Universität zu Köln

Noetzel, Nicolas ORCID: 0000-0002-1826-1001, Meyer, Anna Maria, Siri, Giacomo, Pickert, Lena, Heess, Annika, Verleysdonk, Joshua, Benzing, Thomas, Pilotto, Alberto, Barbe, Anna Greta and Polidori, Maria Cristina . The impact of oral health on prognosis of older multimorbid inpatients: the 6-month follow up MPI oral health study (MPIOH). Eur. Geriatr. Med.. NEW YORK: SPRINGER. ISSN 1878-7657

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Abstract

Purpose There is clear evidence for an association between oral health and systemic illnesses, geriatric syndromes, and mortality. Frail and multimorbid older people often suffer from insufficient oral health care, but standardized dental examinations are not routinely performed in clinical settings. The aim of this study was to verify the practicability of in-hospital oral health examinations and to identify their association with patients' prognosis as assessed by means of the Comprehensive Geriatric Assessment (CGA)-based Multidimensional Prognostic Index (MPI). Methods One hundred hospitalized patients aged 65 years and older (mean age 76.9 years (SD 6.4); 58.2% male, 41.8% female) underwent a CGA-based MPI calculation at discharge with subdivision into three mortality risk groups (MPI-1, low risk, score 0-0.33; MPI-2, moderate risk, score 0.34-0.66; MPI-3, high risk, score 0.67-1). To identify the current oral health status and the Oral Health-related Quality of Life (OHRQoL), three oral health examinations were performed. Information on survival, the incidence of oral diseases, dental appointments, and treatments up to 6 months after discharge were collected. Results All oral health examinations were feasible during hospitalization and were associated with MPI prognosis, even though they were not associated with 6-month mortality. The MPI could not predict the use of dental health care or treatment, as, irrespective of MPI and oral health examinations, dental services were underutilized during follow up. Conclusion Besides MPI evaluation, oral health examinations should be implemented into an inhospital course to improve clinical decision-making as well as secondary and tertiary prevention of oral health- and related systemic diseases. Key summary pointsAim To identifying tools for the reliable and systematic evaluation of oral health in older inpatients as well as to addressing the association between oral health and patients' prognosis as measured by the Comprehensive Geriatric Assessment (CGA)-based Multidimensional Prognostic Index (MPI). Findings Valid oral health examinations can be performed in older inpatients and are associated with individual multidimensional prognosis. Message Oral health should be assessed and incorporated into clinical decisions to improve patients' prognosis and prevention.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Noetzel, Nicolas UNSPECIFIED orcid.org/0000-0002-1826-1001 UNSPECIFIED Meyer, Anna Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Siri, Giacomo UNSPECIFIED UNSPECIFIED UNSPECIFIED Pickert, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED Heess, Annika UNSPECIFIED UNSPECIFIED UNSPECIFIED Verleysdonk, Joshua UNSPECIFIED UNSPECIFIED UNSPECIFIED Benzing, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Pilotto, Alberto UNSPECIFIED UNSPECIFIED UNSPECIFIED Barbe, Anna Greta UNSPECIFIED UNSPECIFIED UNSPECIFIED Polidori, Maria Cristina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-311175
DOI:	10.1007/s41999-020-00427-7
Journal or Publication Title:	Eur. Geriatr. Med.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1878-7657
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COMPREHENSIVE GERIATRIC ASSESSMENT; LONG-TERM MORTALITY; INDEX MPI; VALIDATION; PREDICTION; DISEASE; PEOPLE Multiple languages Geriatrics & Gerontology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31117