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
2011 Impact Factor: 0.963
2011 SCImago Journal Rankings: 0.058
ISI Accession Number IDWOS:000232413100005
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 0.963
2011 SCImago Journal Rankings: 0.058
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
Author Affiliations
  1. The University of Hong Kong