TY - JOUR
T1 - Hospital admissions for dental disorders in patients with severe mental illness in Southeast London: A register‐based cohort study
AU - Chaturvedi, Jaya
AU - Stewart, Robert
AU - Gallagher, Jennifer Elizabeth
AU - Sabbah, Wael
AU - Turner, Jonathan
AU - Curl, Charlotte
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article. This work was supported by the Clinical Records Interactive Search (CRIS) system funded and developed by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. JC is funded by the Medical Research Council (MRC) King's Mental Health Data Pathfinder (grant number MC/PC/17214) project grant. RS is part-funded by: (i) the NIHR Biomedical Research Centre at the South London and Maudsley NHS Foundation Trust and King's College London; (ii) a MRC Mental Health Data Pathfinder Award to King's College London; (iii) an NIHR Senior Investigator Award; (iv) the NIHR Applied Research Collaboration South London (NIHR ARC South London) at King's College Hospital NHS Foundation Trust.
Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article. This work was supported by the Clinical Records Interactive Search (CRIS) system funded and developed by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London. JC is funded by the Medical Research Council (MRC) King's Mental Health Data Pathfinder (grant number MC/PC/17214) project grant. RS is part‐funded by: (i) the NIHR Biomedical Research Centre at the South London and Maudsley NHS Foundation Trust and King's College London; (ii) a MRC Mental Health Data Pathfinder Award to King's College London; (iii) an NIHR Senior Investigator Award; (iv) the NIHR Applied Research Collaboration South London (NIHR ARC South London) at King's College Hospital NHS Foundation Trust.
Publisher Copyright:
© 2021 The Authors. European Journal of Oral Sciences published by John Wiley & Sons Ltd on behalf of Scandinavian Division of the International Association for Dental Research
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/2/3
Y1 - 2021/2/3
N2 - In people with mental disorders, adverse general health is well recognized but dental diseases remain underinvestigated. The objective of this study was to investigate risk factors for hospital admissions for dental disorders in patients with severe mental illness (SMI) and/or depressive disorder. De‐identified electronic mental health records from the South London and Maudsley NHS Foundation Trust (SLaM) were linked to national Hospital Episode Statistics (HES) data for analysis. Data were extracted for adults with a diagnosis of SMI (schizophrenia, schizoaffective disorder, bipolar disorder) and/or depression, who had received care at SLaM between 1 January 2010 and 31 March 2017. In the cohort of 18,999 patients thus obtained, the following factors were independently associated with hospital admission for dental disorders: female gender [odds ratio (OR) = 1.48, 95% CI: 1.31–1.68)], Health of the Nation Outcome Scales (HoNOS) problem drinking/drug taking (OR = 1.12, 95% CI: 1.05–1.19), HoNOS physical illness/disability (OR = 1.18, 95% CI: 1.12–.25), diabetes (OR = 1.24, 95% CI: 1.06–1.43), recorded current/past smoking (OR = 1.35, 95% CI: 1.06–1.43), treatment with antidepressant medication (OR = 1.48, 95% CI: 1.31–1.68), and depressive disorder (OR = 1.36, 95% CI: 1.11–1.68). Building on previous research in this population, which indicated a relatively high risk of acute care hospitalizations with dental disorders as discharge diagnoses, a number of demographic and clinical characteristics were found to be independent predictors over a 7‐yr period. Further research into these predictors would facilitate a better understanding of how adverse dental outcomes might be prevented.
AB - In people with mental disorders, adverse general health is well recognized but dental diseases remain underinvestigated. The objective of this study was to investigate risk factors for hospital admissions for dental disorders in patients with severe mental illness (SMI) and/or depressive disorder. De‐identified electronic mental health records from the South London and Maudsley NHS Foundation Trust (SLaM) were linked to national Hospital Episode Statistics (HES) data for analysis. Data were extracted for adults with a diagnosis of SMI (schizophrenia, schizoaffective disorder, bipolar disorder) and/or depression, who had received care at SLaM between 1 January 2010 and 31 March 2017. In the cohort of 18,999 patients thus obtained, the following factors were independently associated with hospital admission for dental disorders: female gender [odds ratio (OR) = 1.48, 95% CI: 1.31–1.68)], Health of the Nation Outcome Scales (HoNOS) problem drinking/drug taking (OR = 1.12, 95% CI: 1.05–1.19), HoNOS physical illness/disability (OR = 1.18, 95% CI: 1.12–.25), diabetes (OR = 1.24, 95% CI: 1.06–1.43), recorded current/past smoking (OR = 1.35, 95% CI: 1.06–1.43), treatment with antidepressant medication (OR = 1.48, 95% CI: 1.31–1.68), and depressive disorder (OR = 1.36, 95% CI: 1.11–1.68). Building on previous research in this population, which indicated a relatively high risk of acute care hospitalizations with dental disorders as discharge diagnoses, a number of demographic and clinical characteristics were found to be independent predictors over a 7‐yr period. Further research into these predictors would facilitate a better understanding of how adverse dental outcomes might be prevented.
UR - http://www.scopus.com/inward/record.url?scp=85100354411&partnerID=8YFLogxK
U2 - 10.1111/eos.12752
DO - 10.1111/eos.12752
M3 - Article
SN - 0909-8836
VL - 129
JO - European Journal of Oral Sciences
JF - European Journal of Oral Sciences
IS - 1
M1 - e12752
ER -
