgé de 80 ans ou plus, Traumatisme, Etats Unis, Évaluation gériatrique.
- Wicri :
- topic : Personne âgée, Santé publique, Ancien combattant, Traumatisme.
English descriptors
- KwdEn :
- Activities of Daily Living, Age Distribution, Age Factors, Aged, Aged, 80 and over, Aspiration pneumonia, Dental Caries (complications), Dental Caries (microbiology), Dental Plaque (complications), Dental Plaque (microbiology), Dental disease, Diabetes Complications, Elderly, Epidemiology, Geriatric Assessment, Humans, Incidence, Logistic Models, Lung Diseases, Obstructive (complications), Michigan (epidemiology), Mouth, Edentulous (complications), Oral Health, Pneumonia, Aspiration (epidemiology), Pneumonia, Aspiration (etiology), Public health, Risk Factors, Risk factor, Saliva (microbiology), Staphylococcal Infections (complications), Staphylococcal Infections (microbiology), Staphylococcus aureus, Streptococcal Infections (complications), Streptococcal Infections (microbiology), Streptococcus sobrinus, Stroke (complications), Trauma, United States, Veteran, Veterans (statistics & numerical data).
- MESH :
- geographic , epidemiology : Michigan.
- complications : Dental Caries, Dental Plaque, Lung Diseases, Obstructive, Mouth, Edentulous, Staphylococcal Infections, Streptococcal Infections, Stroke.
- epidemiology : Pneumonia, Aspiration.
- etiology : Pneumonia, Aspiration.
- microbiology : Dental Caries, Dental Plaque, Saliva, Staphylococcal Infections, Streptococcal Infections.
- statistics & numerical data : Veterans.
- Activities of Daily Living, Age Distribution, Age Factors, Aged, Aged, 80 and over, Diabetes Complications, Geriatric Assessment, Humans, Incidence, Logistic Models, Oral Health, Risk Factors, Staphylococcus aureus, Streptococcus sobrinus.
Abstract
OBJECTIVES: To investigate the importance of medical and dental factors in aspiration pneumonia in an older veteran population. DESIGN: Prospective enrollment of subjects with retrospective analysis of data. SETTING: Department of Veterans Affairs outpatient clinic, inpatient ward, and nursing home. PARTICIPANTS: 358 veterans age 55 and older; 50 subjects with aspiration pneumonia. MEASUREMENTS: Demographic and medical data; functional status; health-related behaviors; dental care utilization; personal oral hygiene; comprehensive dental examination; salivary assays including IgA antibodies; and cultures of saliva, throat, and dental plaques. RESULTS: Two logistic regression models produced estimates of significant risk factors. One model using dentate patients included: requiring help with feeding (odds ratio (OR) = 13.9), chronic obstructive pulmonary disease (COPD) (OR = 4.7), diabetes mellitus (OR = 3.5), number of decayed teeth (OR = 1.2), number of functional dental units (OR = 1.2), presence of important organisms for decay, Streptococcus sobrinus in saliva (OR = 6.2), and periodontal disease, Porphyromonous gingivalis in dental plaque (OR = 4.2), and Staphylococcus aureus presence in saliva (OR = 7.4). The second model, containing both dentate and edentulous patients included: requiring help with feeding (OR = 4.7), COPD (OR = 2.5), diabetes mellitus (OR = 1.7), and presence of S. aureus in saliva (OR = 8.3). CONCLUSION: This study supports the significance of oral and dental factors while controlling for established medical risk factors in aspiration pneumonia incidence.
Affiliations:
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Terpenning</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Internal Medicine, University of Michigan Medical School</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Taylor, George W" sort="Taylor, George W" uniqKey="Taylor G" first="George W." last="Taylor">George W. Taylor</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Cardiology, Restorative Sciences, and Endodontics</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Lopatin, Dennis E" sort="Lopatin, Dennis E" uniqKey="Lopatin D" first="Dennis E." last="Lopatin">Dennis E. Lopatin</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Michigan School of Nursing</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Kinder Kerr, Connie" sort="Kinder Kerr, Connie" uniqKey="Kinder Kerr C" first="Connie" last="Kinder Kerr">Connie Kinder Kerr</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department Biologic and Materials Sciences, University of Michigan School of Dentistry</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Liza Dominguez, B" sort="Liza Dominguez, B" uniqKey="Liza Dominguez B" first="B." last="Liza Dominguez">B. Liza Dominguez</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Michigan School of Nursing</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Loesche, Walter J" sort="Loesche, Walter J" uniqKey="Loesche W" first="Walter J." last="Loesche">Walter J. Loesche</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Michigan School of Nursing</s1><s2>Ann Arbor, Michigan</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno><imprint><date when="2001">2001</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Age Distribution</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Aspiration pneumonia</term><term>Dental Caries (complications)</term><term>Dental Caries (microbiology)</term><term>Dental Plaque (complications)</term><term>Dental Plaque (microbiology)</term><term>Dental disease</term><term>Diabetes Complications</term><term>Elderly</term><term>Epidemiology</term><term>Geriatric Assessment</term><term>Humans</term><term>Incidence</term><term>Logistic Models</term><term>Lung Diseases, Obstructive (complications)</term><term>Michigan (epidemiology)</term><term>Mouth, Edentulous (complications)</term><term>Oral Health</term><term>Pneumonia, Aspiration (epidemiology)</term><term>Pneumonia, Aspiration (etiology)</term><term>Public health</term><term>Risk Factors</term><term>Risk factor</term><term>Saliva (microbiology)</term><term>Staphylococcal Infections (complications)</term><term>Staphylococcal Infections (microbiology)</term><term>Staphylococcus aureus</term><term>Streptococcal Infections (complications)</term><term>Streptococcal Infections (microbiology)</term><term>Streptococcus sobrinus</term><term>Stroke (complications)</term><term>Trauma</term><term>United States</term><term>Veteran</term><term>Veterans (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral ()</term><term>Activités de la vie quotidienne</term><term>Anciens combattants ()</term><term>Bouche édentée ()</term><term>Bronchopneumopathies obstructives ()</term><term>Caries dentaires ()</term><term>Caries dentaires (microbiologie)</term><term>Complications du diabète</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Humains</term><term>Incidence</term><term>Infections à staphylocoques ()</term><term>Infections à staphylocoques (microbiologie)</term><term>Infections à streptocoques ()</term><term>Infections à streptocoques (microbiologie)</term><term>Michigan (épidémiologie)</term><term>Modèles logistiques</term><term>Plaque dentaire ()</term><term>Plaque dentaire (microbiologie)</term><term>Pneumopathie de déglutition (épidémiologie)</term><term>Pneumopathie de déglutition (étiologie)</term><term>Répartition par âge</term><term>Salive (microbiologie)</term><term>Santé buccodentaire</term><term>Staphylococcus aureus</term><term>Streptococcus sobrinus</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évaluation gériatrique</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Michigan</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dental Caries</term><term>Dental Plaque</term><term>Lung Diseases, Obstructive</term><term>Mouth, Edentulous</term><term>Staphylococcal Infections</term><term>Streptococcal Infections</term><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pneumonia, Aspiration</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pneumonia, Aspiration</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Caries dentaires</term><term>Infections à staphylocoques</term><term>Infections à streptocoques</term><term>Plaque dentaire</term><term>Salive</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Dental Caries</term><term>Dental Plaque</term><term>Saliva</term><term>Staphylococcal Infections</term><term>Streptococcal Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Veterans</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Michigan</term><term>Pneumopathie de déglutition</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Pneumopathie de déglutition</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Age Distribution</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Diabetes Complications</term><term>Geriatric Assessment</term><term>Humans</term><term>Incidence</term><term>Logistic Models</term><term>Oral Health</term><term>Risk Factors</term><term>Staphylococcus aureus</term><term>Streptococcus sobrinus</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Accident vasculaire cérébral</term><term>Activités de la vie quotidienne</term><term>Anciens combattants</term><term>Bouche édentée</term><term>Bronchopneumopathies obstructives</term><term>Caries dentaires</term><term>Complications du diabète</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Humains</term><term>Incidence</term><term>Infections à staphylocoques</term><term>Infections à streptocoques</term><term>Modèles logistiques</term><term>Plaque dentaire</term><term>Pneumopathie aspiration</term><term>Dent pathologie</term><term>Epidémiologie</term><term>Facteur risque</term><term>Personne âgée</term><term>Répartition par âge</term><term>Santé buccodentaire</term><term>Santé publique</term><term>Ancien combattant</term><term>Staphylococcus aureus</term><term>Streptococcus sobrinus</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traumatisme</term><term>Etats Unis</term><term>Évaluation gériatrique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term><term>Santé publique</term><term>Ancien combattant</term><term>Traumatisme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVES: To investigate the importance of medical and dental factors in aspiration pneumonia in an older veteran population. DESIGN: Prospective enrollment of subjects with retrospective analysis of data. SETTING: Department of Veterans Affairs outpatient clinic, inpatient ward, and nursing home. PARTICIPANTS: 358 veterans age 55 and older; 50 subjects with aspiration pneumonia. MEASUREMENTS: Demographic and medical data; functional status; health-related behaviors; dental care utilization; personal oral hygiene; comprehensive dental examination; salivary assays including IgA antibodies; and cultures of saliva, throat, and dental plaques. RESULTS: Two logistic regression models produced estimates of significant risk factors. One model using dentate patients included: requiring help with feeding (odds ratio (OR) = 13.9), chronic obstructive pulmonary disease (COPD) (OR = 4.7), diabetes mellitus (OR = 3.5), number of decayed teeth (OR = 1.2), number of functional dental units (OR = 1.2), presence of important organisms for decay, Streptococcus sobrinus in saliva (OR = 6.2), and periodontal disease, Porphyromonous gingivalis in dental plaque (OR = 4.2), and Staphylococcus aureus presence in saliva (OR = 7.4). The second model, containing both dentate and edentulous patients included: requiring help with feeding (OR = 4.7), COPD (OR = 2.5), diabetes mellitus (OR = 1.7), and presence of S. aureus in saliva (OR = 8.3). CONCLUSION: This study supports the significance of oral and dental factors while controlling for established medical risk factors in aspiration pneumonia incidence.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Michigan</li></region></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Terpenning, Margaret S" sort="Terpenning, Margaret S" uniqKey="Terpenning M" first="Margaret S." last="Terpenning">Margaret S. Terpenning</name></region><name sortKey="Kinder Kerr, Connie" sort="Kinder Kerr, Connie" uniqKey="Kinder Kerr C" first="Connie" last="Kinder Kerr">Connie Kinder Kerr</name><name sortKey="Liza Dominguez, B" sort="Liza Dominguez, B" uniqKey="Liza Dominguez B" first="B." last="Liza Dominguez">B. Liza Dominguez</name><name sortKey="Loesche, Walter J" sort="Loesche, Walter J" uniqKey="Loesche W" first="Walter J." last="Loesche">Walter J. Loesche</name><name sortKey="Lopatin, Dennis E" sort="Lopatin, Dennis E" uniqKey="Lopatin D" first="Dennis E." last="Lopatin">Dennis E. Lopatin</name><name sortKey="Taylor, George W" sort="Taylor, George W" uniqKey="Taylor G" first="George W." last="Taylor">George W. Taylor</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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