{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T12:18:14Z","timestamp":1788005894749,"version":"build-2784847793"},"reference-count":26,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Older adults often experience poor oral functions, hindering rehabilitation post-acute disease treatment. However, characteristics of hospitalized patients who would benefit from professional oral-health management (POHM) have not been clarified. Therefore, we aimed to elucidate systemic and oral characteristics of patients requiring POHM during hospitalization in a convalescent hospital. This study included 312 participants admitted to the rehabilitation department of a convalescent hospital for a year. The patients were categorized according to POHM requirements (no-POHM group: 137 patients; POHM group: 175 patients) by discharge. Age, sex, primary disease at admission, Glasgow coma scale (GCS), Functional Independence Measurement (FIM), Mini nutritional assessment-short form (MNA-SF), Functional oral intake scale (FOIS), number of present and functional teeth, Oral Health Assessment Tool (OHAT) scores, and POHM details provided during patient hospitalization were compared. Binomial logistic-regression analysis identified patients requiring POHM as those who had suffered a stroke and had a low number of present teeth, poor overall oral health, low food form, and low motor skills at admission. A high percentage of POHM interventions comprised oral-hygiene care and denture treatment. In summary, patients whose oral health has deteriorated and those experiencing oral-intake difficulties upon admission to a convalescent hospital may require oral-health management.<\/jats:p>","DOI":"10.3390\/geriatrics9030082","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T12:48:40Z","timestamp":1718628520000},"page":"82","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Systemic and Oral Characteristics of Convalescent Inpatients Requiring Oral-Health Management by a Dental Specialist during Hospitalization"],"prefix":"10.3390","volume":"9","author":[{"given":"Naoki","family":"Todayama","sequence":"first","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuzo","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Tabata","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2680-1538","authenticated-orcid":false,"given":"Yukiko","family":"Hatanaka","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoko","family":"Mukai","sequence":"additional","affiliation":[{"name":"Division of Oral Function Management, Department of Oral Health Management, School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Someya","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Kuwazawa","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"},{"name":"Dental Department, Fujigaoka Hospital, Yokohama 227-8501, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shouji","family":"Hironaka","sequence":"additional","affiliation":[{"name":"Department of Hygiene and Oral Health, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Kawate","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Graduate School of Medicine, Showa University, Tokyo 142-8555, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8018-4537","authenticated-orcid":false,"given":"Junichi","family":"Furuya","sequence":"additional","affiliation":[{"name":"Department of Oral Function Management, Graduate School of Dentistry, Showa University, Tokyo 145-8515, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/ger.12586","article-title":"Association between Oral Health Status and Oral Food Intake Level in Subacute Stroke Patients Admitted to a Convalescent Rehabilitation Unit","volume":"39","author":"Matsuo","year":"2022","journal-title":"Gerodontology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1111\/joor.12855","article-title":"Effect of a Collaborative Transdisciplinary Team Approach on Oral Health Status in Acute Stroke Patients","volume":"46","author":"Obana","year":"2019","journal-title":"J. Oral Rehabil."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Hara, R., Todayama, N., Tabata, T., Kuwazawa, M., Mukai, T., Hatanaka, Y., Hironaka, S., Kawate, N., and Furuya, J. (2023). The Association Between Oral Health Management and the Functional Independence Measure Scores at the Time of Admission of Inpatients to a Convalescent Hospital. Geriatrics, 8.","DOI":"10.3390\/geriatrics8050104"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1111\/ggi.12763","article-title":"Poor Oral Status Is Associated with Rehabilitation Outcome in Older People","volume":"17","author":"Shiraishi","year":"2017","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.2334\/josnusd.20-0414","article-title":"Relationship Between Oral Intake Level and Oral Health Assessment Tool Scores in the Convalescent Ward","volume":"63","author":"Nakayama","year":"2020","journal-title":"J. Oral Sci."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"20220019","DOI":"10.2490\/prm.20220019","article-title":"Oral Management and the Role of Dental Hygienists in Convalescent Rehabilitation","volume":"7","author":"Yoshimura","year":"2022","journal-title":"Prog. Rehabil. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1111\/ggi.13170","article-title":"Dentition Status and Frailty in Community-Dwelling Older Adults: A 5-Year Prospective Cohort Study","volume":"18","author":"Iwasaki","year":"2018","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1046\/j.1532-5415.2002.50106.x","article-title":"Oral Care Reduces Pneumonia in Older Patients in Nursing Homes","volume":"50","author":"Yoneyama","year":"2002","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/ger.12612","article-title":"Oral Function and Nutritional Status in Non-acute Hospitalised Elders","volume":"39","author":"Ohta","year":"2022","journal-title":"Gerodontology"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1111\/ger.12593","article-title":"Oral Function, Nutritional Status and Physical Status in Japanese Independent Older Adults","volume":"39","author":"Sawada","year":"2022","journal-title":"Gerodontology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/joor.12964","article-title":"Food Intake and Oral Health Status of Inpatients with Dysphagia in Acute Care Settings","volume":"47","author":"Furuya","year":"2020","journal-title":"J. Oral Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1007\/s00784-019-02812-4","article-title":"Barriers and Facilitators for Provision of Oral Health Care in Dependent Older People: A Systematic Review","volume":"23","author":"Baker","year":"2019","journal-title":"Clin. Oral Investig."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1016\/S0140-6736(77)91201-6","article-title":"Aspects of Coma after Severe Head Injury","volume":"1","author":"Jennett","year":"1977","journal-title":"Lancet"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/00002060-199304000-00005","article-title":"Performance Profiles of the Functional Independence Measure","volume":"72","author":"Granger","year":"1993","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s12603-009-0214-7","article-title":"Validation of the Mini Nutritional Assessment Short-form (MNA-SF): A Practical Tool for Identification of Nutritional Status","volume":"13","author":"Kaiser","year":"2009","journal-title":"J. Nutr. Health Aging"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1016\/j.apmr.2004.11.049","article-title":"Initial Psychometric Assessment of a Functional Oral Intake Scale for Dysphagia in Stroke Patients","volume":"86","author":"Crary","year":"2005","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/j.1834-7819.2005.tb00360.x","article-title":"The oral health assessment tool\u2014Validity and Reliability","volume":"50","author":"Chalmers","year":"2005","journal-title":"Aust. Dent. J."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jebdp.2016.01.002","article-title":"Medical Providers\u2019 Oral Health Knowledgeability, Attitudes, and Practice Behaviors: An Opportunity for Interprofessional Collaboration","volume":"16","author":"Shimpi","year":"2016","journal-title":"J. Evid. Based Dent. Pract."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1016\/j.jvs.2011.10.008","article-title":"Association between periodontal disease and stroke","volume":"55","author":"Sfyroeras","year":"2012","journal-title":"J. Vasc. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1111\/joor.12107","article-title":"Impacts of Wearing Complete Dentures on Bolus Transport during Feeding in Elderly Edentulous","volume":"40","author":"Yamamoto","year":"2013","journal-title":"J. Oral Rehabil."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Hara, R., Todayama, N., Tabata, T., Mukai, T., Hatanaka, Y., Watanabe, M., Kuwazawa, M., Hironaka, S., Kawate, N., and Furuya, J. (2024). Association between Oral Health Status and Functional Independence Measure on Admission in Convalescent Hospitalized Patients. BMC Oral Health, 24.","DOI":"10.1186\/s12903-023-03667-8"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/ger.12123","article-title":"Relationships between Oral Health, Dysphagia and Undernutrition in Hospitalised Elderly Patients","volume":"33","author":"Poisson","year":"2016","journal-title":"Gerodontology"},{"key":"ref_23","first-page":"324","article-title":"Poor Oral Health Is a Factor That Attenuates the Effect of Rehabilitation in Older Male Patients with Fractures","volume":"11","author":"Ogawa","year":"2022","journal-title":"J. Frailty Aging"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1188557","DOI":"10.3389\/froh.2023.1188557","article-title":"Teledentistry from Research to Practice: A Tale of Nineteen Countries","volume":"4","author":"Lam","year":"2023","journal-title":"Front. Oral Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"A New Method of Classifying Prognostic Comorbidity in Longitudinal Studies: Development and Validation","volume":"40","author":"Charlson","year":"1987","journal-title":"J. Chronic Dis."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/j.1601-5037.2009.00423.x","article-title":"Oral Health Status Among Hospitalized Patients","volume":"9","author":"Passanezi","year":"2011","journal-title":"Int. J. Dent. Hyg."}],"container-title":["Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3417\/9\/3\/82\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:59:52Z","timestamp":1760108392000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3417\/9\/3\/82"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,17]]},"references-count":26,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["geriatrics9030082"],"URL":"https:\/\/doi.org\/10.3390\/geriatrics9030082","relation":{},"ISSN":["2308-3417"],"issn-type":[{"value":"2308-3417","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,17]]}}}