An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective
Background: Numerous studies have shown that improving oral hygiene contributes to a reduction in the risk of postoperative complications in patients with head and neck cancer, cardiac disease, and esophageal cancer. However, the beneficial standard for oral management procedures during the perioper...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | JTCVS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666273622000614 |
| _version_ | 1818255852164874240 |
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| author | Akari Kaga, DH Tetsuya Ikeda, DDS, PhD Keisei Tachibana, MD, PhD Ryota Tanaka, MD, PhD Haruhiko Kondo, MD, PhD Takanori Kawabata, MS Tomoko Yorozu, MD, PhD Koichiro Saito, MD, PhD |
| author_facet | Akari Kaga, DH Tetsuya Ikeda, DDS, PhD Keisei Tachibana, MD, PhD Ryota Tanaka, MD, PhD Haruhiko Kondo, MD, PhD Takanori Kawabata, MS Tomoko Yorozu, MD, PhD Koichiro Saito, MD, PhD |
| author_sort | Akari Kaga, DH |
| collection | DOAJ |
| description | Background: Numerous studies have shown that improving oral hygiene contributes to a reduction in the risk of postoperative complications in patients with head and neck cancer, cardiac disease, and esophageal cancer. However, the beneficial standard for oral management procedures during the perioperative period has not yet been established. Therefore, our aim was to determine whether or not their innovative oral management intervention contributed to a reduction in postoperative complications in lung cancer. Methods: We performed a retrospective analysis of medical records of patients who underwent lung cancer surgery with lobectomy and pneumonectomy at Kyorin University Hospital. Patients were divided into 2 groups: a perioperative oral management intervention group that underwent lung cancer surgery from April 2016 to March 2018 (n = 164), and a control group without oral management that underwent surgery from April 2014 to March 2016 (n = 199). In particular, our oral management procedure emphasized oral mucosa stimulation to induce saliva discharge as in gum chewing, rather than simply using teeth brushing to reduce oral microbiome. Therefore, our oral management procedure is different from traditional oral care. Results: This study demonstrated that our oral management practice was associated with a decline in the occurrence of postoperative pneumonia (odds ratio, 0.184; 95% CI, 0.042-0.571; P = .009), postoperative hospital stay duration (β coefficient, −4.272; 95% CI, −6.390 to −2.155; P < .001) and Clavian-Dindo classification grade II or above (odds ratio, 0.503; 95% CI, 0.298-0.835; P = .009). Conclusions: We propose an innovative new strategy using their unique oral management procedure to reduce postoperative complications resulting from pulmonary resection. |
| first_indexed | 2024-12-12T17:18:26Z |
| format | Article |
| id | doaj.art-52aa6c9e8e754f70b89dd851a479fe1b |
| institution | Directory Open Access Journal |
| issn | 2666-2736 |
| language | English |
| last_indexed | 2024-12-12T17:18:26Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Open |
| spelling | doaj.art-52aa6c9e8e754f70b89dd851a479fe1b2022-12-22T00:17:44ZengElsevierJTCVS Open2666-27362022-06-0110442453An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspectiveAkari Kaga, DH0Tetsuya Ikeda, DDS, PhD1Keisei Tachibana, MD, PhD2Ryota Tanaka, MD, PhD3Haruhiko Kondo, MD, PhD4Takanori Kawabata, MS5Tomoko Yorozu, MD, PhD6Koichiro Saito, MD, PhD7Department of Oral Surgery, Kyorin University School of Medicine, Tokyo, JapanDepartment of Oral Surgery, Kyorin University School of Medicine, Tokyo, Japan; Address for reprints: Tetsuya Ikeda, DDS, PhD, Department of Oral Surgery, Kyorin University Hospital, Shinkawa 6-20-2, Mitaka city, Tokyo, Japan.Department of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, JapanDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, JapanDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, JapanClinical Research Center, Shizuoka Cancer Center, Shizuoka, JapanDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, JapanDepartment of Otorhinolaryngology, Kyorin University School of Medicine, Tokyo, JapanBackground: Numerous studies have shown that improving oral hygiene contributes to a reduction in the risk of postoperative complications in patients with head and neck cancer, cardiac disease, and esophageal cancer. However, the beneficial standard for oral management procedures during the perioperative period has not yet been established. Therefore, our aim was to determine whether or not their innovative oral management intervention contributed to a reduction in postoperative complications in lung cancer. Methods: We performed a retrospective analysis of medical records of patients who underwent lung cancer surgery with lobectomy and pneumonectomy at Kyorin University Hospital. Patients were divided into 2 groups: a perioperative oral management intervention group that underwent lung cancer surgery from April 2016 to March 2018 (n = 164), and a control group without oral management that underwent surgery from April 2014 to March 2016 (n = 199). In particular, our oral management procedure emphasized oral mucosa stimulation to induce saliva discharge as in gum chewing, rather than simply using teeth brushing to reduce oral microbiome. Therefore, our oral management procedure is different from traditional oral care. Results: This study demonstrated that our oral management practice was associated with a decline in the occurrence of postoperative pneumonia (odds ratio, 0.184; 95% CI, 0.042-0.571; P = .009), postoperative hospital stay duration (β coefficient, −4.272; 95% CI, −6.390 to −2.155; P < .001) and Clavian-Dindo classification grade II or above (odds ratio, 0.503; 95% CI, 0.298-0.835; P = .009). Conclusions: We propose an innovative new strategy using their unique oral management procedure to reduce postoperative complications resulting from pulmonary resection.http://www.sciencedirect.com/science/article/pii/S2666273622000614hospital stay periodlung cancer surgeryoral managementoral stimulationpostoperative complications |
| spellingShingle | Akari Kaga, DH Tetsuya Ikeda, DDS, PhD Keisei Tachibana, MD, PhD Ryota Tanaka, MD, PhD Haruhiko Kondo, MD, PhD Takanori Kawabata, MS Tomoko Yorozu, MD, PhD Koichiro Saito, MD, PhD An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective JTCVS Open hospital stay period lung cancer surgery oral management oral stimulation postoperative complications |
| title | An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective |
| title_full | An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective |
| title_fullStr | An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective |
| title_full_unstemmed | An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective |
| title_short | An innovative oral management procedure to reduce postoperative complicationsCentral MessagePerspective |
| title_sort | innovative oral management procedure to reduce postoperative complicationscentral messageperspective |
| topic | hospital stay period lung cancer surgery oral management oral stimulation postoperative complications |
| url | http://www.sciencedirect.com/science/article/pii/S2666273622000614 |
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