担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Surgery Today  

Purpose: This study evaluated the impact of preoperative oral hygiene on the incidence of postoperative pneumonia (PP) and surgical site infection (SSI) in patients undergoing esophageal cancer surgery considering the influence of COVID-19 and developing effective perioperative oral care methods. Methods: The medical records of patients who underwent esophageal cancer surgery between January 2017 and March 2022 were analyzed. Patient characteristics and the incidence of PP and SSI before and during COVID-19 were compared. A multiple logistic regression analysis was performed with PP and SSI as the dependent variables. Results: This analysis included 207 participants. The mean age was 66.6 ± 8.3 years old, and 78.3% were male. There were no significant changes in the incidence of PP or SSI before and during the COVID-19 pandemic. Preoperative xerostomia significantly increased the risk of PP (odds ratio = 3.34, 95% confidence interval 1.10–10.08, p = 0.033), an advanced cancer stage, and recurrent laryngeal nerve palsy. Surgical procedures and reconstructive organs, but not preoperative oral hygiene factors, were associated with SSI. Conclusions: The incidence of PP and SSI in patients with esophageal cancer showed no marked changes before or during the COVID-19 pandemic. Managing preoperative xerostomia may be crucial for reducing the risk of PP.

DOI： 10.1007/s00595-025-03025-x

Web of Science

Scopus

PubMed

担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

Aim:This systematic review aimed to assess the effect of non-pharmacologicperioperative oral hygiene care on reduced incidence of postoperative pneumo-nia (PP), surgical site infection (SSI), and the length of hospital stay in patientswith cancer, and to describe the details of oral hygiene care.
Methods:We searched seven databases. Eligibility criteria were based on peri-operative oral hygiene care provided by healthcare professionals to patientsaged≥18 years who were surgically treated under general anesthesia and wereevaluated for the incidence of PP and SSI. We reported risk ratios (RR) fordichotomous outcomes for PP and SSI using a fixed-effects model of meta-analysis.
Results:The search resulted in 850 articles, among which two were random-ized controlled trials (RCTs) and 21 were observational studies. Most studiesindicated that dentists and medical care providers performed a combination oforal cleaning, and oral hygiene instructions. In RCTs, perioperative oralhygiene care significantly reduced the incidence of PP (RR, 0.86;p=.60),while in observational studies, perioperative oral hygiene care significantlyreduced the incidence of PP (RR, 0.55;p< .001) and SSI (RR, 0.47;p< .001).The length of hospital stay was also significantly reduced (p< .05). However,the effectiveness of nursing intervention was not clear.
Conclusions:Perioperative oral hygiene care implemented by healthcare pro-fessionals prevented PP and SSI and reduced length of hospital stays forpatients after cancer surgery. As daily perioperative oral hygiene care is per-formed by nurses, it is necessary to research the effects of oral hygiene bynurses in the future.

DOI： https://doi.org/10.1111/jjns.12600

開催年月日： 2024年12月

記述言語：日本語  

開催年月日： 2024年12月

記述言語：日本語  

開催年月日： 2024年4月

記述言語：英語  

国名：ホンコン(香港)特別行政区  

開催年月日： 2024年4月

記述言語：日本語  

国名：日本国  

開催年月日： 2024年4月

記述言語：日本語  

国名：日本国