{"title":"Relationship between end of life of older adults in long-term care facilities and full-time dental hygienist service: A 2-year multicenter study","authors":"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","doi":"10.1111/ggi.70171","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Aim</h3>\n \n <p>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).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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. <b>Geriatr Gerontol Int 2025; 25: 1404–1411</b>.</p>\n </section>\n </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 10","pages":"1404-1411"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatrics & Gerontology International","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ggi.70171","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
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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.
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.