title: Factor analysis on oral health care for acute hospitalized patients in Japan.
abstract: OBJECTIVE
  We conducted a survey to investigate the status regarding the implementation of oral health care for inpatients aged 65 years and older who were in the acute stages of stroke and to examine the factors related to the details of excellent model hospitals.
  
  
  METHODS
  We sent a questionnaire on oral health care targeting all 8089 hospitals in Japan. On the basis of the responses obtained from the hospitals, we conducted a survey to analyze the factors defining what are known to be excellent model hospitals. We then conducted a logistic regression analysis using a stepwise procedure.
  
  
  RESULTS
  Replies were received from 2444 of the 8089 hospitals (30.2%): 91.8% of the hospitals reported that oral health care was a part of the daily nursing routine while 91.2% of the hospitals considered that aspiration pneumonia could be prevented by appropriate oral health care. Only 30% of the nurses had undergone oral hygiene training. Among the factors involved in excellent model hospitals, we observed a strong correlation with a sense of the necessity for oral health care, oral hygiene training for nurses and a large number of hospital beds.
  
  
  CONCLUSIONS
  Large scale hospitals tend to be more interested in oral health care than smaller hospitals. Providing oral health care is already common in acute hospitals in Japan. There is a great demand for oral hygiene training and obtaining information from dental professionals. It is important to promote the cooperation between dental and nursing personnel within hospitals regarding oral hygiene training.
authors: Departments of Oral Medicine, Oral and Maxillofacial Surgery Social Dentistry Epidemiology and Public Health, Tokyo Dental College, Chiba, Japan. kuramoto@tdc.ac.jp
authors: Chika
authors: C
authors: Kuramoto
authors: Yutaka
authors: Y
authors: Watanabe
authors: Morio
authors: M
authors: Tonogi
authors: Soichiro
authors: S
authors: Hirata
authors: Naoki
authors: N
authors: Sugihara
authors: Takuo
authors: T
authors: Ishii
authors: Gen-Yuki
authors: GY
authors: Yamane