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. 2024 Sep 13;24(1):1085.
doi: 10.1186/s12903-024-04872-9.

The current status and influencing factors of oral frailty in elderly maintenance hemodialysis patients based on the Andersen Oral Health Outcome Model

Meiqian Chen #  1   2 , Mingqian He #  1 , Qingxin Gu  1 , Xinru Gao  1 , Guanzhen Lu  3   4
Affiliations

The current status and influencing factors of oral frailty in elderly maintenance hemodialysis patients based on the Andersen Oral Health Outcome Model

Meiqian Chen et al. BMC Oral Health. .

Abstract

Objectives: To analyse the elements that influence oral frailty in elderly maintenance hemodialysis patients and to comprehend the present state of this condition.

Methods: A survey of 325 elderly maintenance hemodialysis patients from three hospitals in Huzhou City was conducted using a general information questionnaire, the Oral Health Assessment Tool, the Knowledge, Attitude, and Practice of Oral Health Questionnaire, the Social Frailty, the Frail Scale, and the Oral Frailty Index.

Results: In elderly maintenance hemodialysis patients, the prevalence of oral frailty was 45.2%. Factors influencing it include the Oral Health Knowledge Score (OR = 0.84, 95% CI 0.72-0.98), Oral Health Behavior Score (OR = 0.95, 95% CI 0.92-0.98), insufficient dialysis (OR = 0.30, 95% CI 0.14-0.63), social frailty (OR = 3.72, 95% CI 1.57-8.83), physical frailty (OR = 3.12, 95% CI 1.55-6.30), number of missing teeth (OR = 1.09, 95% CI 1.03-1.15), swallowing abnormalities (OR = 2.84, 95% CI 1.26-6.38), and oral health scores (OR = 1.34, 95% CI 1.14-1.57) (P < 0.05).

Conclusion: Patients on elderly maintenance hemodialysis are more susceptible to oral frailty. Nursing staff should develop scientifically sound, effective, and targeted oral management strategies for these patients.

Keywords: Elderly; Maintenance hemodialysis; Oral frailty; Risk factor.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Theoretical model. Green box: Exogenous factors; Yellow box: Oral health behaviors; Blue box: Primary determinants of oral health outcomes; Gray box: Oral health outcomes; Bold font: Andersen Oral Health Outcomes Modeld framework; Brackets: Variables
See this image and copyright information in PMC

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