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- Title
Oral condition at admission predicts functional outcomes and hospital-acquired pneumonia development among acute ischemic stroke patients.
- Authors
Eto, Futoshi; Nezu, Tomohisa; Nishi, Hiromi; Aoki, Shiro; Tasaka, Saki; Horikoshi, Susumu; Yano, Kanako; Kawaguchi, Hiroyuki; Maruyama, Hirofumi
- Abstract
Introduction: Oral care is crucial for the prevention of cardiovascular events and pneumonia. However, few studies have evaluated the associations between multidimensional assessments of oral status or functional outcomes and hospital-acquired pneumonia (HAP). Methods: Consecutive patients with acute ischemic stroke (AIS) were retrospectively analyzed. We evaluated the modified oral assessment grade (mOAG) and investigated its association with a modified Rankin scale (mRS) score of 0‒2 (good stroke outcome) and HAP. The mOAG was developed to evaluate 8 categories (lip, tongue, coated tongue, saliva, mucosa, gingiva, preservation, and gargling) on a 4-point scale ranging from 0 to 3. We analyzed the effectiveness of the mOAG score for predicting stroke outcome or HAP using receiver operating characteristic (ROC) curve analysis. Results: In total, 247 patients with AIS were analyzed. The area under the ROC curve of the mOAG for predicting poor outcomes was 0.821 (cutoff value: 7), and that for HAP incidence was 0.783 (cutoff value: 8). mOAG (a one-point increase) was associated with poor stroke outcome (odds ratio [OR] 1.31, 95% confidence interval [CI] 1.17‒1.48, P < 0.001) and HAP (OR 1.21, 95% CI 1.07‒1.38, P = 0.003) after adjusting for baseline clinical characteristics, including age and stroke severity. Conclusions: Lower mOAG scores at admission were independently associated with good outcomes and a decreased incidence of HAP. Comprehensive oral assessments are essential for acute stroke patients in clinical settings.
- Publication
Clinical Oral Investigations, 2024, Vol 28, Issue 8, p1
- ISSN
1432-6981
- Publication type
Article
- DOI
10.1007/s00784-024-05833-w