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Article: A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community

TitleA longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
Authors
KeywordsDisability
Elderly
Oral health
Oral hygiene
Stroke
Issue Date2005
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595X
Citation
International Dental Journal, 2005, v. 55 n. 5, p. 319-324 How to Cite?
AbstractAim: To investigate the oral health of elderly stroke survivors on discharge from hospital into the community after rehabilitation and six months later compared with community dwelling elderly people without stroke. Method: The study took place in the rehabilitation unit of a general medical hospital in Hong Kong. It was a longitudinal study involving 43 elderly survivors of mild to moderate stroke about to be discharged from hospital after rehabilitation and a comparison group of 43 community-dwelling elderly people. Verified clinical examination techniques and measures were used to assess dental caries, periodontal disease, oral hygiene, oral candidiasis, prosthetic status/need and functional disability (Barthel Index [BI]). Socio-demographic information was also collected. Results: Stroke survivors had significantly higher plaque and bleeding scores on hospital discharge and after six months compared with the control group (p<0.01). On hospital discharge, the stroke group also had a poorer periodontal condition with more 4-5mm pockets. The mean BI on hospital admission was 71 and 91 on discharge. Stroke survivors with a higher BI on discharge had lower plaque scores after six months. The tooth condition, number of functional tooth pairs, prosthetic status, presence of oral candidiasis and oral yeast carriage were similar between stroke and comparison groups. Conclusions: Despite significant objective improvement in functional ability after stroke, elderly survivors returning to the community had significantly poorer periodontal health compared with community dwelling elderly without stroke, and the situation did not improve dramatically over six months. The protracted recovery of hand, arm and oral sensori-motor function is the most likely cause. © 2005 FDI/World Dental Press.
Persistent Identifierhttp://hdl.handle.net/10722/67081
ISSN
2014 Impact Factor: 1.259
2014 SCImago Journal Rankings: 0.484
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPow, EHNen_HK
dc.contributor.authorLeung, KCMen_HK
dc.contributor.authorWong, MCMen_HK
dc.contributor.authorLi, LSWen_HK
dc.contributor.authorMcMillan, ASen_HK
dc.date.accessioned2010-09-06T05:51:48Z-
dc.date.available2010-09-06T05:51:48Z-
dc.date.issued2005en_HK
dc.identifier.citationInternational Dental Journal, 2005, v. 55 n. 5, p. 319-324en_HK
dc.identifier.issn0020-6539en_HK
dc.identifier.urihttp://hdl.handle.net/10722/67081-
dc.description.abstractAim: To investigate the oral health of elderly stroke survivors on discharge from hospital into the community after rehabilitation and six months later compared with community dwelling elderly people without stroke. Method: The study took place in the rehabilitation unit of a general medical hospital in Hong Kong. It was a longitudinal study involving 43 elderly survivors of mild to moderate stroke about to be discharged from hospital after rehabilitation and a comparison group of 43 community-dwelling elderly people. Verified clinical examination techniques and measures were used to assess dental caries, periodontal disease, oral hygiene, oral candidiasis, prosthetic status/need and functional disability (Barthel Index [BI]). Socio-demographic information was also collected. Results: Stroke survivors had significantly higher plaque and bleeding scores on hospital discharge and after six months compared with the control group (p<0.01). On hospital discharge, the stroke group also had a poorer periodontal condition with more 4-5mm pockets. The mean BI on hospital admission was 71 and 91 on discharge. Stroke survivors with a higher BI on discharge had lower plaque scores after six months. The tooth condition, number of functional tooth pairs, prosthetic status, presence of oral candidiasis and oral yeast carriage were similar between stroke and comparison groups. Conclusions: Despite significant objective improvement in functional ability after stroke, elderly survivors returning to the community had significantly poorer periodontal health compared with community dwelling elderly without stroke, and the situation did not improve dramatically over six months. The protracted recovery of hand, arm and oral sensori-motor function is the most likely cause. © 2005 FDI/World Dental Press.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595Xen_HK
dc.relation.ispartofInternational Dental Journalen_HK
dc.subjectDisabilityen_HK
dc.subjectElderlyen_HK
dc.subjectOral healthen_HK
dc.subjectOral hygieneen_HK
dc.subjectStrokeen_HK
dc.subject.meshAgeden_HK
dc.subject.meshDental Plaque Indexen_HK
dc.subject.meshEpidemiologic Methodsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshOral Healthen_HK
dc.subject.meshStroke - complications - rehabilitationen_HK
dc.subject.meshSurvivorsen_HK
dc.titleA longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the communityen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0020-6539&volume=55&spage=319&epage=324&date=2005&atitle=A+longitudinal+study+of+the+oral+health+condition+of+elderly+stroke+survivors+on+hospital+discharge+into+the+communityen_HK
dc.identifier.emailPow, EHN: ehnpow@hku.hken_HK
dc.identifier.emailLeung, KCM: kcmleung@hkucc.hku.hken_HK
dc.identifier.emailWong, MCM: mcmwong@hkucc.hku.hken_HK
dc.identifier.emailMcMillan, AS: annemcmillan@hku.hken_HK
dc.identifier.authorityPow, EHN=rp00030en_HK
dc.identifier.authorityLeung, KCM=rp00032en_HK
dc.identifier.authorityWong, MCM=rp00024en_HK
dc.identifier.authorityMcMillan, AS=rp00014en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid16245468en_HK
dc.identifier.scopuseid_2-s2.0-26444505958en_HK
dc.identifier.hkuros110698en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-26444505958&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume55en_HK
dc.identifier.issue5en_HK
dc.identifier.spage319en_HK
dc.identifier.epage324en_HK
dc.identifier.isiWOS:000232413100005-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridPow, EHN=6603825799en_HK
dc.identifier.scopusauthoridLeung, KCM=26221830300en_HK
dc.identifier.scopusauthoridWong, MCM=26029250900en_HK
dc.identifier.scopusauthoridLi, LSW=7501450364en_HK
dc.identifier.scopusauthoridMcMillan, AS=7102843317en_HK

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