title: Assessment of the use of xerogenic medications for chronic medical and dental conditions among adult day health participants.
abstract: OBJECTIVE
  To describe the health conditions, dental problems, and use of xerogenic medications among dental patients in adult day health (ADH) centers.
  
  
  METHODS
  Cross-sectional descriptive study.
  
  
  METHODS
  ADH centers in King County, Washington.
  
  
  METHODS
  ADH clients who were patients of a mobile dental service.
  
  
  METHODS
  Pharmacist-conducted chart reviews and in-person medication reviews with patients.
  
  
  METHODS
  Demographic description, mean numbers of medical and dental problems, medications, xerogenic medications used per subject, and identification of xerogenic medications by therapeutic class.
  
  
  RESULTS
  At five sites, 97 patients were interviewed (average age 73.8 +/- 11.8 years, 61% female); ethnicities included: Asian-American (37.1%), Caucasian (30.9%), Russian (29%), and African-American (3%). Mean numbers of chronic health problems, medications, and xerogenic medications per patient were 5.2 +/- 2.7, 10.9 +/- 4.4, and 3.3 +/- 1.8, respectively. Antidepressants were the most commonly used xerogenic medication, followed by antipsychotics, antiemetics, analgesics, and antihistamines. Among 74 patients who received dental treatment, 33 (44.6%) wore dentures. Among 58 patients with teeth, a mean number of 2.8 dental problems per patient was identified. Dental caries (51.7%) was the most prevalent problem, followed by periodontitis (29.3%), soft tissue lesions (10.3%), gingivitis (5.2%), and candidiasis (3.4%).
  
  
  CONCLUSIONS
  Multiple systemic diseases, use of multiple xerogenic medications, and poor oral health were prevalent among the ADH clients in this study. However, self-reports of dry mouth were unrelated to number of xerogenic medications or oral conditions. Further research is needed to determine the association between self-reported dry mouth, chronic health conditions, use of xerogenic medications, tooth loss, and/or denture use.
authors.affiliation: University of Washington School of Pharmacy, Health Science Building, Box 357630, 1959 NE Pacific Street, Seattle, WA 98195-7630, USA. aylam@u.washington.edu
authors.forename: Annie
authors.initials: A
authors.lastname: Lam
authors.forename: Asuman
authors.initials: A
authors.lastname: Kiyak
authors.forename: Allison M
authors.initials: AM
authors.lastname: Gossett
authors.forename: Lawrence
authors.initials: L
authors.lastname: McCormick
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D003631:Day Care, Medical; D016321:Dental Care for Aged / Q000379:methods*; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010865:Pilot Projects; D014987:Xerostomia / Q000139:chemically induced*