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ID 116172
Author
Yamada, Shin-ichi Shinshu University
Koike, Kazuyuki Chiba University
Tanaka Isomura, Emiko Osaka University
Chikazu, Daichi Tokyo Medical University
Yamagata, Kenji University of Tsukuba
Iikubo, Masahiro Tohoku University
Hino, Satoshi Ehime University
Hibi, Hideharu Nagoya University
Katsura, Kouji Niigata University
Nakamura, Seiji Kyushu University
Nomura, Takeshi Tokyo Dental College
Mori, Yoshiyuki Jichi Medical University
Tojyo, Itaru Wakayama Medical University
Kanamura, Narisato Kyoto Prefectural University of Medicine
Yamamori, Iku Yamagata University
Fujita, Shigeyuki Wakayama Medical University
Tanzawa, Hideki Chiba University
Kurita, Hiroshi Shinshu University
Keywords
oral care
perioperative oral management
serum albumin
surgery
Content Type
Journal Article
Description
The purpose of the present study was to investigate the efficacy of perioperative oral managements (POMs) on perioperative nutritional conditions in patients undergoing surgery with general anesthesia. Medical records were retrospectively reviewed and the effects of POMs were investigated based on a large number of cases using a multicenter analysis. The profile of serum albumin levels was assessed and compared between patients with and without POMs using the multivariate analysis. Seventeen Eleven thousand and one hundred sixty patients (4,873 males and 6,287 females) were reviewed. Of these, 2710 patients (24.3%) had undergone POMs. The results of a multivariate analysis revealed the significant positive effect of POMs on perioperative serum albumin level (change between at admission and discharge, (Estimate: 0.022, standard error: 0.012, P < .0001). Patient gender, age, surgical site, performance status, the American Society of Anesthesiologists (ASA) physical status classification, operation time, amount of blood loss, and serum albumin level at admission were also significant predictors. Adjusted multivariate analysis of the effects of POMs on perioperative change of serum albumin level in all subjects reveled the significance of POMs intervention (estimate: 0.022, standard error: 0.012, P < .0001). These results suggest that POMs exerts significant positive effects on perioperative serum albumin levels in patients underwent surgery under general anesthesia.
Journal Title
Medicine
ISSN
00257974
15365964
NCID
AA00728867
Publisher
Wolters Kluwer Health
Volume
100
Issue
10
Start Page
e25119
Published Date
2021-03-12
Rights
This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC)(https://creativecommons.org/licenses/by-nc/4.0/), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
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language
eng
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departments
University Hospital