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Article

Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery

by
Hideki Sekiya
1,*,
Yasuhiro Kurasawa
2,
Kosuke Kaneko
1,
Ken-ichiro Takahashi
1,
Yutaka Maruoka
3,
Yukihiro Michiwaki
1,4,
Yoshimasa Takeda
5 and
Ryoichi Ochiai
5
1
Department of Oral Surgery, School of Medicine, Toho University, Tokyo 143-8541, Japan
2
Department of Oral & Maxillofacial Surgery, Tokyo Medical & Dental University, Tokyo 113-0034, Japan
3
Department of Oral & Maxillofacial Surgery, Center Hospital of the National Center for Global Health and Medicine, Tokyo 162-8655, Japan
4
Department of Oral & Maxillofacial Surgery, Musashino Redcross Hospital, Tokyo 180-8610, Japan
5
Department of Anesthesiology (Omori), School of Medicine, Toho University, Tokyo 143-8541, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(12), 6296; https://doi.org/10.3390/ijerph18126296
Submission received: 2 May 2021 / Revised: 5 June 2021 / Accepted: 8 June 2021 / Published: 10 June 2021
(This article belongs to the Collection Relationships between Oral Health Management and Systemic Health)
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Abstract

Perioperative oral management is widely recognized in the healthcare system of Japan. Conventionally, the surgeon refers patients with oral problems to a dental or oral surgery clinic in the hospital. However, frequent in-house referrals were found to increase the number of incoming patients resulting in unsustainable situations due to an insufficient workforce. In 2011, the Center for Perioperative Medicine was established at our hospital to function as a management gateway for patients scheduled to undergo surgery under general anesthesia. The “oral triage” system, wherein a dental hygienist conducts an oral screening to select patients who need preoperative oral hygiene and functional management, was established in 2012. A total of 37,557 patients who underwent surgery at our hospital from April 2010 to March 2019 (two years before and seven years after introducing the system) were evaluated in this study. The sustainability and effectiveness of introducing the system were examined in 7715 cancer surgery patients. An oral management intervention rate of 20% and a significant decrease in the incidence of postoperative pneumonia (aOR = 0.50, p = 0.03) indicated that this system could be useful as a sustainable and developmental oral management strategy to manage surgical patients with minimal human resources.
Keywords: cancer surgery; oral care; oral triage; postoperative pneumonia; perioperative oral management; minimal human resources cancer surgery; oral care; oral triage; postoperative pneumonia; perioperative oral management; minimal human resources

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MDPI and ACS Style

Sekiya, H.; Kurasawa, Y.; Kaneko, K.; Takahashi, K.-i.; Maruoka, Y.; Michiwaki, Y.; Takeda, Y.; Ochiai, R. Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery. Int. J. Environ. Res. Public Health 2021, 18, 6296. https://doi.org/10.3390/ijerph18126296

AMA Style

Sekiya H, Kurasawa Y, Kaneko K, Takahashi K-i, Maruoka Y, Michiwaki Y, Takeda Y, Ochiai R. Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery. International Journal of Environmental Research and Public Health. 2021; 18(12):6296. https://doi.org/10.3390/ijerph18126296

Chicago/Turabian Style

Sekiya, Hideki, Yasuhiro Kurasawa, Kosuke Kaneko, Ken-ichiro Takahashi, Yutaka Maruoka, Yukihiro Michiwaki, Yoshimasa Takeda, and Ryoichi Ochiai. 2021. "Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery" International Journal of Environmental Research and Public Health 18, no. 12: 6296. https://doi.org/10.3390/ijerph18126296

APA Style

Sekiya, H., Kurasawa, Y., Kaneko, K., Takahashi, K.-i., Maruoka, Y., Michiwaki, Y., Takeda, Y., & Ochiai, R. (2021). Preventive Effects of Sustainable and Developmental Perioperative Oral Management Using the “Oral Triage” System on Postoperative Pneumonia after Cancer Surgery. International Journal of Environmental Research and Public Health, 18(12), 6296. https://doi.org/10.3390/ijerph18126296

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