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Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery
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 resulti...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296101/ https://www.ncbi.nlm.nih.gov/pubmed/34200726 http://dx.doi.org/10.3390/ijerph18126296 |
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author | Sekiya, Hideki Kurasawa, Yasuhiro Kaneko, Kosuke Takahashi, Ken-ichiro Maruoka, Yutaka Michiwaki, Yukihiro Takeda, Yoshimasa Ochiai, Ryoichi |
author_facet | Sekiya, Hideki Kurasawa, Yasuhiro Kaneko, Kosuke Takahashi, Ken-ichiro Maruoka, Yutaka Michiwaki, Yukihiro Takeda, Yoshimasa Ochiai, Ryoichi |
author_sort | Sekiya, Hideki |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8296101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-82961012021-07-23 Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery Sekiya, Hideki Kurasawa, Yasuhiro Kaneko, Kosuke Takahashi, Ken-ichiro Maruoka, Yutaka Michiwaki, Yukihiro Takeda, Yoshimasa Ochiai, Ryoichi Int J Environ Res Public Health Article 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. MDPI 2021-06-10 /pmc/articles/PMC8296101/ /pubmed/34200726 http://dx.doi.org/10.3390/ijerph18126296 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sekiya, Hideki Kurasawa, Yasuhiro Kaneko, Kosuke Takahashi, Ken-ichiro Maruoka, Yutaka Michiwaki, Yukihiro Takeda, Yoshimasa Ochiai, Ryoichi Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery |
title | Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery |
title_full | Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery |
title_fullStr | Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery |
title_full_unstemmed | Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery |
title_short | Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery |
title_sort | preventive effects of sustainable and developmental perioperative oral management using the “oral triage” system on postoperative pneumonia after cancer surgery |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296101/ https://www.ncbi.nlm.nih.gov/pubmed/34200726 http://dx.doi.org/10.3390/ijerph18126296 |
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