IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i12p6296-d572556.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/12/6296/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/12/6296/
    Download Restriction: no
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6296-:d:572556. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.