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Article: A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
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TitleA longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
 
AuthorsPow, EHN
Leung, KCM
Wong, MCM
Li, LSW
McMillan, AS1
 
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
 
CitationInternational 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.
 
ISSN0020-6539
2013 Impact Factor: 1.195
2013 SCImago Journal Rankings: 0.604
 
ISI Accession Number IDWOS:000232413100005
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorPow, EHN
 
dc.contributor.authorLeung, KCM
 
dc.contributor.authorWong, MCM
 
dc.contributor.authorLi, LSW
 
dc.contributor.authorMcMillan, AS
 
dc.date.accessioned2010-09-06T05:51:48Z
 
dc.date.available2010-09-06T05:51:48Z
 
dc.date.issued2005
 
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.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationInternational Dental Journal, 2005, v. 55 n. 5, p. 319-324 [How to Cite?]
 
dc.identifier.epage324
 
dc.identifier.hkuros110698
 
dc.identifier.isiWOS:000232413100005
 
dc.identifier.issn0020-6539
2013 Impact Factor: 1.195
2013 SCImago Journal Rankings: 0.604
 
dc.identifier.issue5
 
dc.identifier.openurl
 
dc.identifier.pmid16245468
 
dc.identifier.scopuseid_2-s2.0-26444505958
 
dc.identifier.spage319
 
dc.identifier.urihttp://hdl.handle.net/10722/67081
 
dc.identifier.volume55
 
dc.languageeng
 
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595X
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofInternational Dental Journal
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAged
 
dc.subject.meshDental Plaque Index
 
dc.subject.meshEpidemiologic Methods
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshMale
 
dc.subject.meshOral Health
 
dc.subject.meshStroke - complications - rehabilitation
 
dc.subject.meshSurvivors
 
dc.subjectDisability
 
dc.subjectElderly
 
dc.subjectOral health
 
dc.subjectOral hygiene
 
dc.subjectStroke
 
dc.titleA longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong