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Aspiration Pneumonia: Dental and Oral Risk Factors in an Older Veteran Population
dc.contributor.authorTerpenning, Margaret S.en_US
dc.contributor.authorTaylor, George W.en_US
dc.contributor.authorLopatin, Dennis E.en_US
dc.contributor.authorKerr, Connie Kinderen_US
dc.contributor.authorDominguez, B. Lizaen_US
dc.contributor.authorLoesche, Walter J.en_US
dc.date.accessioned2010-04-01T15:00:52Z
dc.date.available2010-04-01T15:00:52Z
dc.date.issued2001-05en_US
dc.identifier.citationTerpenning, Margaret S.; Taylor, George W.; Lopatin, Dennis E.; Kerr, Connie Kinder; Dominguez, B. Liza; Loesche, Walter J. (2001). "Aspiration Pneumonia: Dental and Oral Risk Factors in an Older Veteran Population." Journal of the American Geriatrics Society 49(5): 557-563. <http://hdl.handle.net/2027.42/65475>en_US
dc.identifier.issn0002-8614en_US
dc.identifier.issn1532-5415en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/65475
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=11380747&dopt=citationen_US
dc.description.abstractTo investigate the importance of medical and dental factors in aspiration pneumonia in an older veteran population. DESIGN: Prospective enrollment of subjects with retrospective analysis of data. SETTING: Department of Veterans Affairs outpatient clinic, inpatient ward, and nursing home. PARTICIPANTS: 358 veterans age 55 and older; 50 subjects with aspiration pneumonia. MEASUREMENTS: Demographic and medical data; functional status; health-related behaviors; dental care utilization; personal oral hygiene; comprehensive dental examination; salivary assays including IgA antibodies; and cultures of saliva, throat, and dental plaques. RESULTS: Two logistic regression models produced estimates of significant risk factors. One model using dentate patients included: requiring help with feeding (odds ratio (OR) = 13.9), chronic obstructive pulmonary disease (COPD) (OR = 4.7), diabetes mellitus (OR = 3.5), number of decayed teeth (OR = 1.2), number of functional dental units (OR = 1.2), presence of important organisms for decay, Streptococcus sobrinus in saliva (OR = 6.2), and periodontal disease, Porphyromonous gingivalis in dental plaque (OR = 4.2), and Staphylococcus aureus presence in saliva (OR = 7.4). The second model, containing both dentate and edentulous patients included: requiring help with feeding (OR = 4.7), COPD (OR = 2.5), diabetes mellitus (OR = 1.7), and presence of S. aureus in saliva (OR = 8.3). CONCLUSION: This study supports the significance of oral and dental factors while controlling for established medical risk factors in aspiration pneumonia incidence.en_US
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dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
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dc.publisherBlackwell Science Incen_US
dc.rightsAmerican Geriatrics Societyen_US
dc.subject.otherAspiration Pneumoniaen_US
dc.subject.otherOral Healthen_US
dc.subject.otherDental Risk Factorsen_US
dc.subject.otherOlder Veteransen_US
dc.titleAspiration Pneumonia: Dental and Oral Risk Factors in an Older Veteran Populationen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationum* Department of Internal Medicine, University of Michigan Medical School;en_US
dc.contributor.affiliationumDepartment Biologic and Materials Sciences, University of Michigan School of Dentistry; anden_US
dc.contributor.affiliationumUniversity of Michigan School of Nursing, Ann Arbor, Michigan.en_US
dc.contributor.affiliationotherDepartment of Cardiology, Restorative Sciences, and Endodontics anden_US
dc.identifier.pmid11380747en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/65475/1/j.1532-5415.2001.49113.x.pdf
dc.identifier.doi10.1046/j.1532-5415.2001.49113.xen_US
dc.identifier.sourceJournal of the American Geriatrics Societyen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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