Individual and institutional factors associated with functional disability in nursing home residents: An observational study with multilevel analysis

Serrano-Urrea, Ramón; Gómez‐Rubio, Virgilio; Palacios‐Ceña, Domingo; Fernández‐de‐las‐Peñas, César; García-Meseguer, María José

doi:10.1371/journal.pone.0183945

Cited by 17 publications

(14 citation statements)

References 54 publications

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“…The variable ‘Not cleaning the denture at least once a day’ was the only one that showed any association with root active caries lesions, possibly indicating better self-care. Unlike other studies, we did not find any association between caries and the dependence to deliver oral hygiene [ 5 , 6 , 42 ]. Furthermore, similar to the study by Christensen et al [ 38 ], no association between caries and high sugar intake was observed, despite the thorough assessment of daily intake of free sugars was performed based on the WHO recommendations in the present study [ 16 , 17 ].…”

Section: Discussioncontrasting

confidence: 99%

“…A 10 times higher prevalence of active caries lesions (40.3%) was observed in the current study when compared with that from Denmark (3.7%) [ 38 ], which might reflect a less comprehensive national health system because the Colombian study included people 60 + only a dental appointment every two years including professional prophylaxis, calculus removal and oral hygiene instructions [ 39 ]. Another explanation for the difference in the prevalence between the two studies is the fact that we examined only institutionalised elderly people who presented with higher caries root experience [ 5 , 6 , 40 ]. Moreover, we used the root ICDAS caries criteria including different severity scores and active/inactive caries lesions, whereas the study by Christensen et al [ 38 ] included only one type of root caries lesions, namely, the active root caries, defined as localised caries lesions in root surfaces with a soft/leathery texture [ 25 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…Geriatric institutions are a more frequently residence option for the elderly and living in these institutions has been described as a factor associated with a high presence of caries [3,4]. Higher instances of disability, frailty and dependence are common among institutionalised elderly people [5,6] and are associated with a higher likelihood of having oral health problems, such as dental caries [5,7]. An increase in the number of retained teeth [7][8][9] and those with pre-existing root caries lesions, plaque [9][10][11], coronal caries [12,13], exposed root surfaces [10][11][12][13][14] and hyposalivation [15] and intake of free sugar [16,17] have been described as risk factors for root caries [16,17].…”

Section: Introductionmentioning

confidence: 99%

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Association between root/coronal caries and individual factors in institutionalised elderly using ICDAS severity and activity

et al. 2021

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Background Caries in the elderly has been associated with dependence, oral-health status and -care practices. This cross-sectional study aimed to investigate the association between root/coronal caries and individual factors among institutionalised elderly people in Bogotá, Colombia, using the International Caries Detection and Assessment System severity and activity criteria (ICDAS). Methods A total of 226 institutionalised elderly were clinically examined for root and coronal caries in 40 institutions. Caries risk was assessed with Cariogram, and demographics, oral health knowledge and practices, oral health-related quality of life and denture-use habits using a questionnaire. Results Participants (mean age: 80.1 ± 9.3 years; 63.7% female) presented a mean number of 10.8 ± 7.3 teeth and 19.4 ± 18.8 exposed root surfaces. Prevalence of Coronal-ICDAS caries experience (C-ICDAS DF) was of 100% and of 54.4% for C-ICDAS D; mean number of C-ICDAS DFS was 16.76 ± 27.36, with 50.9% of subjects having ≥ one active C-ICDAS DS. Prevalence of Root Caries Index was of 49.1% and of R-ICDAS DF of 46%; mean number of R-ICDAS DFS was 2.03 ± 2.78, with 40.3% of subjects having ≥ one active R-ICDAS DS. Most individuals had a systemic condition (94.2%) and required oral-hygiene assistance (58%). Logistic regression analyses showed significant associations (p < 0.05): for coronal active caries when having over six teeth (OR: 2.7), and for root caries, when having coronal caries (OR: 2.41), being a man (OR: 1.95), and having over 14 teeth (OR: 0.30). Those presenting with > eight exposed root surfaces were 4.04 more likely to have root caries and 2.4 times more likely to have active root caries. Conclusion In the institutionalised elderly population in Bogotá significant associations were found, both for the presence as for the activity status of root and coronal caries, with individual clinical factors including coronal caries, exposed root surfaces and number of teeth.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between root/coronal caries and individual factors in institutionalised elderly using ICDAS severity and activity

et al. 2021

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“…Serrano-Urrea, Gómez-Rubio, Palacios-Ceña et al . (2017) found, that the mean scores of Barthel Index decreases with aging [ 42 ]. In our study, the mean scores of the Barthel Index were also lower in older-age groups.…”

Section: Discussionmentioning

confidence: 99%

Prognosis of treatment outcomes by cognitive and physical scales

Jakavonytė-Akstinienė

Dikčius

Macijauskienė

2018

Open Medicine

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AbstractThe aim of this study was to assess the possibility of using scales for measuring cognitive and physical functions for a prognosis of care outcomes in elderly patients. Methodology. The survey was carried out in one of the Vilnius City Hospitals for Nursing and Support Treatment. A total number of 177 respondents were involved in the study. The Mini–Mental State Examination (MMSE), The Barthel Index (BI) and The Morse Fall Scale were used. Results. A statistically significant correlation was revealed between the scores of MMSE and BI (Pearson R = 0.41, p < 0.01); those with severe cognitive impairment were more dependent. A statistically significant correlation (Pearson R = −0.181, p < 0.01) was reported between the scores of MMSE and the Morse Fall Scale – the risk of falling was higher in patients with severe cognitive impairment. Conclusions. The Morse Fall Scale was not suitable for the prognosis of outcomes. The MMSE was suitable for the prognosis of a patient’s discharge. The Barthel Index should be considered as the most suitable tool for the prognosis of care outcomes: the sum-score of the Barthel Index above 25 may suggest that the patient would be discharged home; the sum-score below this level was associated with a higher likelihood of patient death.

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“…During two-year observation of the elderly people under institutional care Jerez-Roig et al observed that the process of the decreasing daily functioning was much quicker at the beginning of the institutionalized care than it was at the end of the study [52]. The research shows that the level of functional disability and dependence of elderly people in everyday activities is much higher in residents of NHs as compared with the results of people living in the community [53]. Taking into account the above-mentioned results we need to propose a systemic assessment of elderly people which can be modelled on the Comprehensive Geriatric Assessment [54].…”

Section: Discussionmentioning

confidence: 95%

Psychophysical Health Factors and Its Correlations in Elderly Wheelchair Users Who Live in Nursing Homes

Wołoszyn

Grzegorczyk

Wiśniowska-Szurlej

et al. 2020

IJERPH

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Background: The aging is a multi-faceted process comprising both—the physical and mental alterations. Thus, the aim of the study was to evaluate the variables affecting the psychophysical state of the elderly people using wheelchairs and living in nursing homes (NH). Methods: 165 older wheelchair users were included in the study after meeting the inclusion criteria and expressing written consent. The assessment involved cognitive functioning, depression, body balance and flexibility, lung capacity and upper limbs dexterity, strenght and endurance. The results showed negative correlation between depression and balance, upper limb dexterity and endurance and shoulder flexion. A positive correlation between cognitive functioning and balance, upper limb dexterity, strenght and endurance, lung capacity and joint mobility was determined. Also, the study proved positive correlation between daily functioning and functional fitness, muscle strength and endurance, body flexibility, joint mobility. The regression analysis showed that better scores in balance test and joint mobility implied with higher scores in cognitive functioning. The most important determinants of functional fitness were balance, hand grip strenght and joint mobility. Conclusion: The future study should be focused on developing interventions aimed at senior wheelchair users living in NHs to prevent the deterioration of their mental and physical fitness.

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Individual and institutional factors associated with functional disability in nursing home residents: An observational study with multilevel analysis

Abstract: Background

Cited by 17 publications

References 54 publications

Association between root/coronal caries and individual factors in institutionalised elderly using ICDAS severity and activity

Association between root/coronal caries and individual factors in institutionalised elderly using ICDAS severity and activity

Prognosis of treatment outcomes by cognitive and physical scales

Psychophysical Health Factors and Its Correlations in Elderly Wheelchair Users Who Live in Nursing Homes

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