Department of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands.
Department of Gerodontology, College of Dental Sciences, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
BMC Oral Health. 2024 Feb 24;24(1):272. doi: 10.1186/s12903-024-04025-y.
When elderly become frail and in need for complex care, they can no longer live independently at home and may be admitted to nursing homes. Various studies have shown that oral health in this population is remarkably poor, which may lead to distressing situations and impacts quality of life. A variety of definitions or descriptions for oral health is used. Without a uniform parameter, it is impossible to determine whether oral health in institutionalized elderly is actually improving or deteriorating over time, as well as the effect of (preventive) interventions. In search for an adequate and clinically applicable parameter to determine oral health in this specific patient group, this scoping review aims to give an overview of the currently used parameters for determining oral health in institutionalized elderly. Ninety different parameters were identified, and 50 parameters were solely used by one study. Only 4 parameters were frequently used (in > 20 studies). The relevance of these parameters for this specific patient group is discussed. To aid the planning and commissioning of future research and patient care, there is an urgent need for an adequate and uniform parameter for oral health determination in institutionalized elderly.
当老年人变得虚弱，需要复杂的护理时，他们就不能再独自在家生活，可能需要入住养老院。多项研究表明，这一人群的口腔健康状况极差，这可能导致痛苦的情况，并影响生活质量。目前使用了各种定义或描述口腔健康的方法。由于没有统一的参数，因此无法确定机构化老年人的口腔健康状况是否随着时间的推移而实际改善或恶化，以及（预防性）干预措施的效果。为了寻找一个合适且适用于临床的参数来确定这一特定患者群体的口腔健康状况，本范围综述旨在概述目前用于确定机构化老年人口腔健康状况的参数。确定了 90 个不同的参数，其中 50 个参数仅被一项研究单独使用。只有 4 个参数经常被使用（超过 20 项研究）。本文还讨论了这些参数对于这一特定患者群体的相关性。为了帮助规划和委托未来的研究和患者护理，对于机构化老年人的口腔健康评估，迫切需要一个合适且统一的参数。
