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- Publisher Website: 10.1111/j.1875-595X.2005.tb00330.x
- Scopus: eid_2-s2.0-26444505958
- PMID: 16245468
- WOS: WOS:000232413100005
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Article: A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community
Title | A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community |
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Authors | |
Keywords | Disability Elderly Oral health Oral hygiene Stroke |
Issue Date | 2005 |
Publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595X |
Citation | International Dental Journal, 2005, v. 55 n. 5, p. 319-324 How to Cite? |
Abstract | Aim: 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. |
Persistent Identifier | http://hdl.handle.net/10722/67081 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 0.803 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Pow, EHN | en_HK |
dc.contributor.author | Leung, KCM | en_HK |
dc.contributor.author | Wong, MCM | en_HK |
dc.contributor.author | Li, LSW | en_HK |
dc.contributor.author | McMillan, AS | en_HK |
dc.date.accessioned | 2010-09-06T05:51:48Z | - |
dc.date.available | 2010-09-06T05:51:48Z | - |
dc.date.issued | 2005 | en_HK |
dc.identifier.citation | International Dental Journal, 2005, v. 55 n. 5, p. 319-324 | en_HK |
dc.identifier.issn | 0020-6539 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/67081 | - |
dc.description.abstract | Aim: 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. | en_HK |
dc.language | eng | en_HK |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1875-595X | en_HK |
dc.relation.ispartof | International Dental Journal | en_HK |
dc.subject | Disability | en_HK |
dc.subject | Elderly | en_HK |
dc.subject | Oral health | en_HK |
dc.subject | Oral hygiene | en_HK |
dc.subject | Stroke | en_HK |
dc.subject.mesh | Aged | en_HK |
dc.subject.mesh | Dental Plaque Index | en_HK |
dc.subject.mesh | Epidemiologic Methods | en_HK |
dc.subject.mesh | Female | en_HK |
dc.subject.mesh | Humans | en_HK |
dc.subject.mesh | Male | en_HK |
dc.subject.mesh | Oral Health | en_HK |
dc.subject.mesh | Stroke - complications - rehabilitation | en_HK |
dc.subject.mesh | Survivors | en_HK |
dc.title | A longitudinal study of the oral health condition of elderly stroke survivors on hospital discharge into the community | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0020-6539&volume=55&spage=319&epage=324&date=2005&atitle=A+longitudinal+study+of+the+oral+health+condition+of+elderly+stroke+survivors+on+hospital+discharge+into+the+community | en_HK |
dc.identifier.email | Pow, EHN: ehnpow@hku.hk | en_HK |
dc.identifier.email | Leung, KCM: kcmleung@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, MCM: mcmwong@hkucc.hku.hk | en_HK |
dc.identifier.email | McMillan, AS: annemcmillan@hku.hk | en_HK |
dc.identifier.authority | Pow, EHN=rp00030 | en_HK |
dc.identifier.authority | Leung, KCM=rp00032 | en_HK |
dc.identifier.authority | Wong, MCM=rp00024 | en_HK |
dc.identifier.authority | McMillan, AS=rp00014 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/j.1875-595X.2005.tb00330.x | - |
dc.identifier.pmid | 16245468 | - |
dc.identifier.scopus | eid_2-s2.0-26444505958 | en_HK |
dc.identifier.hkuros | 110698 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-26444505958&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 55 | en_HK |
dc.identifier.issue | 5 | en_HK |
dc.identifier.spage | 319 | en_HK |
dc.identifier.epage | 324 | en_HK |
dc.identifier.isi | WOS:000232413100005 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Pow, EHN=6603825799 | en_HK |
dc.identifier.scopusauthorid | Leung, KCM=26221830300 | en_HK |
dc.identifier.scopusauthorid | Wong, MCM=26029250900 | en_HK |
dc.identifier.scopusauthorid | Li, LSW=7501450364 | en_HK |
dc.identifier.scopusauthorid | McMillan, AS=7102843317 | en_HK |
dc.identifier.issnl | 0020-6539 | - |