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Incidence and Factors Influencing Oral Mucositis in Patients with Hematopoietic Stem Cell Transplantation
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Kwan Suk Jo, Nam Cho Kim
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J Korean Acad Nurs 2014;44(5):542-551. Published online October 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.5.542
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 Abstract
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Purpose
This study was done to examine the incidence of oral mucositis in hematopoietic stem cell transplantation patients and to identify factors influencing oral mucositis and patient outcomes according to severity.
Methods
In this retrospective study, data were collected from electronic medical records of 222 patients who had received hematopoietic stem cell transplantation. Oral mucositis was evaluated using WHO's assessment scale. Data were analyzed using Chi-square test, Fisher exact test, Spearman's correlation, Ordinal logistic regression, ANOVA and Kruskal-Wallis test.
Results
A total of 69.8% of the patients evaluated developed oral mucositis (grade II and over). As a results of ordinal regression, factors influencing oral mucositis severity were found to be diagnosis, type of transplantation, oxygen inhalation and the number of antiemetics administration before transplantation. The severity of oral mucositis was found to increase the days of hospitalization, days of TPN administration, days of using antibiotics and the number and dosage of analgesics.
Conclusion
The results would help predict severity of oral mucositis in hematopoietic stem cell transplantation patients and suggest that provision of appropriate nursing assessment and oral care would improve patient outcomes.
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Citations
Citations to this article as recorded by  - The Effects of Two Kinds of Gargles on Oral Mucositis in Patients After Allogeneic Stem Cell Transplantation
Wei Hu, Hua Jiang, Ting Wang, Xiu-Juan Guo, Bei-Bei Zhang, Yan Song, Ce Shi, Xiao-Dong Xu, Lin-Nan Wang, Xin-Xin He, Bo-ning Liu, Jun-xiu Zhou, Ze-yu Xue
Transplantation Proceedings.2024; 56(9): 2027. CrossRef - Nutritional status as a predictor of adverse events and survival in pediatric autologous stem cell transplant
Izabela Kranjčec, Nuša Matijašić, Mario Mašić, Alen Švigir, Gordana Jakovljević, Ante Bolanča
Pediatric Hematology and Oncology.2020; 37(8): 717. CrossRef - Kemoterapi ve Radyoterapi Alan Hastalarda Oral Mukozit: Bir Gözden Geçirme
Seher ÇAKMAK, Nesrin NURAL
Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi.2020; 13(3): 185. CrossRef - Experiences of Unrelated Hematopoietic Stem-cell Donors and Experts of Relevant Institutions
Soyoung Yu, Miok Kim, Tai-Gyu Kim, Su-Hee Beom
Korean Journal of Adult Nursing.2019; 31(5): 522. CrossRef - Effect of Oral Cryotherapy for Reducing Oral Mucositis in Hematopoietic Stem Cell Transplantation: A Systematic Review and Meta-analysis
Seong-Hi Park, Su Ha Han
Korean Journal of Adult Nursing.2018; 30(4): 362. CrossRef - Elimination of unplanned treatment breaks and dose reductions caused by mucositis: Positive implications for survival outcomes and cost reductions using high potency polymerized cross-linked sucralfate in 55 patients undergoing radiation for head and neck
Ricky Wayne McCullough
Korean Journal of Clinical Oncology.2017; 13(1): 10. CrossRef
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