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Oral health in hospitalized and nonhospitalized community-dwelling elderly patients

Identifieur interne : 000708 ( PascalFrancis/Corpus ); précédent : 000707; suivant : 000709

Oral health in hospitalized and nonhospitalized community-dwelling elderly patients

Auteurs : H. Pajukoski ; J. H. Meurman ; S. Snellman-Gröhn ; R. Sulkava

Source :

RBID : Pascal:99-0520359

Descripteurs français

English descriptors

Abstract

Objective. The purpose of this study was to compare hospitalized and nonhospitalized home-dwelling elderly patients in a single community with respect to oral health and general health and to study risk factors for edentulousness in these patients. The study hypothesis was that hospitalized elderly patients would have poorer oral health than nonhospitalized elderly patients. Study design. Oral health status was examined according to the World Health Organization's guidelines for 181 hospitalized patients (mean age, 81.9 ± 5.8 years) in a geriatric ward and for 254 home-living patients (mean age, 76.9 ± 5.6 years). Data regarding the patients' diseases and medications came from hospital records and doctors' prescriptions and were categorized on the basis of the International Classification of Diseases. Differences between the hospitalized and nonhospitalized patients, between genders, between age groups, and between the various disease and medication groups were analyzed. Logistic regression was used to analyze the effects of study variables on edentulousness. Results. The mean number of teeth was 10.3 ± 7.6 in the hospitalized patients and 16.3 ± 7.4 in the nonhospitalized patients (P <.001 The mean number of decayed teeth was 1.3 ± 2.2 in the hospitalized patients and 0.6 ± 0.9 in the nonhospitalized patients (P<.01). All dentate patients had poor periodontal health. Community Periodontal Index scores were between 2 and 4 in 94.8% of the hospitalized patients and 98.6% of the nonhospitalized patients. Edentulousness was observed in 66.3% of the hospitalized patients and 42.1% of the nonhospitalized patients (P<.001). ). In both groups, female gender (odds ratio, 2.0; Cl, 1.3-3.1 ) and age between 80 and 89 years (odds ratio, 2.5; CI, 1.5-4.4) were the strongest risk factors for edentulousness. The number of drugs used daily also correlated significantly with the loss of teeth (P <.05). In the nonhospitalized patients, edentulousness correlated significantly with cardiovascular diseases and drugs taken daily (P <.01), whereas in the hospitalized patients such an association was not found. Conclusions. The results of this study confirmed our hypothesis that hospitalized elderly patients who had many concomitant diseases and used many drugs daily had worse dental health than nonhospitalized home-dwelling elderly patients. The nature of a patient's illness was not a significant factor in this respect. Female gender and age between 80 and 89 years were the strongest factors for edentulousness in both patient groups.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Oral surg. oral med. oral pathol. oral radiol. endo.
A05       @2 88
A06       @2 4
A08 01  1  ENG  @1 Oral health in hospitalized and nonhospitalized community-dwelling elderly patients
A11 01  1    @1 PAJUKOSKI (H.)
A11 02  1    @1 MEURMAN (J. H.)
A11 03  1    @1 SNELLMAN-GRÖHN (S.)
A11 04  1    @1 SULKAVA (R.)
A14 01      @1 University of Helsinki @3 FIN @Z 1 aut. @Z 2 aut.
A14 02      @1 University of Kuopio @3 FIN @Z 3 aut. @Z 4 aut.
A20       @1 437-443
A21       @1 1999
A23 01      @0 ENG
A43 01      @1 INIST @2 5101 @5 354000087971290120
A44       @0 0000 @1 © 1999 INIST-CNRS. All rights reserved.
A45       @0 27 ref.
A47 01  1    @0 99-0520359
A60       @1 P
A61       @0 A
A64 01  1    @0 Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics
A66 01      @0 USA
C01 01    ENG  @0 Objective. The purpose of this study was to compare hospitalized and nonhospitalized home-dwelling elderly patients in a single community with respect to oral health and general health and to study risk factors for edentulousness in these patients. The study hypothesis was that hospitalized elderly patients would have poorer oral health than nonhospitalized elderly patients. Study design. Oral health status was examined according to the World Health Organization's guidelines for 181 hospitalized patients (mean age, 81.9 ± 5.8 years) in a geriatric ward and for 254 home-living patients (mean age, 76.9 ± 5.6 years). Data regarding the patients' diseases and medications came from hospital records and doctors' prescriptions and were categorized on the basis of the International Classification of Diseases. Differences between the hospitalized and nonhospitalized patients, between genders, between age groups, and between the various disease and medication groups were analyzed. Logistic regression was used to analyze the effects of study variables on edentulousness. Results. The mean number of teeth was 10.3 ± 7.6 in the hospitalized patients and 16.3 ± 7.4 in the nonhospitalized patients (P <.001 The mean number of decayed teeth was 1.3 ± 2.2 in the hospitalized patients and 0.6 ± 0.9 in the nonhospitalized patients (P<.01). All dentate patients had poor periodontal health. Community Periodontal Index scores were between 2 and 4 in 94.8% of the hospitalized patients and 98.6% of the nonhospitalized patients. Edentulousness was observed in 66.3% of the hospitalized patients and 42.1% of the nonhospitalized patients (P<.001). ). In both groups, female gender (odds ratio, 2.0; Cl, 1.3-3.1 ) and age between 80 and 89 years (odds ratio, 2.5; CI, 1.5-4.4) were the strongest risk factors for edentulousness. The number of drugs used daily also correlated significantly with the loss of teeth (P <.05). In the nonhospitalized patients, edentulousness correlated significantly with cardiovascular diseases and drugs taken daily (P <.01), whereas in the hospitalized patients such an association was not found. Conclusions. The results of this study confirmed our hypothesis that hospitalized elderly patients who had many concomitant diseases and used many drugs daily had worse dental health than nonhospitalized home-dwelling elderly patients. The nature of a patient's illness was not a significant factor in this respect. Female gender and age between 80 and 89 years were the strongest factors for edentulousness in both patient groups.
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C03 02  X  ENG  @0 Oral cavity @5 02
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C03 06  X  ENG  @0 Hospitalization @5 06
C03 06  X  SPA  @0 Hospitalización @5 06
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C07 03  X  SPA  @0 Diente patología @5 54
N21       @1 333

Format Inist (serveur)

NO : PASCAL 99-0520359 INIST
ET : Oral health in hospitalized and nonhospitalized community-dwelling elderly patients
AU : PAJUKOSKI (H.); MEURMAN (J. H.); SNELLMAN-GRÖHN (S.); SULKAVA (R.)
AF : University of Helsinki/Finlande (1 aut., 2 aut.); University of Kuopio/Finlande (3 aut., 4 aut.)
DT : Publication en série; Niveau analytique
SO : Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics; ISSN 1079-2104; Etats-Unis; Da. 1999; Vol. 88; No. 4; Pp. 437-443; Bibl. 27 ref.
LA : Anglais
EA : Objective. The purpose of this study was to compare hospitalized and nonhospitalized home-dwelling elderly patients in a single community with respect to oral health and general health and to study risk factors for edentulousness in these patients. The study hypothesis was that hospitalized elderly patients would have poorer oral health than nonhospitalized elderly patients. Study design. Oral health status was examined according to the World Health Organization's guidelines for 181 hospitalized patients (mean age, 81.9 ± 5.8 years) in a geriatric ward and for 254 home-living patients (mean age, 76.9 ± 5.6 years). Data regarding the patients' diseases and medications came from hospital records and doctors' prescriptions and were categorized on the basis of the International Classification of Diseases. Differences between the hospitalized and nonhospitalized patients, between genders, between age groups, and between the various disease and medication groups were analyzed. Logistic regression was used to analyze the effects of study variables on edentulousness. Results. The mean number of teeth was 10.3 ± 7.6 in the hospitalized patients and 16.3 ± 7.4 in the nonhospitalized patients (P <.001 The mean number of decayed teeth was 1.3 ± 2.2 in the hospitalized patients and 0.6 ± 0.9 in the nonhospitalized patients (P<.01). All dentate patients had poor periodontal health. Community Periodontal Index scores were between 2 and 4 in 94.8% of the hospitalized patients and 98.6% of the nonhospitalized patients. Edentulousness was observed in 66.3% of the hospitalized patients and 42.1% of the nonhospitalized patients (P<.001). ). In both groups, female gender (odds ratio, 2.0; Cl, 1.3-3.1 ) and age between 80 and 89 years (odds ratio, 2.5; CI, 1.5-4.4) were the strongest risk factors for edentulousness. The number of drugs used daily also correlated significantly with the loss of teeth (P <.05). In the nonhospitalized patients, edentulousness correlated significantly with cardiovascular diseases and drugs taken daily (P <.01), whereas in the hospitalized patients such an association was not found. Conclusions. The results of this study confirmed our hypothesis that hospitalized elderly patients who had many concomitant diseases and used many drugs daily had worse dental health than nonhospitalized home-dwelling elderly patients. The nature of a patient's illness was not a significant factor in this respect. Female gender and age between 80 and 89 years were the strongest factors for edentulousness in both patient groups.
CC : 002B30A03B; 002B10C02
FD : Hygiène; Cavité buccale; Etablissement troisième âge; Santé; Facteur risque; Hospitalisation; Edentation; Epidémiologie; Santé publique; Personne âgée
FG : Homme; Stomatologie; Dent pathologie
ED : Hygiene; Oral cavity; Homes for the aged; Health; Risk factor; Hospitalization; Edentulousness; Epidemiology; Public health; Elderly
EG : Human; Stomatology; Dental disease
SD : Higiene; Cavidad bucal; Establecimiento tercera edad; Salud; Factor riesgo; Hospitalización; Edentación; Epidemiología; Salud pública; Anciano
LO : INIST-5101.354000087971290120
ID : 99-0520359

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Pascal:99-0520359

Le document en format XML

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<div type="abstract" xml:lang="en">Objective. The purpose of this study was to compare hospitalized and nonhospitalized home-dwelling elderly patients in a single community with respect to oral health and general health and to study risk factors for edentulousness in these patients. The study hypothesis was that hospitalized elderly patients would have poorer oral health than nonhospitalized elderly patients. Study design. Oral health status was examined according to the World Health Organization's guidelines for 181 hospitalized patients (mean age, 81.9 ± 5.8 years) in a geriatric ward and for 254 home-living patients (mean age, 76.9 ± 5.6 years). Data regarding the patients' diseases and medications came from hospital records and doctors' prescriptions and were categorized on the basis of the International Classification of Diseases. Differences between the hospitalized and nonhospitalized patients, between genders, between age groups, and between the various disease and medication groups were analyzed. Logistic regression was used to analyze the effects of study variables on edentulousness. Results. The mean number of teeth was 10.3 ± 7.6 in the hospitalized patients and 16.3 ± 7.4 in the nonhospitalized patients (P <.001 The mean number of decayed teeth was 1.3 ± 2.2 in the hospitalized patients and 0.6 ± 0.9 in the nonhospitalized patients (P<.01). All dentate patients had poor periodontal health. Community Periodontal Index scores were between 2 and 4 in 94.8% of the hospitalized patients and 98.6% of the nonhospitalized patients. Edentulousness was observed in 66.3% of the hospitalized patients and 42.1% of the nonhospitalized patients (P<.001). ). In both groups, female gender (odds ratio, 2.0; Cl, 1.3-3.1 ) and age between 80 and 89 years (odds ratio, 2.5; CI, 1.5-4.4) were the strongest risk factors for edentulousness. The number of drugs used daily also correlated significantly with the loss of teeth (P <.05). In the nonhospitalized patients, edentulousness correlated significantly with cardiovascular diseases and drugs taken daily (P <.01), whereas in the hospitalized patients such an association was not found. Conclusions. The results of this study confirmed our hypothesis that hospitalized elderly patients who had many concomitant diseases and used many drugs daily had worse dental health than nonhospitalized home-dwelling elderly patients. The nature of a patient's illness was not a significant factor in this respect. Female gender and age between 80 and 89 years were the strongest factors for edentulousness in both patient groups.</div>
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<server>
<NO>PASCAL 99-0520359 INIST</NO>
<ET>Oral health in hospitalized and nonhospitalized community-dwelling elderly patients</ET>
<AU>PAJUKOSKI (H.); MEURMAN (J. H.); SNELLMAN-GRÖHN (S.); SULKAVA (R.)</AU>
<AF>University of Helsinki/Finlande (1 aut., 2 aut.); University of Kuopio/Finlande (3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics; ISSN 1079-2104; Etats-Unis; Da. 1999; Vol. 88; No. 4; Pp. 437-443; Bibl. 27 ref.</SO>
<LA>Anglais</LA>
<EA>Objective. The purpose of this study was to compare hospitalized and nonhospitalized home-dwelling elderly patients in a single community with respect to oral health and general health and to study risk factors for edentulousness in these patients. The study hypothesis was that hospitalized elderly patients would have poorer oral health than nonhospitalized elderly patients. Study design. Oral health status was examined according to the World Health Organization's guidelines for 181 hospitalized patients (mean age, 81.9 ± 5.8 years) in a geriatric ward and for 254 home-living patients (mean age, 76.9 ± 5.6 years). Data regarding the patients' diseases and medications came from hospital records and doctors' prescriptions and were categorized on the basis of the International Classification of Diseases. Differences between the hospitalized and nonhospitalized patients, between genders, between age groups, and between the various disease and medication groups were analyzed. Logistic regression was used to analyze the effects of study variables on edentulousness. Results. The mean number of teeth was 10.3 ± 7.6 in the hospitalized patients and 16.3 ± 7.4 in the nonhospitalized patients (P <.001 The mean number of decayed teeth was 1.3 ± 2.2 in the hospitalized patients and 0.6 ± 0.9 in the nonhospitalized patients (P<.01). All dentate patients had poor periodontal health. Community Periodontal Index scores were between 2 and 4 in 94.8% of the hospitalized patients and 98.6% of the nonhospitalized patients. Edentulousness was observed in 66.3% of the hospitalized patients and 42.1% of the nonhospitalized patients (P<.001). ). In both groups, female gender (odds ratio, 2.0; Cl, 1.3-3.1 ) and age between 80 and 89 years (odds ratio, 2.5; CI, 1.5-4.4) were the strongest risk factors for edentulousness. The number of drugs used daily also correlated significantly with the loss of teeth (P <.05). In the nonhospitalized patients, edentulousness correlated significantly with cardiovascular diseases and drugs taken daily (P <.01), whereas in the hospitalized patients such an association was not found. Conclusions. The results of this study confirmed our hypothesis that hospitalized elderly patients who had many concomitant diseases and used many drugs daily had worse dental health than nonhospitalized home-dwelling elderly patients. The nature of a patient's illness was not a significant factor in this respect. Female gender and age between 80 and 89 years were the strongest factors for edentulousness in both patient groups.</EA>
<CC>002B30A03B; 002B10C02</CC>
<FD>Hygiène; Cavité buccale; Etablissement troisième âge; Santé; Facteur risque; Hospitalisation; Edentation; Epidémiologie; Santé publique; Personne âgée</FD>
<FG>Homme; Stomatologie; Dent pathologie</FG>
<ED>Hygiene; Oral cavity; Homes for the aged; Health; Risk factor; Hospitalization; Edentulousness; Epidemiology; Public health; Elderly</ED>
<EG>Human; Stomatology; Dental disease</EG>
<SD>Higiene; Cavidad bucal; Establecimiento tercera edad; Salud; Factor riesgo; Hospitalización; Edentación; Epidemiología; Salud pública; Anciano</SD>
<LO>INIST-5101.354000087971290120</LO>
<ID>99-0520359</ID>
</server>
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