Observational studyThe journal of nutrition, health & aging2024
Association of oral health with geriatric syndromes and clinical outcomes in hospitalized older adults.
Observational study in The journal of nutrition, health & aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evolving aspects of oral care in older adults: a systematic review and Meta-synthesis.BMC oral health · 2026Pooled it
- Oral health and oral health-related quality of life in community-dwelling older adults: associations with geriatric syndromes in a retrospective study.Clinical oral investigations · 2026Article
- Anti-resorptive therapy for osteoporosis and oral status of geriatric inpatients: A retrospective hospital-based study.Journal of clinical and experimental dentistry · 2025Review
- Impact of Systemic Medications on Oral Health: A Cross-Sectional Study Among Geriatric Patients.Cureus · 2025Review
- Comprehensive geriatric assessment for oral care in older adults: a focus group study.BMC geriatrics · 2025Article
- Sex-Specific Associations Between Oral Function Impairment and Clinical Outcomes in Hospitalized Older Adults: A Retrospective Observational Study.Clinical interventions in aging · 2025Observational
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Authors and funding
7 authors.
Funding
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Abstract
objectivesTo evaluate the relationship between oral health and geriatric disorders, as well as its role in clinical outcomes among acutely admitted older patients.
designA retrospective observational study was conducted.
settingThe study was conducted at a medical center in central Taiwan.
participantsA total of 1,141 patients (651 males and 490 females), aged 65 years or older, were admitted due to acute illness with geriatric syndromes from October 1, 2018, to March 31, 2023. MEASUREMENTS: A comprehensive geriatric assessment (CGA) was conducted, covering the comorbidity index, cognitive status, mood, physical function, nutritional status, mobility, health-related quality of life, frailty, and oral health condition. Oral health was evaluated using a bedside oral examination with scores ranging from 8 to 24, where scores of 8-10 indicated normal oral health, 11-14 indicated moderate impairment, and 15-24 indicated severe impairment. The primary outcome observed was in-hospital mortality.
resultsAmong the participants, 40.5% experienced cognitive impairment, 24.8% exhibited depressive symptoms, 69.4% had low hand grip strength, 36.5% demonstrated low performance in mobility, and 78.9% were at risk of malnutrition. Severe impairment of oral health was found in 18.8% of the participants, while frailty was observed in 85.1%. Stratification of oral health severity revealed differences in various CGA parameters, including comorbidity, polypharmacy, cognitive impairment, depressive mood, physical activity, mobility, nutritional status, and quality of life, as well as clinical outcomes such as length of stay and in-hospital mortality between the groups. In univariable analysis, age, gender, frailty, oral health impairment, comorbidity index, nutritional status, and cognitive and physical functions were all significantly associated with in-hospital mortality. After adjusting for significant factors, severe oral health impairment remained significantly associated with mortality.
conclusionIn acutely admitted older patients, oral health was associated with geriatric disorders and was linked to in-hospital mortality. Early intervention in oral health may be necessary to improve outcomes.
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