Unfavourable Outcomes in Older Adults with Oral Frailty: A Scoping Review.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Clinical Interventions in Aging Pub Date : 2024-11-28 eCollection Date: 2024-01-01 DOI:10.2147/CIA.S487329

Sheng-Rui Zhu, Xiu-Juan Feng, Wen-Kai Zheng, Xing-Rui Niu, Shu-Tian Mo, Wen-Zhen Tang

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引用次数: 0

Abstract

Background: The significant occurrence of oral frailty (OF) in older patients highlights the necessity of addressing this concern. OF is associated with complications and mortality in elderly patients. The objective of this study is to identify unfavorable outcomes in older patients with OF to increase awareness and mitigate risks.

Methods: This review employed specific MeSH terms to perform an extensive literature search on OF and its unfavorable outcomes across PubMed, Web of Science, Embase, Cochrane Library, Scopus, and CINAHL databases. The review included English-language papers published from inception to March 31, 2024, focusing on individuals aged 60 and above, adverse outcomes related to OF, and studies employing cross-sectional or cohort designs.

Results: The review comprised 28 articles: 20 cross-sectional and 8 prospective cohort studies. Among these articles, 10 were rated as "Good" and 18 as "Fair", reflecting the high quality of the literature. Next, 20 OF assessment tools were summarized, and the most frequently used methods for assessing OF were the methods of Tanaka et al and Oral Frailty Index-8 (OF-8). The most frequently unfavorable outcomes related to OF in the elderly were physical frailty, malnutrition, low dietary variety, social withdrawal, disability, and low gait speed.

Conclusion: High levels of OF significantly increase the risk of adverse outcomes in older adults, including physical frailty, malnutrition, low dietary variety, social withdrawal, disability, and low gait speed. Effective risk stratification and management are essential to reduce these outcomes.

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老年人口腔虚弱的不利结果：一项范围综述。

背景：老年患者口腔虚弱（of）的显著发生突出了解决这一问题的必要性。OF与老年患者的并发症和死亡率相关。本研究的目的是确定老年of患者的不良结局，以提高认识并减轻风险。方法：本综述采用特定的MeSH术语，在PubMed、Web OF Science、Embase、Cochrane Library、Scopus和CINAHL数据库中对OF及其不利结果进行了广泛的文献检索。该综述纳入了从开始到2024年3月31日发表的英语论文，重点关注60岁及以上的个体，与OF相关的不良后果，以及采用横断面或队列设计的研究。结果：该综述包括28篇文章：20篇横断面研究和8篇前瞻性队列研究。其中10篇文章被评为“好”，18篇文章被评为“一般”，反映了文献的高质量。接下来，总结了20种OF评估工具，最常用的评估方法是Tanaka等人的方法和口腔脆弱指数-8 （OF-8）。老年人与OF相关的最常见的不良结果是身体虚弱、营养不良、饮食多样性低、社交退缩、残疾和步态缓慢。结论：高水平of显著增加老年人不良结局的风险，包括身体虚弱、营养不良、饮食多样性低、社交退缩、残疾和步态缓慢。有效的风险分层和管理对于减少这些后果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.80

自引率

2.80%

发文量

193

审稿时长

6-12 weeks

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.