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

被引：16

作者：

Aoyagi, Michiyo ^{[1
]}

Furuya, Junichi ^{[2
]}

Matsubara, Chiaki ^{[3
,4
]}

Yoshimi, Kanako ^{[1
]}

Nakane, Ayako ^{[1
]}

Nakagawa, Kazuharu ^{[1
]}

Inaji, Motoki ^{[5
]}

Sato, Yuji ^{[2
]}

Tohara, Haruka ^{[1
]}

Minakuchi, Shunsuke ^{[3
]}

Maehara, Taketoshi ^{[5
]}

机构：

[1] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dept Dysphagia Rehabil, Tokyo 1138549, Japan

[2] Showa Univ, Sch Dent, Dept Geriatr Dent, Tokyo 1458515, Japan

[3] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dept Gerodontol & Oral Rehabil, Tokyo 1138510, Japan

[4] Univ Shizuoka, Dept Dent Hyg, Jr Coll, Shizuoka 4228021, Japan

[5] Tokyo Med & Dent Univ TMDU, Grad Sch Med & Dent Sci, Dept Neurosurg, Tokyo 1138519, Japan

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2021年 / 18卷 / 21期

基金：

日本学术振兴会;

关键词：

acute stroke; nutrition; oral health; oral function; dysphagia; swallowing; ISCHEMIC-STROKE; DYSPHAGIA; REHABILITATION; COMPLICATIONS; MALNUTRITION; ASPIRATION; PNEUMONIA; OUTCOMES; PREVALENCE; DENTURES;

D O I：

10.3390/ijerph182111379

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

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, p = 0.04) and improved DSS (OR: 7.44, p < 0.001) and OHAT values (OR: 1.23, p = 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.

引用

页数：11

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[1] Geriatric Nutrition Risk Index is comparable to the mini nutritional assessment for assessing nutritional status in elderly hospitalized patients [J].