2019 Volume 40 Issue 4 Pages 461-469
Our study aimed to elucidate whether the level of activities of daily living (ADL) of patients recovering from stroke causes differences in oral health condition and nutritional status. The subjects included 166 stroke patients in the recovery stage at admission in rehabilitation hospitals between October 1, 2016 and March 31, 2018. The ADL of the subjects was evaluated using the Functional Independence Measure (FIM) and the patients were divided into three groups based on their level of FIM. Oral health condition was evaluated using the Japanese version of the Oral Health Assessment Tool (OHAT-J).
The OHAT-J score of the group with a low ADL at admission was significantly high, the nutritional status was poor, and the rate of dental intervention was also high. FIM at admission (exercise items), Alb at admission, and oral ingestion were the factors associated with OHAT-J at admission.
Poor oral health condition and marked malnutrition were noted in patients with low activity and eating orally at the time of hospitalization, suggesting that oral management and nutritional support by multiple types of workers are important.
