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Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery

Author

Listed:
  • Hideki Sekiya

    (Department of Oral Surgery, School of Medicine, Toho University, Tokyo 143-8541, Japan)

  • Yasuhiro Kurasawa

    (Department of Oral & Maxillofacial Surgery, Tokyo Medical & Dental University, Tokyo 113-0034, Japan)

  • Kosuke Kaneko

    (Department of Oral Surgery, School of Medicine, Toho University, Tokyo 143-8541, Japan)

  • Ken-ichiro Takahashi

    (Department of Oral Surgery, School of Medicine, Toho University, Tokyo 143-8541, Japan)

  • Yutaka Maruoka

    (Department of Oral & Maxillofacial Surgery, Center Hospital of the National Center for Global Health and Medicine, Tokyo 162-8655, Japan)

  • Yukihiro Michiwaki

    (Department of Oral Surgery, School of Medicine, Toho University, Tokyo 143-8541, Japan
    Department of Oral & Maxillofacial Surgery, Musashino Redcross Hospital, Tokyo 180-8610, Japan)

  • Yoshimasa Takeda

    (Department of Anesthesiology (Omori), School of Medicine, Toho University, Tokyo 143-8541, Japan)

  • Ryoichi Ochiai

    (Department of Anesthesiology (Omori), School of Medicine, Toho University, Tokyo 143-8541, Japan)

Abstract

Perioperative oral management is widely recognized in the healthcare system of Japan. Conventionally, the surgeon refers patients with oral problems to a dental or oral surgery clinic in the hospital. However, frequent in-house referrals were found to increase the number of incoming patients resulting in unsustainable situations due to an insufficient workforce. In 2011, the Center for Perioperative Medicine was established at our hospital to function as a management gateway for patients scheduled to undergo surgery under general anesthesia. The “oral triage” system, wherein a dental hygienist conducts an oral screening to select patients who need preoperative oral hygiene and functional management, was established in 2012. A total of 37,557 patients who underwent surgery at our hospital from April 2010 to March 2019 (two years before and seven years after introducing the system) were evaluated in this study. The sustainability and effectiveness of introducing the system were examined in 7715 cancer surgery patients. An oral management intervention rate of 20% and a significant decrease in the incidence of postoperative pneumonia (aOR = 0.50, p = 0.03) indicated that this system could be useful as a sustainable and developmental oral management strategy to manage surgical patients with minimal human resources.

Suggested Citation

  • Hideki Sekiya & Yasuhiro Kurasawa & Kosuke Kaneko & Ken-ichiro Takahashi & Yutaka Maruoka & Yukihiro Michiwaki & Yoshimasa Takeda & Ryoichi Ochiai, 2021. "Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery," IJERPH, MDPI, vol. 18(12), pages 1-18, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6296-:d:572556
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    Cited by:

    1. Hideki Sekiya & Yasuhiro Kurasawa & Yutaka Maruoka & Hitoshi Mukohyama & Akihide Negishi & Shiro Shigematsu & Junpei Sugizaki & Masaru Ohashi & Shiro Hasegawa & Yutaka Kobayashi & Masayuki Ueno & Yuki, 2021. "Cost-Effectiveness Analysis of Perioperative Oral Management after Cancer Surgery and an Examination of the Reduction in Medical Costs Thereafter: A Multicenter Study," IJERPH, MDPI, vol. 18(14), pages 1-14, July.
    2. Nanami Kai & Yoko Tsukamoto & Kaoru Urabe & Asuka Tani & Yuko Inai & Asako Okadome & Haruhiko Kashiwazaki & Shinsuke Mizutani & Naohisa Wada, 2021. "Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening," IJERPH, MDPI, vol. 18(22), pages 1-10, November.

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