Universität zu Köln

Roehrig, Gabriele, Pia, Schmidt, Bussmann, Michael, Kunter, Henning, Noack, Michael Johannes and Barbe, Anna Greta (2020). Do subjectively and objectively impaired oral health parameters influence geriatric assessment results in hospitalized geriatric patients? Eur. Geriatr. Med., 11 (3). S. 465 - 475. NEW YORK: SPRINGER. ISSN 1878-7657

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Abstract

Background Impaired oral health affects oral health-related quality of life (OHrQoL) in orthogeriatric hospitalized patients, and both might be associated with potential risk factors for functional impairment, based on the comprehensive geriatric assessment (CGA) and related blood laboratory values. As data on this field are scarce, we investigated possible associations between oral health, items of the geriatric oral health assessment instrument (GOHAI), CGA assessment tools, and relevant laboratory values. Methods Explorative cross-sectional pilot study investigating oral and general health, OHrQoL, and functionality based on objective oral health, GOHAI, CGA, and routinely assessed laboratory parameters of orthogeriatric patients. Correlations (Spearman's rho and Pearson's) and regression analysis were performed for the dependent variables functionality, cognition, Mini-Nutritional Assessment, Falls Efficacy Scale (FES), and the 15-item geriatric depression scale (GDS). Results Among all participants (N = 40), several GOHAI single items (GOHAI 1,4,5,7,10,11) correlated with certain CGA assessment results (fear of falling, Barthel index, handgrip power). Reduced subjective oral health (GOHAI, xerostomia) and objective oral health (oral hygiene index, root caries index, unstimulated salivation rate) correlated with reduced general health and CGA results (polypharmacy, handgrip power, FES, GDS). Anemia was seen in all participants, but no associations between reduced oral health and laboratory blood values were detected. Conclusion Our results demonstrate the association between impaired subjective and objective oral health, OHrQoL, and physical functional impairment among orthogeriatric patients. Impaired GOHAI item results at the dentist, and the association between GOHAI values and CGA results that implies an association between physical and oral health, should encourage a geriatric check based on CGA, and vice versa. Results encourage interdisciplinary cooperation between geriatricians and dentists, but also indicate the need for further research in this field. Key summary pointsAim To verify the hypothesis that there is an impact of objective and subjective oral health parameters on CGA results, which is reflected by laboratory parameters. Findings In our limited study group, associations between oral health parameters, OHrQoL, and CGA could be shown, but there were no associations with routine laboratory parameters. Message Our results demonstrate the association between impaired oral health, OHrQoL, and physical functional impairment among orthogeriatric patients. The results encourage interdisciplinary cooperation between geriatricians and dentists, but also indicate the need for further research in this field.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Roehrig, Gabriele UNSPECIFIED UNSPECIFIED UNSPECIFIED Pia, Schmidt UNSPECIFIED UNSPECIFIED UNSPECIFIED Bussmann, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunter, Henning UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, Michael Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Barbe, Anna Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-341047
DOI:	10.1007/s41999-020-00306-1
Journal or Publication Title:	Eur. Geriatr. Med.
Volume:	11
Number:	3
Page Range:	S. 465 - 475
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1878-7657
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NUTRITIONAL-STATUS; INITIAL VALIDATION; PHYSICAL-FITNESS; CHEWING ABILITY; HOME RESIDENTS; DENTAL STATUS; OLDER-PEOPLE; CARE; XEROSTOMIA; IMPACT Multiple languages Geriatrics & Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34104