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Authors Barbe AG, Schmidt P, Bussmann M, Kunter H, Noack MJ, Röhrig G
Received 26 June 2018
Accepted for publication 5 September 2018
Published 12 October 2018 Volume 2018:13 Pages 1971—1979
DOI https://doi.org/10.2147/CIA.S178370
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Justinn Cochran
Peer reviewer comments 3
Editor who approved publication: Dr Richard Walker
Purpose: Falls are a common cause of morbidity and
mortality in older people, and identification of risk indicators and risk
factors to prevent falling is essential. Dry mouth (xerostomia and hyposalivation)
can exacerbate conditions known to be fall risk indicators, such as nutritional
status and sarcopenia. But there is little evidence regarding whether it is an
independent risk factor for falling. We explored xerostomia prevalence and intensity
and objective salivation rates in hospitalized geriatric patients to determine
whether they were associated with an increased risk of falling.
Patients and methods: Hospitalized geriatric patients with and without a fall history
were compared. We investigated several oral health issues including xerostomia,
stimulated and unstimulated salivation rates, total number of teeth and
prosthetics, periodontal status, and oral health-related quality of life.
Results: Forty
patients were included, 28 in the fall history group and 12 in the control
group. All patients had oral health issues that impacted on their oral
health-related quality of life. However, there were no significant differences
between the groups, including xerostomia and hyposalivation, apart from
increased dysphagia and less flavor in food in patients with a fall history.
Conclusion: Dry
mouth does not appear to be an independent risk factor for falling in this
population, but oral health was impaired. Thus, it is important that dentists
and geriatricians are aware of and investigate these conditions in their
patients and that appropriate action is taken to reduce the consequences of
impaired oral health, including a potential reduction in falls.
Keywords: dry
mouth, falls, gerodontology, Oral Health Impact Profile, geriatric syndrome
摘要视频链接:Dry mouth in orthogeriatric patients