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Oral Health Assessment by Lay Personnel for Older Adults
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糟糕的口腔健康与重症创伤患者的社会脆弱性有关
Mokunfayo O Fajemisin1,2,3,4, Stephanie Martinez Ugarte1,2,3, Chelsea J Guy-Frank1,2
1Department of Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA.
Trauma surgery & acute care open
|June 16, 2025
概括
社会脆弱性以及住房不稳定和缺乏社会支持等因素与重症创伤患者的口腔健康状况不佳有关. 使用口腔健康风险评估价值指数 (OHRAVI) 的早期评估可以识别有风险的个人.
科学领域:
- 研究了健康,口腔健康和重症监护结果的社会决定因素的交集.
- 使用定量方法来评估弱势患者群体的健康差异.
背景情况:
- 社会因素显著影响口腔健康状况,口腔健康不良与不良健康结果有关.
- 口腔健康风险评估价值指数 (OHRAVI) 是非牙医评估口腔健康的床头工具.
研究的目的:
- 检查口腔健康,健康的社会驱动因素和严重受伤患者的社会脆弱性之间的关系.
- 评估口腔健康风险评估价值指数 (OHRAVI) 在识别社会脆弱患者中的有用性.
主要方法:
- 对具有现有OHRAVI评分的重症创伤患者的回顾性分析.
- 数据收集包括患者人口统计,并发病,社会驱动因素和从人口普查数据计算的社会脆弱性指数 (SVI).
- 用贝叶斯回归分析来确定风险因素与口腔健康不良之间的关联 (OHRAVI >1).
主要成果:
- 在170名患者中,超过一半 (54%) 呈现不健康的OHRAVI评分 (>1).
- 与低SVI患者相比,高SVI患者的OHRAVI中位数较高 (p=0.026).
- 与口腔健康不良显著相关的因素包括缺乏社会支持 (99%),住房不稳定 (99%),离婚婚姻状况 (87%),非英语主要语言 (86%) 和整体社会脆弱性 (98%).
结论:
- 在重症创伤患者中,口腔健康不佳与社会脆弱性和特定的社会风险因素有关.
- OHRAVI工具可以帮助快速,客观地识别社会脆弱的患者和潜在的口腔健康风险.
- 口腔健康可能是一个可修改的风险因素,这表明,通过口腔卫生和抗菌剂的早期干预可以改善结果.
关键词:
在健康方面存在差异.
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