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Changes in Nutrition-Intake Method and Oral Health through a Multidisciplinary Team Approach in Malnourished Older Patients Admitted to an Acute Care Hospital

Author

Listed:
  • Hiroyuki Suzuki

    (Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Junichi Furuya

    (Department of Geriatric Dentistry, School of Dentistry, Showa University, 2-1-1 Kitasenzoku, Ohta-ku, Tokyo 145-8515, Japan
    Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Kazuharu Nakagawa

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Rena Hidaka

    (Department of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Ayako Nakane

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Kanako Yoshimi

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Yukue Shimizu

    (Department of Nutrition Service, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Keiko Saito

    (Department of Nutrition Service, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Yasuhiro Itsui

    (Medical Education Research and Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan)

  • Haruka Tohara

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

  • Yuji Sato

    (Department of Geriatric Dentistry, School of Dentistry, Showa University, 2-1-1 Kitasenzoku, Ohta-ku, Tokyo 145-8515, Japan)

  • Shunsuke Minakuchi

    (Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan)

Abstract

Malnourished older inpatients referred to a nutrition support team (NST) usually receive multidisciplinary oral health management during NST intervention. However, the effects of multidisciplinary oral health management on the nutrition-intake method and oral health in these patients remain unclear. This longitudinal study aimed to investigate the effects of NST-mediated multidisciplinary oral health management on the nutrition-intake methods, oral health, and the systemic and oral factors influencing the changes in the nutrition-intake method. A total of 117 inpatients (66 men, 51 women, mean age, 71.9 ± 12.5 years) who underwent NST-mediated multidisciplinary oral health management between April 2016 and July 2019 were enrolled. Demographic data and Functional Oral Intake Scale (FOIS), Dysphagia Severity Scale (DSS), and Oral Health Assessment Tool (OHAT) scores at the time of referral to the NST and completion of the NST intervention were evaluated. After multidisciplinary NST intervention, FOIS, DSS, and OHAT scores showed significant improvements ( p < 0.001). Even after adjusting the results for systemic parameters, FOIS score improvement correlated positively with the length of NST intervention ( p = 0.030) and DSS score improvement ( p < 0.001) as well as OHAT score improvement ( p = 0.047). NST interventions with multidisciplinary oral health management could improve the nutrition-intake method.

Suggested Citation

  • Hiroyuki Suzuki & Junichi Furuya & Kazuharu Nakagawa & Rena Hidaka & Ayako Nakane & Kanako Yoshimi & Yukue Shimizu & Keiko Saito & Yasuhiro Itsui & Haruka Tohara & Yuji Sato & Shunsuke Minakuchi, 2022. "Changes in Nutrition-Intake Method and Oral Health through a Multidisciplinary Team Approach in Malnourished Older Patients Admitted to an Acute Care Hospital," IJERPH, MDPI, vol. 19(16), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9784-:d:883588
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    References listed on IDEAS

    as
    1. Michiyo Aoyagi & Junichi Furuya & Chiaki Matsubara & Kanako Yoshimi & Ayako Nakane & Kazuharu Nakagawa & Motoki Inaji & Yuji Sato & Haruka Tohara & Shunsuke Minakuchi & Taketoshi Maehara, 2021. "Association between Improvement of Oral Health, Swallowing Function, and Nutritional Intake Method in Acute Stroke Patients," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    2. Junichi Furuya & Hiroyuki Suzuki & Rena Hidaka & Kazuharu Nakagawa & Kanako Yoshimi & Ayako Nakane & Kohei Yamaguchi & Yukue Shimizu & Yasuhiro Itsui & Keiko Saito & Yuji Sato & Haruka Tohara & Shunsu, 2021. "Factors Related to Oral Intake of Food by Hospitalized Patients with Malnutrition under the Care of a Nutrition Support Team," IJERPH, MDPI, vol. 18(21), pages 1-11, November.
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    Cited by:

    1. Sylwia Terech-Skóra & Joanna Kasprzyk-Mazur & Magdalena Leyk-Kolańczak & Agnieszka Kruk & Renata Piotrkowska & Wioletta Mędrzycka-Dąbrowska & Janina Książek, 2023. "Assessment of Oral Health in Long-Term Enteral and Parenteral Nutrition Patients: Significant Aspects of Nursing Care," IJERPH, MDPI, vol. 20(4), pages 1-10, February.

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