ArticleThe journal of nutrition, health & aging2020
Assignment of Dental Hygienists Improves Outcomes in Japanese Rehabilitation Wards: A Retrospective Cohort Study.
Article in The journal of nutrition, health & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 23 citations in OpenAlex.
- Survey on status of oral care practices and factors associated with confidence in oral care skills in ward nurses at an acute hospital in Japan.BMC oral health · 2026Article
- Review
- Development and evaluation of a dental hygiene education program using scenario-based simulation method.Journal of dental sciences · 2026Article
- Development and validation of risk-predicting model for oral frailty in older adults patients with stroke.BMC oral health · 2025Article
- Prevalence and influencing factors of oral frailty among middle-aged and older patients with chronic kidney disease: a cross-sectional study.Frontiers in medicine · 2025Article
- Effect of the Presence of Registered Dietitians and Dental Hygienists on the Body Weight and Activities of Daily Living of Elderly Patients with Low BMI in a Kaifukuki (Convalescent) Rehabilitation Ward.Japanese journal of comprehensive rehabilitation science · 2025Article
- An analysis of influencing factors of oral frailty in the elderly in the community.BMC oral health · 2024Article
- Association between tongue pressure and oral status and activities of daily living in stroke patients admitted to a convalescent rehabilitation unit.Clinical and experimental dental research · 2024Article
- Association between oral health status and functional independence measure on admission in convalescent hospitalized patients.BMC oral health · 2024Article
- Impact of registered dietitian and dental hygienist involvement on functional outcomes in patients with dysphagia: triad of rehabilitation, nutrition, and oral management.European geriatric medicine · 2023Article
- Relationship between oral hygiene and function and activities of daily living at discharge in convalescent patients with stroke.Japanese journal of comprehensive rehabilitation science · 2022Article
- Oral Management and the Role of Dental Hygienists in Convalescent Rehabilitation.Progress in rehabilitation medicine · 2022Article
- Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?Brain sciences · 2021Article
- Dental Hygienists' Practice in Perioperative Oral Care Management According to the Japanese Dental Hygienists Survey 2019.International journal of environmental research and public health · 2020Article
- Oral Management in Rehabilitation Medicine: Oral Frailty, Oral Sarcopenia, and Hospital-Associated Oral Problems.The journal of nutrition, health & aging · 2020Article
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo clarify the effectiveness of ward-assigned dental hygienists (DHs) on rehabilitation outcomes in rehabilitation wards.
designRetrospective cohort study.
settingThe registry data from the Japanese Rehabilitation Nutrition Database.
participants656 patients with hip fracture or stroke admitted to convalescent rehabilitation wards. MEASUREMENTS: The main outcome measures were the Functional Independence Measure (FIM), the Food Intake Level Scale (FILS), and the home discharge rate. Patients were divided into two groups based on the ward setting: with an assigned DH (DH group) and without an assigned DH (NDH group). Clinical characteristics and outcomes were compered between the groups. Between-facility differences were adjusted by generalized estimating equation. We performed post-hoc power analysis to confirm that there were enough samples included in this study to detect a significant difference.
resultsOf 656 patients (mean age, 77 years; 57.1% female; 65.5% stroke) from 10 facilities, 454 patients (69.2%) from 4 facilities were in the DH group. FIM score at discharge (107 vs 90, P<0.001), percentage improvement in FILS score from admission to discharge (44.5% vs 22.8%, P<0.001) and home discharge rate (72.5% vs 61.4%, P<0.001) were significantly higher in the DH group than in the NDH group. After multivariate analysis, the FIM score at discharge (P=0.007), FILS score at discharge (P=0.024), and home discharge rate (P=0.007) were significantly higher in the DH group than in the NDH group.
conclusionsADL and swallowing function were significantly improved at discharge and the home discharge rate was higher among patients in rehabilitation wards with DHs. Having a ward-assigned DH may lead to better rehabilitation outcomes in rehabilitation wards.
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