Effect of periodic management in general dental practices on length of patient hospital stay

Yamaguchi, Satoko; Utsumi, Akemi; Asai, Hideki; Ando, Yumiko; Osakabe, Luna; Yamaguchi, Asako; Sato, Ayako; Enami, Sara; Shibata, Yumi; Watase, Honami; Shirakura, Kyoko; Maruoka, Yasuhiro; Hironaka, Shouji

doi:10.1016/j.ajoms.2022.08.001

Cited by 1 publication

(3 citation statements)

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“…Postoperative infections, such as postoperative fever, wound infections, and lower respiratory tract infections, are common in cardiovascular surgery because of their highly invasive nature [1][2][3][4]. These complications, including postoperative infections, can decrease the postoperative quality of life of the patients [5,6]. They can also increase hospital resource consumption because of costs and length of stay [7].…”

Section: Introductionmentioning

confidence: 99%

“…Improving perioperative oral health management (POM) can promote the postoperative quality of life of the patients [4,[9][10][11][12][13]. In our previous study, we found that patients with a family dentist had a shorter length of stay than those without a family dentist [6]. Therefore, POM was implemented in Japan in April 2012 to…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, POM was implemented in Japan in April 2012 to reduce postoperative complications, such as aspiration pneumonia. At Showa University Hospital, through medical and dental collaboration, oral care was provided by dentistry to patients undergoing cardiovascular surgery [ 6 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Effective Oral Indicators With Medical and Dental Collaboration in Open Heart Surgery: A Representative Survey

Ono,

Hironaka,

Utsumi

et al. 2024

Cureus

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Purpose Postoperative infections pose an important problem for patients with cardiac disease. Moreover, oral health status is associated with the risk of longer hospital stays. Therefore, the oral health status of patients was assessed before open-heart surgery. This study aimed to determine the relationship between oral health status and postoperative status. Methods The study included 25 patients who underwent open-heart surgery at our university hospital in 2020. Upon admission, dentists conducted an oral examination and assessed the oral health status of the patients, also using the Japanese version of the Oral Health Assessment Tool (OHAT-J), Revised Oral Assessment Guide (ROAG), oral moisture level, oral bacteria, and other relevant factors. The study investigated the association with postoperative status. Findings Significant postoperative infections were found in patients aged ≥70 years, with an OHAT-J score of ≥5, OHAT-J lip score of ≥1, Streptococcus γ count of 1.0 × 10^6 or higher (CFU/mL), and increased Streptococcus γ before and after surgery. The duration of hospitalization correlated with the OHAT-J, OHAT-J gum and tissue, and ROAG scores. The duration of intensive care unit (ICU) stays correlated with the OHAT-J score. Conclusions The study demonstrates that OHAT-J scores are linked with predicting not just postoperative infection but also the length of hospitalization and ICU stay. As OHAT-J scores do not necessitate specialized dental instruments, they are straightforward and beneficial for healthcare professionals outside of dentistry.

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