Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study
Aims Apraxia may hinder oral self‐care and is associated with poor oral hygiene. Intersecting Pentagons Test (IPT) is a simple screening tool for constructional apraxia (CA) that tests the ability to copy a bidimensional figure. In this study we investigated whether IPT is useful to identify subject...
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| Veröffentlicht in: | Special care in dentistry 2019-09, Vol.39 (5), p.491-496 |
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| creator | Bevilacqua, Lorenzo Severin, Angelica Russi, Erika Angerame, Daniele Ceschia, Giuliano Bartoli, Giulio Omiciuolo, Cinzia |
| description | Aims
Apraxia may hinder oral self‐care and is associated with poor oral hygiene. Intersecting Pentagons Test (IPT) is a simple screening tool for constructional apraxia (CA) that tests the ability to copy a bidimensional figure. In this study we investigated whether IPT is useful to identify subjects that need interventions to support oral health in a cohort of geriatric inpatients.
Methods and results
We assessed oral health through the decayed, missing or filled teeth index, plaque index, and periodontal screening and recording tool. We inquired about autonomy in oral hygiene activities through a standardized questionnaire. Among subjects with CA (273 out of 478 hospitalized subjects aged > 65 years) we found a higher prevalence of edentulism (P = 0.04), periodontal disease (PD) (P = 0.03), and dependence in oral hygiene activities (P |
| doi_str_mv | 10.1111/scd.12402 |
| format | Article |
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Apraxia may hinder oral self‐care and is associated with poor oral hygiene. Intersecting Pentagons Test (IPT) is a simple screening tool for constructional apraxia (CA) that tests the ability to copy a bidimensional figure. In this study we investigated whether IPT is useful to identify subjects that need interventions to support oral health in a cohort of geriatric inpatients.
Methods and results
We assessed oral health through the decayed, missing or filled teeth index, plaque index, and periodontal screening and recording tool. We inquired about autonomy in oral hygiene activities through a standardized questionnaire. Among subjects with CA (273 out of 478 hospitalized subjects aged > 65 years) we found a higher prevalence of edentulism (P = 0.04), periodontal disease (PD) (P = 0.03), and dependence in oral hygiene activities (P < 0.001). Only 34.8% of nonautonomous apraxic patients had a caregiver that supplied oral care. In an age and sex‐adjusted generalized linear model, IPT proved to be an independent predictor of dependence in oral care, reaching 61.5% sensitivity in identifying dependent patients.
Conclusion
Among elderly inpatients, there is a significant association between IPT results, poor oral health status, and dependence in oral hygiene activities. Positivity to IPT should prompt proper device counseling and caregiver education.</description><identifier>ISSN: 0275-1879</identifier><identifier>EISSN: 1754-4505</identifier><identifier>DOI: 10.1111/scd.12402</identifier><identifier>PMID: 31267568</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Apraxia ; Apraxias ; Autonomy ; Caregivers ; Cognitive ability ; Cross-Sectional Studies ; dementia ; Dental Plaque Index ; Dentistry ; elders ; Generalized linear models ; Geriatrics ; Gum disease ; Humans ; Oral Health ; Oral Hygiene ; periodontal disease ; Periodontal diseases ; Plaque index</subject><ispartof>Special care in dentistry, 2019-09, Vol.39 (5), p.491-496</ispartof><rights>2019 Special Care Dentistry Association and Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3132-ca9751c42b408716b686aeabe90d5784b518307b8b47c26f4bd133bd0311f8323</cites><orcidid>0000-0002-5915-152X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fscd.12402$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fscd.12402$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31267568$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bevilacqua, Lorenzo</creatorcontrib><creatorcontrib>Severin, Angelica</creatorcontrib><creatorcontrib>Russi, Erika</creatorcontrib><creatorcontrib>Angerame, Daniele</creatorcontrib><creatorcontrib>Ceschia, Giuliano</creatorcontrib><creatorcontrib>Bartoli, Giulio</creatorcontrib><creatorcontrib>Omiciuolo, Cinzia</creatorcontrib><title>Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study</title><title>Special care in dentistry</title><addtitle>Spec Care Dentist</addtitle><description>Aims
Apraxia may hinder oral self‐care and is associated with poor oral hygiene. Intersecting Pentagons Test (IPT) is a simple screening tool for constructional apraxia (CA) that tests the ability to copy a bidimensional figure. In this study we investigated whether IPT is useful to identify subjects that need interventions to support oral health in a cohort of geriatric inpatients.
Methods and results
We assessed oral health through the decayed, missing or filled teeth index, plaque index, and periodontal screening and recording tool. We inquired about autonomy in oral hygiene activities through a standardized questionnaire. Among subjects with CA (273 out of 478 hospitalized subjects aged > 65 years) we found a higher prevalence of edentulism (P = 0.04), periodontal disease (PD) (P = 0.03), and dependence in oral hygiene activities (P < 0.001). Only 34.8% of nonautonomous apraxic patients had a caregiver that supplied oral care. In an age and sex‐adjusted generalized linear model, IPT proved to be an independent predictor of dependence in oral care, reaching 61.5% sensitivity in identifying dependent patients.
Conclusion
Among elderly inpatients, there is a significant association between IPT results, poor oral health status, and dependence in oral hygiene activities. Positivity to IPT should prompt proper device counseling and caregiver education.</description><subject>Aged</subject><subject>Apraxia</subject><subject>Apraxias</subject><subject>Autonomy</subject><subject>Caregivers</subject><subject>Cognitive ability</subject><subject>Cross-Sectional Studies</subject><subject>dementia</subject><subject>Dental Plaque Index</subject><subject>Dentistry</subject><subject>elders</subject><subject>Generalized linear models</subject><subject>Geriatrics</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Oral Health</subject><subject>Oral Hygiene</subject><subject>periodontal disease</subject><subject>Periodontal diseases</subject><subject>Plaque index</subject><issn>0275-1879</issn><issn>1754-4505</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kclOwzAQhi0EomU58AIoEhc4pHiJY4cbKquExAE4R95CA25c7ERQTjwCz8iT4DaFAxK-jOT59GlmfgD2EByh-I6D0iOEM4jXwBAxmqUZhXQdDCFmNEWcFQOwFcIThAQhjDfBgCCcM5rzIXgeuya0vlNt7RphEzHz4q0WSVDemKZuHhPR6MT52JoYYdtJIqYu_k5cmNWtsPW7iW2rjU-E7mwbTpLTRHkXwtfHZzA_2tB2er4DNiphg9ld1W3wcHF-P75Kb24vr8enN6kiiOBUiYJRpDIsM8gZymXOc2GENAXUlPFMUsQJZJLLjCmcV5nUiBCpF9tVnGCyDQ5778y7l86EtpzWQRlrRWNcF0qMKco5LxCN6MEf9Ml1Pk68oKKL5YwXkTrqqeVi3lTlzNdT4eclguUigTImUC4TiOz-ytjJqdG_5M_JI3DcA6-1NfP_TeXd-KxXfgODSpCR</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Bevilacqua, Lorenzo</creator><creator>Severin, Angelica</creator><creator>Russi, Erika</creator><creator>Angerame, Daniele</creator><creator>Ceschia, Giuliano</creator><creator>Bartoli, Giulio</creator><creator>Omiciuolo, Cinzia</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5915-152X</orcidid></search><sort><creationdate>201909</creationdate><title>Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study</title><author>Bevilacqua, Lorenzo ; Severin, Angelica ; Russi, Erika ; Angerame, Daniele ; Ceschia, Giuliano ; Bartoli, Giulio ; Omiciuolo, Cinzia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3132-ca9751c42b408716b686aeabe90d5784b518307b8b47c26f4bd133bd0311f8323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Apraxia</topic><topic>Apraxias</topic><topic>Autonomy</topic><topic>Caregivers</topic><topic>Cognitive ability</topic><topic>Cross-Sectional Studies</topic><topic>dementia</topic><topic>Dental Plaque Index</topic><topic>Dentistry</topic><topic>elders</topic><topic>Generalized linear models</topic><topic>Geriatrics</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Oral Health</topic><topic>Oral Hygiene</topic><topic>periodontal disease</topic><topic>Periodontal diseases</topic><topic>Plaque index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bevilacqua, Lorenzo</creatorcontrib><creatorcontrib>Severin, Angelica</creatorcontrib><creatorcontrib>Russi, Erika</creatorcontrib><creatorcontrib>Angerame, Daniele</creatorcontrib><creatorcontrib>Ceschia, Giuliano</creatorcontrib><creatorcontrib>Bartoli, Giulio</creatorcontrib><creatorcontrib>Omiciuolo, Cinzia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Special care in dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bevilacqua, Lorenzo</au><au>Severin, Angelica</au><au>Russi, Erika</au><au>Angerame, Daniele</au><au>Ceschia, Giuliano</au><au>Bartoli, Giulio</au><au>Omiciuolo, Cinzia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study</atitle><jtitle>Special care in dentistry</jtitle><addtitle>Spec Care Dentist</addtitle><date>2019-09</date><risdate>2019</risdate><volume>39</volume><issue>5</issue><spage>491</spage><epage>496</epage><pages>491-496</pages><issn>0275-1879</issn><eissn>1754-4505</eissn><abstract>Aims
Apraxia may hinder oral self‐care and is associated with poor oral hygiene. Intersecting Pentagons Test (IPT) is a simple screening tool for constructional apraxia (CA) that tests the ability to copy a bidimensional figure. In this study we investigated whether IPT is useful to identify subjects that need interventions to support oral health in a cohort of geriatric inpatients.
Methods and results
We assessed oral health through the decayed, missing or filled teeth index, plaque index, and periodontal screening and recording tool. We inquired about autonomy in oral hygiene activities through a standardized questionnaire. Among subjects with CA (273 out of 478 hospitalized subjects aged > 65 years) we found a higher prevalence of edentulism (P = 0.04), periodontal disease (PD) (P = 0.03), and dependence in oral hygiene activities (P < 0.001). Only 34.8% of nonautonomous apraxic patients had a caregiver that supplied oral care. In an age and sex‐adjusted generalized linear model, IPT proved to be an independent predictor of dependence in oral care, reaching 61.5% sensitivity in identifying dependent patients.
Conclusion
Among elderly inpatients, there is a significant association between IPT results, poor oral health status, and dependence in oral hygiene activities. Positivity to IPT should prompt proper device counseling and caregiver education.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31267568</pmid><doi>10.1111/scd.12402</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5915-152X</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Apraxia Apraxias Autonomy Caregivers Cognitive ability Cross-Sectional Studies dementia Dental Plaque Index Dentistry elders Generalized linear models Geriatrics Gum disease Humans Oral Health Oral Hygiene periodontal disease Periodontal diseases Plaque index |
| title | Constructional apraxia screening and oral health among hospitalized older adults: A cross‐sectional study |
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