K05 K12.1 K02 K13 K14
Conditions
Interventions
Group 1: Intervention group receives the following measures at the following times:
Admission:
- Dental examination and questionnaires, and collection of microbiome swabs, blood sample as part of rou
Sponsors
Uniklinik Köln - Zentrum für Innere Medizin
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1) Patient is 60 years or older 2) Patient is multimorbid, i.e. the patient has more than two illnesses requiring treatment diseases at the same time 3) Patient has at least 4 remaining teeth with a maximum degree of looseness of 2 4) Patient is able to give informed consent for study participation or has a legal representative to do so on his/her behalf 5) Patient has a plaque index of =1 6) Patient lives at home 7) Patient does not require antibiotic protection for dental examination
Exclusion criteria
Exclusion criteria: 1) Patient suffers from life -threatening organ failure 2) Patient suffers from dementia (according to NINCDS- ADRDA- criteria, ICD-10 as well as DSM-5-criteria) 3) Patient is not able to participate in the interview due to lack of language skills
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate, whether in hospitalized elderly multimorbid patients, implementation of dental admission management, dental screening with individualized oral health plan and oral hygiene instruction including chemical denture cleaning, and dental discharge management improves intraoral plaque levels, of the natural dentition by one point compared to a control group (standard care). | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate, whether in hospitalized elderly multimorbid patients, the intervention "Implementation of dental admission management, dental screening with individual oral health plan and oral hygiene instruction including chemical denture cleaning and dental discharge management" affects or is affected by the following parameters at discharge and/ or in the next 6 months: - incidence of dental, oral and maxillofacial diseases - oral hygiene situation - oral health-related quality of life - mortality - re-/hospitalization rate - MPI - Brief-MPI - Cologne Frailty Score - nutritional situation (MNA-SF), DEGS - cognition (SPMSQ) - number of dental visits - GAMS - Geriatric syndromes/ resources - Cross-sectional and longitudinal microbiome characterization dental plaque, dorsum of tongue and mucosa underneath prosthetics - blood analysis: micronutrients and metabolites including metabolome | — |
Countries
Germany
Contacts
Public ContactMaria Cristina Polidori-Nelles
Klinik II für Innere Medizin, Klinische Altersforschung, Universitätsklinik Köln
Outcome results
None listed