Oral Management by a Full-Time Resident Dentist in the Hospital Ward Reduces the Incidence of Pneumonia in Patients with Acute Stroke
Table 3
Dental intervention patients.
Overall N (%)
DCS
-value
Pre: April 1, 2012 to March 31, 2013; N (%)
During: April 1, 2013 to March 31, 2014; N (%)
Post: April 1, 2014 to March 31, 2015; N (%)
Number of patients (% of all stroke patients)
239 (25.3)
61 (20)
80 (24.5)
98 (31.3)
0.005
Number of dental visits ± SD (times)
5.8 ± 4.8
4.7 ± 4.6
6.3 ± 4.8
5.9 ± 4.9
0.055
Time from hospital admission to intervention ± SD (days)
12.2 ± 13.4
12.0 ± 9.5
15.6 ± 17.4
9.5 ± 10.9
<0.0001
Contents of dental treatment
Hygiene management
233 (97.5)
60 (98.4)
78 (97.5)
95 (96.9)
0.856
Hygiene instruction
116 (48.5)
32 (52.5)
32 (40)
52 (53.1)
0.173
Denture adjustment
70 (29.3)
15 (24.6)
17 (21.3)
38 (38.8)
0.025#
Mucositis treatment
34 (14.2)
4 (6.6)
12 (15)
18 (18.4)
0.113
Tooth extraction
24 (10)
3 (4.9)
6 (7.5)
15 (15.3)
0.069
Initial examination
Number of remaining teeth
0
56 (23.4)
17 (27.9)
14 (17.5)
25 (25.5)
0.286
1–9
55 (23)
16 (26.2)
18 (22.5)
21 (21.4)
10–19
63 (26.4)
11 (18)
21 (26.3)
31 (31.6)
20≤
65 (27.2)
17 (27.9)
27 (33.8)
21 (21.4)
Eichner classification
A
35 (14.6)
8 (13.1)
16 (20)
11 (11.2)
0.552
B
89 (37.2)
22 (36.1)
29 (39)
38 (38.8)
C
115 (48.1)
31 (50.8)
35 (43.8)
49 (50)
Denture ownership
Full dentures
36 (15.1)
7 (11.5)
9 (11.3)
20 (20.4)
0.156
Full and partial dentures
17 (7.1)
4 (6.6)
5 (6.3)
8 (8.2)
0.868
Partial denture
19 (8)
4 (6.6)
5 (6.3)
10 (10.2)
0.56
Crusting on the lips
33 (13.8)
5 (8.2)
11 (13.8)
17 (17.3)
0.266
Oral dryness
123 (51.5)
29 (47.5)
48 (60)
46 (46.9)
0.172
Dysphagia (saliva aspiration)
85 (35.6)
17 (27.9)
31 (38.8)
37 (37.8)
0.344
DCS, dental care system. , Pre-DCS versus Post-DCS. , Pre-DCS versus Post-DCS, , During-DCS versus Post-DCS. #, During-DCS versus Post-DCS. The number of dental visits and the time from admission to intervention were calculated using Wilcoxon signed-rank sum test. Everything else is Pearson’s chi-square test. Multiple comparisons are Bonferroni corrections.
