Association of dry tongue to pyrexia in long-term hospitalized patients

Gerontology
Toshiyuki SaitoHideyuki Ikematsu

Abstract

The oral care of hospitalized elderly patients is thought to have a preventive effect on aspiration pneumonia, which is one of the main causes of fever. Although the decreased secretion of saliva is frequently observed in elderly people, no study has examined how a dry oral cavity affects aspiration. This study was performed to assess the association of dry tongue to pyrexia. As the main outcome measure, pyrexia of hospitalized patients with dry tongue was adjusted for dysphagia and other variables. We performed a 6-month cohort study on 106 hospitalized patients. Tongue dorsum moisture was measured using a simple method with a membrane filter (L-Salivo) at baseline examination. Dysphagia and other covariates which could cause fever were also examined. Pyrexia of the subjects during the 6-month study period was analyzed with baseline data of dry tongue adjusted for dysphagia and other variables. Patients with a dry tongue (odds ratio 5.76; 95% confidence interval 1.72-19.30; p = 0.005) and those with severe dysphagia (odds ratio 19.47; 95% confidence interval 5.13-73.88; p < 0.0001) had an increased risk of having >or=2 febrile days in multivariate analysis. The result suggests that a dry tongue dorsum is a significant risk fac...Continue Reading

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Citations

Jul 19, 2011·Archives of Gerontology and Geriatrics·Akio Tada, Hiroko Miura
Apr 1, 2011·Journal of the American Medical Directors Association·Claar D van der Maarel-WierinkCees de Baat
Jun 8, 2012·Gerodontology·Naoki KakudateYasuaki Kakinoki
Aug 26, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Ying-Chia HuangYen-Ping Hsieh
Jul 18, 2018·Current Opinion in Critical Care·Patrick G Lyons, Marin H Kollef
Mar 15, 2018·Stroke; a Journal of Cerebral Circulation·Virginia Prendergast, Janice L Hinkle

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