Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
Objectives: This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Ora...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2024-12-01
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| Series: | Acta Odontologica Scandinavica |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/actaodontologica/article/view/42487 |
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| Summary: | Objectives: This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Oral Health Assessment Tool (OHAT-NL), performed by dental hygienists.
Methods: The HCNs completed SOI based on their professional view, knowledge and experience; scores red/orange/green were given to older people for oral health and oral hygiene. Older people completed the GOHAI-NL and dental hygienists completed the OHAT-NL.
Results: Data from 141 older people were analysed. Sensitivity and specificity of SOI –OHAT-NL were low (0.45 and 0.64, respectively); SOI scored only few older people as ‘red’, while only 11 older people did not need a dental referral according to the OHAT-NL. OHAT-NL and GOHAI-NL correlation was significant, but low (r = -0.226, p = 0.012).
Conclusion: Simplified Oral Indicator is currently not sensitive enough to identify older people in need of dental consultation. Additional education to HCNs and/or adjusting SOI may be needed. The GOHAI-NL seems not useful in dental triage.
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| ISSN: | 0001-6357 1502-3850 |