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Prevalence and associations of orofacial pain and oral health factors in nursing home residents with and without dementia.
- Source :
- Age & Ageing; May2020, Vol. 49 Issue 3, p418-424, 7p, 3 Charts
- Publication Year :
- 2020
-
Abstract
- Objectives determine and compare the prevalence of orofacial pain in older nursing home residents with and without dementia and explore the association between orofacial pain and health factors. Methods cross-sectional study conducted in four UK nursing homes. We used the Orofacial-Pain Scale for Non-Verbal Individuals (OPS-NVI) to identify orofacial pain in residents with dementia. Residents who were able to communicate self-reported orofacial pain. A brief oral examination was conducted. Information on demographics, Clinical Dementia Rating, Charlson Comorbidity Index, Cohen Mansfield Agitation Inventory, Barthel Index, 5-level Euroqol 5 Dimension, Oral Health Impact Profile 14, Mini Nutritional Assessment Short Form and medication was collected. Chi-squared tests, independent sample t-tests and Mann-Whitney U-tests were used to compare outcomes between groups. Multivariable logistic regression was used to evaluate predictors of orofacial pain. Results orofacial pain, assessed with the OPS-NVI, was present in 48.8% (95% confidence interval [C.I.] 36.1–50.7) of residents with dementia. Self-reported orofacial pain was present in 37.8% (95% C.I. 20.4–53.7) of residents with dementia and in 14.8% (95% C.I. 0.5–30.4) residents without dementia. Orofacial pain was significantly more prevalent in residents with dementia than those without (OPS-NVI; P = 0.002, self-report; P = 0.04). Having a soft diet, xerostomia, being dentate, and poor oral hygiene in dentate residents were significant predictors of orofacial pain in residents with dementia. Conclusion orofacial pain was more prevalent in residents with dementia. Oral health care should be part of routine care for residents, especially for those with dementia, to improve oral health and decrease the risk of developing orofacial pain. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of dementia
CONFIDENCE intervals
DEMENTIA patients
DIET
FACIAL pain
ORAL hygiene
ORAL disease diagnosis
NURSING home residents
NUTRITIONAL assessment
QUALITY of life
RISK assessment
SELF-evaluation
T-test (Statistics)
TOOTH care & hygiene
COMORBIDITY
AGITATION (Psychology)
MULTIPLE regression analysis
PSYCHOSOCIAL factors
DISEASE prevalence
CROSS-sectional method
XEROSTOMIA
MANN Whitney U Test
BARTHEL Index
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 49
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 142948384
- Full Text :
- https://doi.org/10.1093/ageing/afz169