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Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the 'Oral Triage' System on Postoperative Pneumonia after Cancer Surgery
- Source :
- International Journal of Environmental Research and Public Health, Vol 18, Iss 6296, p 6296 (2021), International Journal of Environmental Research and Public Health, Volume 18, Issue 12
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Perioperative oral management is widely recognized in the healthcare system of Japan. Conventionally, the surgeon refers patients with oral problems to a dental or oral surgery clinic in the hospital. However, frequent in-house referrals were found to increase the number of incoming patients resulting in unsustainable situations due to an insufficient workforce. In 2011, the Center for Perioperative Medicine was established at our hospital to function as a management gateway for patients scheduled to undergo surgery under general anesthesia. The “oral triage” system, wherein a dental hygienist conducts an oral screening to select patients who need preoperative oral hygiene and functional management, was established in 2012. A total of 37,557 patients who underwent surgery at our hospital from April 2010 to March 2019 (two years before and seven years after introducing the system) were evaluated in this study. The sustainability and effectiveness of introducing the system were examined in 7715 cancer surgery patients. An oral management intervention rate of 20% and a significant decrease in the incidence of postoperative pneumonia (aOR = 0.50, p = 0.03) indicated that this system could be useful as a sustainable and developmental oral management strategy to manage surgical patients with minimal human resources.
- Subjects :
- medicine.medical_specialty
minimal human resources
Health, Toxicology and Mutagenesis
030204 cardiovascular system & hematology
Oral hygiene
Article
Perioperative Care
03 medical and health sciences
0302 clinical medicine
Japan
Neoplasms
medicine
perioperative oral management
Humans
postoperative pneumonia
Perioperative medicine
business.industry
oral care
Incidence (epidemiology)
Public Health, Environmental and Occupational Health
Perioperative
Pneumonia
Postoperative pneumonia
Triage
oral triage
stomatognathic diseases
030220 oncology & carcinogenesis
Workforce
Emergency medicine
Medicine
cancer surgery
business
Cancer surgery
Subjects
Details
- Language :
- English
- ISSN :
- 16617827 and 16604601
- Volume :
- 18
- Issue :
- 6296
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....70128e5d2d594424a343c0c2b020392c