Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients

Stroke and poor oral health are common in older people, and the brain injuries associated with stroke are often accompanied by a decline in oral function. In this study, we investigated the characteristics of stroke patients who could not recover oral ingestion until discharge and the association be...

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Autores principales:	Michiyo Aoyagi, Junichi Furuya, Chiaki Matsubara, Kanako Yoshimi, Ayako Nakane, Kazuharu Nakagawa, Motoki Inaji, Yuji Sato, Haruka Tohara, Shunsuke Minakuchi, Taketoshi Maehara
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	acute stroke nutrition oral health oral function dysphagia swallowing Medicine R
Acceso en línea:	https://doaj.org/article/582b0e7d1ac64639b8a26047f583a615
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spelling	oai:doaj.org-article:582b0e7d1ac64639b8a26047f583a6152021-11-11T16:30:04ZAssociation between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients10.3390/ijerph1821113791660-46011661-7827https://doaj.org/article/582b0e7d1ac64639b8a26047f583a6152021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11379https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Stroke and poor oral health are common in older people, and the brain injuries associated with stroke are often accompanied by a decline in oral function. In this study, we investigated the characteristics of stroke patients who could not recover oral ingestion until discharge and the association between improved oral health, swallowing function, and nutritional intake methods in acute care. The subjects were 216 consecutive stroke patients who were admitted to Tokyo Medical and Dental University hospital and received oral health management. Nutritional intake, dysphagia, and oral health were evaluated using the Functional Oral Intake Scale (FOIS), Dysphagia Severity Scale (DSS), and Oral Health Assessment Tool (OHAT), respectively. Patients in the tube feeding group (FOIS level 1–2, N = 68) tended to have a worse general condition, fewer functional teeth, and a worse DSS level than those in the oral nutrition group (FOIS level 3–7, N = 148). Multiple analysis with improvement in FOIS score as the dependent variable showed that number of functional teeth (odds ratio [OR]: 1.08, <i>p</i> = 0.04) and improved DSS (OR: 7.44, <i>p</i> < 0.001) and OHAT values (OR: 1.23, <i>p</i> = 0.048) were associated with improvement in nutritional intake methods in acute care. Therefore, recovery of swallowing function and oral health might be important for stroke patients to recover oral ingestion in acute care.Michiyo AoyagiJunichi FuruyaChiaki MatsubaraKanako YoshimiAyako NakaneKazuharu NakagawaMotoki InajiYuji SatoHaruka ToharaShunsuke MinakuchiTaketoshi MaeharaMDPI AGarticleacute strokenutritionoral healthoral functiondysphagiaswallowingMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11379, p 11379 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute stroke nutrition oral health oral function dysphagia swallowing Medicine R
spellingShingle	acute stroke nutrition oral health oral function dysphagia swallowing Medicine R Michiyo Aoyagi Junichi Furuya Chiaki Matsubara Kanako Yoshimi Ayako Nakane Kazuharu Nakagawa Motoki Inaji Yuji Sato Haruka Tohara Shunsuke Minakuchi Taketoshi Maehara Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients
description	Stroke and poor oral health are common in older people, and the brain injuries associated with stroke are often accompanied by a decline in oral function. In this study, we investigated the characteristics of stroke patients who could not recover oral ingestion until discharge and the association between improved oral health, swallowing function, and nutritional intake methods in acute care. The subjects were 216 consecutive stroke patients who were admitted to Tokyo Medical and Dental University hospital and received oral health management. Nutritional intake, dysphagia, and oral health were evaluated using the Functional Oral Intake Scale (FOIS), Dysphagia Severity Scale (DSS), and Oral Health Assessment Tool (OHAT), respectively. Patients in the tube feeding group (FOIS level 1–2, N = 68) tended to have a worse general condition, fewer functional teeth, and a worse DSS level than those in the oral nutrition group (FOIS level 3–7, N = 148). Multiple analysis with improvement in FOIS score as the dependent variable showed that number of functional teeth (odds ratio [OR]: 1.08, <i>p</i> = 0.04) and improved DSS (OR: 7.44, <i>p</i> < 0.001) and OHAT values (OR: 1.23, <i>p</i> = 0.048) were associated with improvement in nutritional intake methods in acute care. Therefore, recovery of swallowing function and oral health might be important for stroke patients to recover oral ingestion in acute care.
format	article
author	Michiyo Aoyagi Junichi Furuya Chiaki Matsubara Kanako Yoshimi Ayako Nakane Kazuharu Nakagawa Motoki Inaji Yuji Sato Haruka Tohara Shunsuke Minakuchi Taketoshi Maehara
author_facet	Michiyo Aoyagi Junichi Furuya Chiaki Matsubara Kanako Yoshimi Ayako Nakane Kazuharu Nakagawa Motoki Inaji Yuji Sato Haruka Tohara Shunsuke Minakuchi Taketoshi Maehara
author_sort	Michiyo Aoyagi
title	Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients
title_short	Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients
title_full	Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients
title_fullStr	Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients
title_full_unstemmed	Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients
title_sort	association between improvement of oral health, swallowing function, and nutritional intake method in acute stroke patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/582b0e7d1ac64639b8a26047f583a615
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Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients

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