المؤلفون: Luc De Visschere, Jos M. G. A. Schols, Mirko Petrovic, Barbara Janssens, Wolfgang Jacquet, Jacques Vanobbergen

المساهمون: Educational Science, Surgical clinical sciences, Localities, Ontologies, Commons, Integrated, Oral Health, RS: CAPHRI - R1 - Ageing and Long-Term Care, Family Medicine, Health Services Research, RS: Academische Werkplaats Ouderenzorg

المصدر: Journal of the American Medical Directors Association, 18(9):809.e1-809.e8. Elsevier Science

مصطلحات موضوعية: Male, medicine.medical_specialty, Nursing(all), Oral Health, XEROSTOMIA, Dental Caries, Oral health, nursing homes, AGE-RELATED-CHANGES, 03 medical and health sciences, 0302 clinical medicine, SALIVARY FLOW-RATE, Belgium, medicine, COMPLAINTS, Humans, 030212 general & internal medicine, RATES, Intensive care medicine, General Nursing, Aged, caries, Aged, 80 and over, Polypharmacy, Potential impact, Medication use, HYPOSALIVATION, business.industry, GLANDS, 030206 dentistry, General Medicine, ASSOCIATION, Dry mouth, SEDATIVE LOAD, Health policy, DWELLING OLDER-PEOPLE, Cross-Sectional Studies, Dental clinic, Family medicine, Population study, Female, medicine.symptom, Geriatrics and Gerontology, Nursing homes, business, dry mouth

الوصف: Background: Polypharmacy is considered the most important etiologic factor of hyposalivation, which in turn can initiate oral health problems.Objectives: To describe the medication use of nursing home residents, to identify the medications related to hyposalivation and to find possible associations between the different classes of medication, the number of medications, and the oral health status of the residents.Design: A cross-sectional study.Participants: The study population consisted of the residents of a nonrandom sample of 23 nursing homes from 2 Belgian provinces, belonging to the oral health care network Gerodent. All residents of the sample visited the Gerodent mobile dental clinic between October 2010 and April 2012.Measurements: For each resident, oral health data, demographic data, and an overview of the total medication intake were collected.Results: The study sample consisted of 1226 nursing home residents with a mean age of 83.9 years [standard deviation (SD) 8.5]. The mean number of medications per person was 9.0 (SD 3.6, range 0-23, median 9.0). Of all prescribed medication, 49.6% had a potential hyposalivatory effect with a mean number per person of 4.5 (SD 2.2, range 0-15, median 4.0). In the bivariate analyses, associations were found between medication use and oral health of residents with natural teeth: the higher the number of medications (with risk of dry mouth) and the overall risk of medication-related dry mouth, the lower the number of natural teeth (P = .022, P = .005, and P = .017, respectively). In contrast, the total treatment need tended to decrease with rising medication intake, resulting in a clear increase of the treatment index with rising medication intake (P = .003, P Conclusions: This study shows a high level of medication use, including the substantial intake of medication with a possible hyposalivatory effect. Moreover, clear associations were found between the medication intake and the oral status of the residents. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::03cf3b6ace78c8eee5dc9fe3ad40d1a1Test
https://biblio.vub.ac.be/vubir/medication-use-and-its-potential-impact-on-the-oral-health-status-of-nursing-home-residents-in-flanders-belgiumTest(7228f7e3-e078-456c-9a1f-f2b93502789a).html

المؤلفون: Karen Freijer, Marten J. Poley, Mark Nuijten, Martijn J.L. Bours, Ruud J.G. Halfens, Jos M. G. A. Schols, Judith M.M. Meijers

المساهمون: Health Services Research, Epidemiologie, Family Medicine, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Innovations in Health Care for the Elderly, RS: CAPHRI - Implementation of Evidence, RS: GROW - Oncology, RS: GROW - R1 - Prevention, RS: Academische Werkplaats Ouderenzorg, Health Economics (HE)

المصدر: Journal of the American Medical Directors Association, 15(1), 17-29. Elsevier Science
Journal of the American Medical Directors Association, 15(1), 17-29. Elsevier Inc.

مصطلحات موضوعية: medicine.medical_specialty, media_common.quotation_subject, Cost-Benefit Analysis, Clinical nutrition, Enteral administration, Enteral Nutrition, Cost Savings, Intervention (counseling), Health care, medicine, Humans, Quality (business), Intensive care medicine, General Nursing, media_common, business.industry, Health Policy, Malnutrition, Health technology, General Medicine, medicine.disease, Hospitalization, Nutrition Assessment, Economic evaluation, Dietary Supplements, Geriatrics and Gerontology, business

الوصف: Economic evaluations for medical nutrition, such as oral nutritional supplements (ONS), are relatively uncommon compared with other health technologies, and represent an area that has not been reviewed so far. In this systematic review, economic evaluations of enteral medical nutrition in the management of disease-related malnutrition (DRM) were reviewed and qualified to estimate the economic value. Initially, 481 studies were found, of which 37 full-text articles were assessed for eligibility and were rated on their quality using the Quality of Health Economic Studies (QHES) instrument. The final review focused on the high QHES quality economic evaluation studies. As both the studied medical nutrition intervention and the form of the economic evaluation varied, a quantitative synthesis (meta-analysis) was not attempted but a critical analysis and comparison of the individual study results were performed. ONS was the most studied intervention, covering several patient populations and different health care settings. Outcomes included cost savings (n = 3), no significant extra costs per unit of clinical and/or functional improvement (n = 1), or significantly higher costs per unit of clinical and/or functional improvement but still cost-effective for the used threshold (n = 4). This review shows that the use of enteral medical nutrition in the management of DRM can be efficient from a health economic perspective. Copyright (C) 2014 - American Medical Directors Association, Inc.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::51b912ac43a1544e85eda01f6cff15bbTest
https://pure.eur.nl/en/publications/91bcee94-6e26-4a1d-b1de-5e0862633405Test