Relationship between end of life of older adults in long-term care facilities and full-time dental hygienist service: A 2-year multicenter study

IF 2.5 4区 医学 Q3 GERIATRICS & GERONTOLOGY
Nami Machi, Yutaka Watanabe, Kazuhito Miura, Kimiya Ozaki, Misuzu Sato, Masanori Iwasaki, Maki Shirobe, Hirohiko Hirano, Yuki Ohara, Yoshihiro Kugimiya, Masataka Itoda, Takeshi Kikutani, Midori Tsuneishi, Yuko Kuboyama, Shinsuke Mizutani, Shigekazu Komoto, Yutaka Yamazaki
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Abstract

Aim

This study aimed to examine the relationship between dental hygienist work arrangements in long-term care insurance facilities and the likelihood of residents dying in the facility (in-facility death) rather than in a hospital (hospital death).

Methods

In this 2-year, multicenter, longitudinal study, a baseline survey of 958 residents from 30 long-term care insurance facilities was conducted in 2019, followed by a 2-year outcome survey. The survey items comprised end-of-survey outcomes (death, inpatient discharge), length of stay, and resident preferences for end-of-life care in the facility. A modified Poisson analysis was conducted, with the dependent variable end of life in the facility coded as 1 (possible) or 0 (not possible) and whether the facility had a full-time hygienist representing the primary explanatory variable.

Results

Of the 958 residents (202 men and 742 women; mean age: 86.3 ± 8.1 years) included in the study, 464 were in the facility discharge group, and of these 142 (37.3%) died in the hospital and 239 (62.7%) died in the facility. Having access to a full-time dental hygienist (risk ratio [RR]: 1.23, 95% confidence interval [CI]: 1.03–1.46) and a preference for end of life in the facility (RR: 1.48, 95% CI: 1.23–1.79) were significantly associated with the end of life in the facility.

Conclusions

The presence of a full-time dental hygienist in long-term care insurance facilities was associated with end of life in the facility for older adult residents requiring long-term care. Geriatr Gerontol Int 2025; 25: 1404–1411.

Abstract Image

长期护理机构中老年人生命终结与全职牙科保健师服务之间的关系:一项为期2年的多中心研究。
目的:本研究旨在探讨长期护理保险机构内牙科保健师的工作安排与居民在机构内死亡(机构内死亡)而不是在医院死亡(医院死亡)的可能性之间的关系。方法:在这项为期2年的多中心纵向研究中,于2019年对来自30家长期护理保险机构的958名居民进行了基线调查,随后进行了为期2年的结果调查。调查项目包括调查结束的结果(死亡、住院出院)、住院时间和住院居民对该机构临终关怀的偏好。进行了修正泊松分析,因变量在设施的生命结束编码为1(可能)或0(不可能),以及设施是否有全职卫生师代表主要解释变量。结果:纳入研究的958名住院患者(男性202人,女性742人,平均年龄86.3±8.1岁)中,设施出院组464人,其中142人(37.3%)在医院死亡,239人(62.7%)在设施死亡。有机会获得全职牙科保健师(风险比[RR]: 1.23, 95%可信区间[CI]: 1.03-1.46)和选择在该机构结束生命(RR: 1.48, 95% CI: 1.23-1.79)与该机构结束生命显著相关。结论:长期护理保险机构中全职牙科保健员的存在与需要长期护理的老年居民在该机构中的生命终结有关。Geriatr Gerontol 2025;••: ••-••.
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
CiteScore
5.50
自引率
6.10%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.
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