Kana Oishi, DH, Shinta Nishioka, PhD, RD, Yuka Okazaki, ST, Kozue Hirakawa, Ns, Mimoka Nakamura, DH, Ai Ichinose, DH, Masaki Kurihara, MD, PhD
Jpn J Compr Rehabil Sci 13: 17-25, 2022
Objective: This study was designed to examine the
relationship between improvement in oral hygiene and
function and activities of daily living (ADLs) at discharge
in patients admitted to convalescent rehabilitation wards.
Methods: Eligible criteria were patients with stroke
with a score of 13 or higher (i.e., severe oral problems)
on the Revised Oral Assessment Guide (ROAG) at
admission. Age, gender, primary diseases, rehabilitation
dose, dentist visits and denture status, Eichner
classification, eating status at admission and discharge,
and body mass index at admission were collected. The
patients were classified into two groups: those with
ROAG scores of less than 9 points at discharge (good
ROAG group) and those with scores of 9 points or more
(poor ROAG group), and Functional Independence
Measure (FIM) gain and total FIM discharge scores
were compared using univariate and multivariate
analyses.
Results: The good and poor ROAG groups comprised
126 and 366 patients, respectively. The good ROAG
group had significantly higher total FIM score, FIM
efficiency, and FIM gain at discharge than the poor
ROAG group (112 vs. 82; P < 0.001).
The ROAG scores at discharge were independently associated
with FIM gain (partial regression coefficient = -9.889, 95% confidence interval = -13.499 to -6.279) and
total FIM score at discharge.
Conclusion: Improvement in oral hygiene and function
in convalescent patients with stroke was associated with
ADLs at hospital discharge.
Key words: Kaifukuki (convalescent) rehabilitation ward, stroke, oral status, ADL at discharge