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Conference Paper: Predictors of oral health-related quality of life in stroke patients

TitlePredictors of oral health-related quality of life in stroke patients
Authors
KeywordsCardiovascular disease and Quality of life
Issue Date2012
PublisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925
Citation
The Annual Meeting of the International Association for Dental Research (IADR) Southeast Asian Division, Hong Kong, China, 3-4 November 2012. In Journal of Dental Research, 2012, v. 91 n. Special Issue C: abstract no. 168719 How to Cite?
AbstractObjectives: To examine clinical and socio-demographic predictors of OHRQoL in patients following stroke. Methods: A group of 81 patients were enrolled in a randomized controlled clinical trial which provided oral hygiene interventions [(1) oral hygiene instruction (OHI) only, (2) OHI and 0.2% chlorhexidine(CHX) mouthrinse, or (3) OHI, 0.2% CHX mouthrinse, and assisted brushing] over a three week period during in-hospital rehabilitation. OHRQoL was measured by the Oral Health Impact Profile-14 (OHIP-14) prior to intervention initiation, and following completion of the clinical trial. Objective clinical oral health indicators (caries status, denture status, number of teeth, number of posterior occluding tooth pairs, dental plaque and gingival bleeding scores), socio-demographic (age, gender, educational attainment, receipt of financial assistance, employment status) and behavioral variables (dental attendance, toothbrushing habits), as well as stroke-related outcomes (functional disability, previous stroke, swallowing impairment, dominant side affected) were examined for their association with OHIP-14 scores. Results: Significant improvements in OHRQoL were observed over the course of the clinical trial for all patients as a whole (p<0.05), while OHIP-14 change scores did not significantly differ between treatment groups. In a negative binomial regression model for OHIP-14 scores at baseline, lack of tertiary education (rate ratio: 3.37, p<0.05, 95%CI: 1.25-9.06) was the only factor associated with OHRQoL. Baseline OHIP-14 scores were associated with scores at three weeks (rate ratio: 1.06, p<0.001, 95%CI: 1.03-1.09). Conclusions: OHRQoL is compromised following stroke and is associated with educational attainment level upon admission. While significant improvements in OHRQoL are observed following rehabilitation, subsequent OHRQoL is significantly associated with OHRQoL at baseline.
DescriptionSession: Behavioral, Epidemiologic and Health Services Research
Persistent Identifierhttp://hdl.handle.net/10722/182081
ISSN
2015 Impact Factor: 4.602
2015 SCImago Journal Rankings: 1.714

 

DC FieldValueLanguage
dc.contributor.authorLam, OLTen_US
dc.contributor.authorMcMillan, ASen_US
dc.contributor.authorSamaranayake, LPen_US
dc.contributor.authorLi, LSen_US
dc.contributor.authorMcGrath, CPJen_US
dc.date.accessioned2013-04-17T07:20:49Z-
dc.date.available2013-04-17T07:20:49Z-
dc.date.issued2012en_US
dc.identifier.citationThe Annual Meeting of the International Association for Dental Research (IADR) Southeast Asian Division, Hong Kong, China, 3-4 November 2012. In Journal of Dental Research, 2012, v. 91 n. Special Issue C: abstract no. 168719en_US
dc.identifier.issn0022-0345-
dc.identifier.urihttp://hdl.handle.net/10722/182081-
dc.descriptionSession: Behavioral, Epidemiologic and Health Services Research-
dc.description.abstractObjectives: To examine clinical and socio-demographic predictors of OHRQoL in patients following stroke. Methods: A group of 81 patients were enrolled in a randomized controlled clinical trial which provided oral hygiene interventions [(1) oral hygiene instruction (OHI) only, (2) OHI and 0.2% chlorhexidine(CHX) mouthrinse, or (3) OHI, 0.2% CHX mouthrinse, and assisted brushing] over a three week period during in-hospital rehabilitation. OHRQoL was measured by the Oral Health Impact Profile-14 (OHIP-14) prior to intervention initiation, and following completion of the clinical trial. Objective clinical oral health indicators (caries status, denture status, number of teeth, number of posterior occluding tooth pairs, dental plaque and gingival bleeding scores), socio-demographic (age, gender, educational attainment, receipt of financial assistance, employment status) and behavioral variables (dental attendance, toothbrushing habits), as well as stroke-related outcomes (functional disability, previous stroke, swallowing impairment, dominant side affected) were examined for their association with OHIP-14 scores. Results: Significant improvements in OHRQoL were observed over the course of the clinical trial for all patients as a whole (p<0.05), while OHIP-14 change scores did not significantly differ between treatment groups. In a negative binomial regression model for OHIP-14 scores at baseline, lack of tertiary education (rate ratio: 3.37, p<0.05, 95%CI: 1.25-9.06) was the only factor associated with OHRQoL. Baseline OHIP-14 scores were associated with scores at three weeks (rate ratio: 1.06, p<0.001, 95%CI: 1.03-1.09). Conclusions: OHRQoL is compromised following stroke and is associated with educational attainment level upon admission. While significant improvements in OHRQoL are observed following rehabilitation, subsequent OHRQoL is significantly associated with OHRQoL at baseline.-
dc.languageengen_US
dc.publisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925-
dc.relation.ispartofJournal of Dental Researchen_US
dc.rightsJournal of Dental Research. Copyright © Sage Publications, Inc..-
dc.subjectCardiovascular disease and Quality of life-
dc.titlePredictors of oral health-related quality of life in stroke patientsen_US
dc.typeConference_Paperen_US
dc.identifier.emailLam, OLT: ottolam@hku.hken_US
dc.identifier.emailSamaranayake, LP: lakshman@hku.hken_US
dc.identifier.emailMcGrath, CPJ: mcgrathc@hkucc.hku.hken_US
dc.identifier.authorityLam, OLT=rp01567en_US
dc.identifier.authoritySamaranayake, LP=rp00023en_US
dc.identifier.authorityMcGrath, CPJ=rp00037en_US
dc.identifier.hkuros213945en_US
dc.identifier.volume91en_US
dc.identifier.issueSpecial Issue C: abstract no. 168719en_US
dc.publisher.placeUnited States-

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