Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity

Pia Andersson,1 Annika Kragh Ekstam2 1Department of Health Sciences, Kristianstad University, Kristianstad, SE-291 88, Sweden; 2Department of Orthopaedics, Region Skåne Office for Hospitals in North-Eastern Skåne, Kristianstad, SE-291 85, SwedenCorrespondence: Annika Kragh Ekstam Email annika.kraghe...

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Autores principales:	Andersson P, Kragh Ekstam A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	oral health orthogeriatric patients risk factors dft medication comorbidity Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/506c2368e23347f78119bb3d9a5ddc57
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spelling	oai:doaj.org-article:506c2368e23347f78119bb3d9a5ddc572021-12-02T18:02:09ZImpaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity1178-1998https://doaj.org/article/506c2368e23347f78119bb3d9a5ddc572021-09-01T00:00:00Zhttps://www.dovepress.com/impaired-oral-health-in-older-orthopaedic-in-care-patients-the-influen-peer-reviewed-fulltext-article-CIAhttps://doaj.org/toc/1178-1998Pia Andersson,1 Annika Kragh Ekstam2 1Department of Health Sciences, Kristianstad University, Kristianstad, SE-291 88, Sweden; 2Department of Orthopaedics, Region Skåne Office for Hospitals in North-Eastern Skåne, Kristianstad, SE-291 85, SwedenCorrespondence: Annika Kragh Ekstam Email annika.kraghekstam@skane.seIntroduction: 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.Keywords: oral health, orthogeriatric patients, risk factors, DFT, medication, comorbidityAndersson PKragh Ekstam ADove Medical Pressarticleoral healthorthogeriatric patientsrisk factorsdftmedicationcomorbidityGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 1691-1702 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	oral health orthogeriatric patients risk factors dft medication comorbidity Geriatrics RC952-954.6
spellingShingle	oral health orthogeriatric patients risk factors dft medication comorbidity Geriatrics RC952-954.6 Andersson P Kragh Ekstam A Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity
description	Pia Andersson,1 Annika Kragh Ekstam2 1Department of Health Sciences, Kristianstad University, Kristianstad, SE-291 88, Sweden; 2Department of Orthopaedics, Region Skåne Office for Hospitals in North-Eastern Skåne, Kristianstad, SE-291 85, SwedenCorrespondence: Annika Kragh Ekstam Email annika.kraghekstam@skane.seIntroduction: 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.Keywords: oral health, orthogeriatric patients, risk factors, DFT, medication, comorbidity
format	article
author	Andersson P Kragh Ekstam A
author_facet	Andersson P Kragh Ekstam A
author_sort	Andersson P
title	Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity
title_short	Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity
title_full	Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity
title_fullStr	Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity
title_full_unstemmed	Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity
title_sort	impaired oral health in older orthopaedic in-care patients: the influence of medication and morbidity
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/506c2368e23347f78119bb3d9a5ddc57
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Impaired Oral Health in Older Orthopaedic In-Care Patients: The Influence of Medication and Morbidity

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