Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients
Introduction Oral care is crucial for the prevention of cardiovascular events and pneumonia. However, few studies have evaluated the associations between multidimensional assessments of oral status or functional outcomes and hospital-acquired pneumonia (HAP). Methods Consecutive patients with acute...
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| Veröffentlicht in: | Clinical oral investigations 2024-07, Vol.28 (8), p.434, Article 434 |
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| description | Introduction
Oral care is crucial for the prevention of cardiovascular events and pneumonia. However, few studies have evaluated the associations between multidimensional assessments of oral status or functional outcomes and hospital-acquired pneumonia (HAP).
Methods
Consecutive patients with acute ischemic stroke (AIS) were retrospectively analyzed. We evaluated the modified oral assessment grade (mOAG) and investigated its association with a modified Rankin scale (mRS) score of 0‒2 (good stroke outcome) and HAP. The mOAG was developed to evaluate 8 categories (lip, tongue, coated tongue, saliva, mucosa, gingiva, preservation, and gargling) on a 4-point scale ranging from 0 to 3. We analyzed the effectiveness of the mOAG score for predicting stroke outcome or HAP using receiver operating characteristic (ROC) curve analysis.
Results
In total, 247 patients with AIS were analyzed. The area under the ROC curve of the mOAG for predicting poor outcomes was 0.821 (cutoff value: 7), and that for HAP incidence was 0.783 (cutoff value: 8). mOAG (a one-point increase) was associated with poor stroke outcome (odds ratio [OR] 1.31, 95% confidence interval [CI] 1.17‒1.48,
P
|
| doi_str_mv | 10.1007/s00784-024-05833-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11271429</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3082631682</sourcerecordid><originalsourceid>FETCH-LOGICAL-c312t-cbc9d5606ea7b44738a981512224e30c5bbc7cc869f0e000ffa57cce000046e43</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi0EoqXwAiyQJTZsAr4lcVYIVVCQKnUDa8txJue4JHZqO614BN6aOU0phQULX8bz-R97fkJecvaWM9a-yzhpVTGBo9ZSVjePyDFXsqlk2_LHD_ZH5FnOl4xx1bTyKTmSHRNadeKY_LxIdqIuhsEXHwO1hdph9jkfgiXB4F3JdFyDO6QRjWtxcYZMbRjoPubFFztV1l2tHmm6BFjnGLylA1zDFJcZAkri0Y5atxagPrs9zN7RXFL8DnSxxSOTn5Mno50yvLhbT8i3Tx-_nn6uzi_Ovpx-OK-c5KJUrnfdUDesAdv2SrVS207zmgshFEjm6r53rXO66UYGjLFxtDXGhy1TDSh5Qt5vusvazzA4rI0tMEvys00_TLTe_J0Jfm928dpwLlquRIcKb-4UUrxaIReDDXMwTTZAXLORTItG8kYLRF__g17GNWEfN6plNdMcKbFRLsWcE4z3r-HMHKw2m9UGrTa3VpsbvPTq4T_ur_z2FgG5ARlTYQfpT-3_yP4CKlu5VA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3082705081</pqid></control><display><type>article</type><title>Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Eto, Futoshi ; Nezu, Tomohisa ; Nishi, Hiromi ; Aoki, Shiro ; Tasaka, Saki ; Horikoshi, Susumu ; Yano, Kanako ; Kawaguchi, Hiroyuki ; Maruyama, Hirofumi</creator><creatorcontrib>Eto, Futoshi ; Nezu, Tomohisa ; Nishi, Hiromi ; Aoki, Shiro ; Tasaka, Saki ; Horikoshi, Susumu ; Yano, Kanako ; Kawaguchi, Hiroyuki ; Maruyama, Hirofumi</creatorcontrib><description>Introduction
Oral care is crucial for the prevention of cardiovascular events and pneumonia. However, few studies have evaluated the associations between multidimensional assessments of oral status or functional outcomes and hospital-acquired pneumonia (HAP).
Methods
Consecutive patients with acute ischemic stroke (AIS) were retrospectively analyzed. We evaluated the modified oral assessment grade (mOAG) and investigated its association with a modified Rankin scale (mRS) score of 0‒2 (good stroke outcome) and HAP. The mOAG was developed to evaluate 8 categories (lip, tongue, coated tongue, saliva, mucosa, gingiva, preservation, and gargling) on a 4-point scale ranging from 0 to 3. We analyzed the effectiveness of the mOAG score for predicting stroke outcome or HAP using receiver operating characteristic (ROC) curve analysis.
Results
In total, 247 patients with AIS were analyzed. The area under the ROC curve of the mOAG for predicting poor outcomes was 0.821 (cutoff value: 7), and that for HAP incidence was 0.783 (cutoff value: 8). mOAG (a one-point increase) was associated with poor stroke outcome (odds ratio [OR] 1.31, 95% confidence interval [CI] 1.17‒1.48,
P
< 0.001) and HAP (OR 1.21, 95% CI 1.07‒1.38,
P
= 0.003) after adjusting for baseline clinical characteristics, including age and stroke severity.
Conclusions
Lower mOAG scores at admission were independently associated with good outcomes and a decreased incidence of HAP. Comprehensive oral assessments are essential for acute stroke patients in clinical settings.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-024-05833-w</identifier><identifier>PMID: 39028492</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Body fluids ; Cardiovascular disease ; Clinical outcomes ; Dentistry ; Female ; Healthcare-Associated Pneumonia ; Humans ; Ischemia ; Ischemic Stroke ; Male ; Medicine ; Middle Aged ; Nosocomial infections ; Oral Health ; Oral hygiene ; Patients ; Pneumonia ; Predictive analytics ; Retrospective Studies ; Saliva ; Stroke ; Tongue</subject><ispartof>Clinical oral investigations, 2024-07, Vol.28 (8), p.434, Article 434</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c312t-cbc9d5606ea7b44738a981512224e30c5bbc7cc869f0e000ffa57cce000046e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-024-05833-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-024-05833-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39028492$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eto, Futoshi</creatorcontrib><creatorcontrib>Nezu, Tomohisa</creatorcontrib><creatorcontrib>Nishi, Hiromi</creatorcontrib><creatorcontrib>Aoki, Shiro</creatorcontrib><creatorcontrib>Tasaka, Saki</creatorcontrib><creatorcontrib>Horikoshi, Susumu</creatorcontrib><creatorcontrib>Yano, Kanako</creatorcontrib><creatorcontrib>Kawaguchi, Hiroyuki</creatorcontrib><creatorcontrib>Maruyama, Hirofumi</creatorcontrib><title>Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Introduction
Oral care is crucial for the prevention of cardiovascular events and pneumonia. However, few studies have evaluated the associations between multidimensional assessments of oral status or functional outcomes and hospital-acquired pneumonia (HAP).
Methods
Consecutive patients with acute ischemic stroke (AIS) were retrospectively analyzed. We evaluated the modified oral assessment grade (mOAG) and investigated its association with a modified Rankin scale (mRS) score of 0‒2 (good stroke outcome) and HAP. The mOAG was developed to evaluate 8 categories (lip, tongue, coated tongue, saliva, mucosa, gingiva, preservation, and gargling) on a 4-point scale ranging from 0 to 3. We analyzed the effectiveness of the mOAG score for predicting stroke outcome or HAP using receiver operating characteristic (ROC) curve analysis.
Results
In total, 247 patients with AIS were analyzed. The area under the ROC curve of the mOAG for predicting poor outcomes was 0.821 (cutoff value: 7), and that for HAP incidence was 0.783 (cutoff value: 8). mOAG (a one-point increase) was associated with poor stroke outcome (odds ratio [OR] 1.31, 95% confidence interval [CI] 1.17‒1.48,
P
< 0.001) and HAP (OR 1.21, 95% CI 1.07‒1.38,
P
= 0.003) after adjusting for baseline clinical characteristics, including age and stroke severity.
Conclusions
Lower mOAG scores at admission were independently associated with good outcomes and a decreased incidence of HAP. Comprehensive oral assessments are essential for acute stroke patients in clinical settings.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body fluids</subject><subject>Cardiovascular disease</subject><subject>Clinical outcomes</subject><subject>Dentistry</subject><subject>Female</subject><subject>Healthcare-Associated Pneumonia</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Ischemic Stroke</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Nosocomial infections</subject><subject>Oral Health</subject><subject>Oral hygiene</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Predictive analytics</subject><subject>Retrospective Studies</subject><subject>Saliva</subject><subject>Stroke</subject><subject>Tongue</subject><issn>1436-3771</issn><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kctu1TAQhi0EoqXwAiyQJTZsAr4lcVYIVVCQKnUDa8txJue4JHZqO614BN6aOU0phQULX8bz-R97fkJecvaWM9a-yzhpVTGBo9ZSVjePyDFXsqlk2_LHD_ZH5FnOl4xx1bTyKTmSHRNadeKY_LxIdqIuhsEXHwO1hdph9jkfgiXB4F3JdFyDO6QRjWtxcYZMbRjoPubFFztV1l2tHmm6BFjnGLylA1zDFJcZAkri0Y5atxagPrs9zN7RXFL8DnSxxSOTn5Mno50yvLhbT8i3Tx-_nn6uzi_Ovpx-OK-c5KJUrnfdUDesAdv2SrVS207zmgshFEjm6r53rXO66UYGjLFxtDXGhy1TDSh5Qt5vusvazzA4rI0tMEvys00_TLTe_J0Jfm928dpwLlquRIcKb-4UUrxaIReDDXMwTTZAXLORTItG8kYLRF__g17GNWEfN6plNdMcKbFRLsWcE4z3r-HMHKw2m9UGrTa3VpsbvPTq4T_ur_z2FgG5ARlTYQfpT-3_yP4CKlu5VA</recordid><startdate>20240719</startdate><enddate>20240719</enddate><creator>Eto, Futoshi</creator><creator>Nezu, Tomohisa</creator><creator>Nishi, Hiromi</creator><creator>Aoki, Shiro</creator><creator>Tasaka, Saki</creator><creator>Horikoshi, Susumu</creator><creator>Yano, Kanako</creator><creator>Kawaguchi, Hiroyuki</creator><creator>Maruyama, Hirofumi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><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><scope>5PM</scope></search><sort><creationdate>20240719</creationdate><title>Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients</title><author>Eto, Futoshi ; Nezu, Tomohisa ; Nishi, Hiromi ; Aoki, Shiro ; Tasaka, Saki ; Horikoshi, Susumu ; Yano, Kanako ; Kawaguchi, Hiroyuki ; Maruyama, Hirofumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c312t-cbc9d5606ea7b44738a981512224e30c5bbc7cc869f0e000ffa57cce000046e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body fluids</topic><topic>Cardiovascular disease</topic><topic>Clinical outcomes</topic><topic>Dentistry</topic><topic>Female</topic><topic>Healthcare-Associated Pneumonia</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Ischemic Stroke</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Nosocomial infections</topic><topic>Oral Health</topic><topic>Oral hygiene</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Predictive analytics</topic><topic>Retrospective Studies</topic><topic>Saliva</topic><topic>Stroke</topic><topic>Tongue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eto, Futoshi</creatorcontrib><creatorcontrib>Nezu, Tomohisa</creatorcontrib><creatorcontrib>Nishi, Hiromi</creatorcontrib><creatorcontrib>Aoki, Shiro</creatorcontrib><creatorcontrib>Tasaka, Saki</creatorcontrib><creatorcontrib>Horikoshi, Susumu</creatorcontrib><creatorcontrib>Yano, Kanako</creatorcontrib><creatorcontrib>Kawaguchi, Hiroyuki</creatorcontrib><creatorcontrib>Maruyama, Hirofumi</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eto, Futoshi</au><au>Nezu, Tomohisa</au><au>Nishi, Hiromi</au><au>Aoki, Shiro</au><au>Tasaka, Saki</au><au>Horikoshi, Susumu</au><au>Yano, Kanako</au><au>Kawaguchi, Hiroyuki</au><au>Maruyama, Hirofumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2024-07-19</date><risdate>2024</risdate><volume>28</volume><issue>8</issue><spage>434</spage><pages>434-</pages><artnum>434</artnum><issn>1436-3771</issn><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Introduction
Oral care is crucial for the prevention of cardiovascular events and pneumonia. However, few studies have evaluated the associations between multidimensional assessments of oral status or functional outcomes and hospital-acquired pneumonia (HAP).
Methods
Consecutive patients with acute ischemic stroke (AIS) were retrospectively analyzed. We evaluated the modified oral assessment grade (mOAG) and investigated its association with a modified Rankin scale (mRS) score of 0‒2 (good stroke outcome) and HAP. The mOAG was developed to evaluate 8 categories (lip, tongue, coated tongue, saliva, mucosa, gingiva, preservation, and gargling) on a 4-point scale ranging from 0 to 3. We analyzed the effectiveness of the mOAG score for predicting stroke outcome or HAP using receiver operating characteristic (ROC) curve analysis.
Results
In total, 247 patients with AIS were analyzed. The area under the ROC curve of the mOAG for predicting poor outcomes was 0.821 (cutoff value: 7), and that for HAP incidence was 0.783 (cutoff value: 8). mOAG (a one-point increase) was associated with poor stroke outcome (odds ratio [OR] 1.31, 95% confidence interval [CI] 1.17‒1.48,
P
< 0.001) and HAP (OR 1.21, 95% CI 1.07‒1.38,
P
= 0.003) after adjusting for baseline clinical characteristics, including age and stroke severity.
Conclusions
Lower mOAG scores at admission were independently associated with good outcomes and a decreased incidence of HAP. Comprehensive oral assessments are essential for acute stroke patients in clinical settings.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39028492</pmid><doi>10.1007/s00784-024-05833-w</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical oral investigations, 2024-07, Vol.28 (8), p.434, Article 434 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Aged Aged, 80 and over Body fluids Cardiovascular disease Clinical outcomes Dentistry Female Healthcare-Associated Pneumonia Humans Ischemia Ischemic Stroke Male Medicine Middle Aged Nosocomial infections Oral Health Oral hygiene Patients Pneumonia Predictive analytics Retrospective Studies Saliva Stroke Tongue |
| title | Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients |
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