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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...

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Autores principales: Sekiya, Hideki, Kurasawa, Yasuhiro, Kaneko, Kosuke, Takahashi, Ken-ichiro, Maruoka, Yutaka, Michiwaki, Yukihiro, Takeda, Yoshimasa, Ochiai, Ryoichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
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.
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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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