Barbe, Anna Greta, Schmidt, Pia, Bussmann, Michael, Kunter, Henning, Noack, Michael Johannes and Roehrig, Gabriele (2018). Xerostomia and hyposalivation in orthogeriatric patients with fall history and impact on oral health-related quality of life. Clin. Interv. Aging, 13. S. 1971 - 1980. ALBANY: DOVE MEDICAL PRESS LTD. ISSN 1178-1998

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Abstract

Purpose: Falls are a common cause of morbidity and mortality in older people, and identification of risk indicators and risk factors to prevent falling is essential. Dry mouth (xerostomia and hyposalivation) can exacerbate conditions known to be fall risk indicators, such as nutritional status and sarcopenia. But there is little evidence regarding whether it is an independent risk factor for falling. We explored xerostomia prevalence and intensity and objective salivation rates in hospitalized geriatric patients to determine whether they were associated with an increased risk of falling. Patients and methods: Hospitalized geriatric patients with and without a fall history were compared. We investigated several oral health issues including xerostomia, stimulated and unstimulated salivation rates, total number of teeth and prosthetics, periodontal status, and oral health-related quality of life. Results: Forty patients were included, 28 in the fall history group and 12 in the control group. All patients had oral health issues that impacted on their oral health-related quality of life. However, there were no significant differences between the groups, including xerostomia and hyposalivation, apart from increased dysphagia and less flavor in food in patients with a fall history. Conclusion: Dry mouth does not appear to be an independent risk factor for falling in this population, but oral health was impaired. Thus, it is important that dentists and geriatricians are aware of and investigate these conditions in their patients and that appropriate action is taken to reduce the consequences of impaired oral health, including a potential reduction in falls.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Barbe, Anna GretaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, PiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bussmann, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kunter, HenningUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Noack, Michael JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roehrig, GabrieleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-200200
DOI: 10.2147/CIA.S178370
Journal or Publication Title: Clin. Interv. Aging
Volume: 13
Page Range: S. 1971 - 1980
Date: 2018
Publisher: DOVE MEDICAL PRESS LTD
Place of Publication: ALBANY
ISSN: 1178-1998
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SALIVARY-GLAND DYSFUNCTION; OLDER-PEOPLE; OROPHARYNGEAL DYSPHAGIA; INJURIOUS FALLS; RISK; CARE; MEDICINE; DISEASE; FEAR; EPIDEMIOLOGYMultiple languages
Geriatrics & GerontologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/20020

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