Interventions for improving oral health in people after stroke

Campbell, Pauline; Bain, Brenda; Furlanetto, Denise L.C.; Brady, Marian C.

doi:10.1002/14651858.cd003864.pub3

Cited by 10 publications

(16 citation statements)

References 90 publications

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“…The OHRQoL includes different dimensions, whereby both functional and psychosocial sub-scales are available, which are potentially affected by different oral diseases [ 11 , 12 ]. Oral diseases are, in turn, common in stroke survivors; this is particularly related to physical, sensory, and cognitive complaints related to stroke, making oral health care challenging for those individuals [ 13 ]. Therefore, stroke survivors often have a higher burden of dental caries, periodontitis, and tooth loss, combined with a lower frequency of dental attendance [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Schmalz

Ziebolz

2022

JCM

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Objectives: Aim of this systematic review was to assess oral health-related quality of life (OHRQoL) of patients after stroke. Methods: The systematic literature search was performed on December 2021 based on PubMed, Medline, Web of Science, and Scopus, with the search terms: “oral health-related quality of life” AND stroke OR apoplexy OR ischemic stroke OR apoplectic insult. Articles exclusively examining patients after stroke and reporting a well-documented and valid OHRQoL measurement were included. Results: Out of 68 findings, 8 studies were included. The number of patients ranged between 31 and 549 individuals, mean age between 55.7 and 73.9 years, and 49–72% of individuals were male. Two studies included a healthy control group. Oral health parameters were rarely reported across studies. Five studies reported on the Oral Health Impact Profile (OHIP) 14 for OHRQoL, showing means between 2.87 and 33.0 in sum score. Three studies applied Geriatric Oral Assessment Index (GOHAI), with sum scores between 45.6 and 55.0. Only one study found worse OHRQoL in stroke patients compared to healthy controls. Two studies reported on an association between OHRQoL and general quality of life. Three studies found OHRQoL to be associated with different oral health parameters. Only one study found OHRQoL to be associated with stroke-related parameters. Conclusions: Patients after stroke show a reduced OHRQoL. Medical staff and caregivers should support oral hygiene and dental visits, to foster patients’ oral health and OHRQoL.

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Section: Introductionmentioning

confidence: 99%

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Schmalz

Ziebolz

2022

JCM

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“…A growing body of evidence has shown that periodontal diseases and renal failure are closely related (23), and poor oral health might increase the risk of pneumonia due to colonization by microorgan-isms (24). Post-stroke patients are known to have poor oral health conditions, so maintaining good oral hygiene is recommended for these patients (25).…”

Section: Discussionmentioning

confidence: 99%

Correlation between a Bedridden Status and the Long-term Outcome in Hemodialysis Patients after Intracerebral Hemorrhaging

et al. 2022

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Objective The quality of life and activities of daily living (ADL) are generally poor among dialysis patients after intracerebral hemorrhaging, and their precise clinical course remains unclear. In addition, the association between the severity of cerebral hemorrhaging and the long-term prognosis in these patients has not been fully elucidated. This study aimed to evaluate the subsequent prognosis of hemodialysis patients who survived the acute phase of intracerebral hemorrhaging. Methods We included hemodialysis patients who were admitted to Nagasaki University Hospital between 2007 and 2015 for intracerebral hemorrhaging treatment. After excluding cases of in-hospital death, survivors were classified using the 5-point modified Rankin Scale (mRS), which specifically measures the ADL in patients with cerebrovascular diseases. The patients were followed up at the medical facilities to which they were transferred in the same medical zone until 2017. Results Out of 91 patients with cerebral hemorrhaging (65±11 years old, 66% men, hemodialysis duration 108±91 months), 62 survived until discharge. Twenty-one patients died during observation, largely due to infectious diseases, such as sepsis and pneumonia (n=16, 76%). Compared to patients with mRS 0-4 (n=31), those with mRS 5 (n=31) showed a significantly poorer prognosis. The hazard ratio adjusted for age and antiplatelets was 13.7 (95% confidence interval: 3.88-63.7, p<0.001). Conclusion Hemodialysis patients with intracerebral hemorrhaging who were bedridden showed poor outcomes. The major causes of death were infections. Therefore, these patients should be carefully monitored for infections in order to improve their prognosis.

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“…In their systematic reviews, Dai et al (2015) and Kothari et al (2017) argue that patients with stroke have a poorer clinical oral health status, particularly in parameters such as tooth loss, dental caries experience, and periodontal status, and less frequent dental attendance behavior [ 7 , 8 ]. Patients with stroke are at high risk for poor or inadequate oral hygiene [ 3 , 9 , 10 ], which may have a negative impact on their physiological and social status, well-being, communication, and quality of life [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Oral hygiene has been effective in preventing several complications in patients with or without dysphagia after stroke [ 2 , 3 , 5 , 9 , 12 , 13 , 14 , 15 ]. A clean and healthy mouth will improve oral hygiene status [ 3 ]; promote oral comfort and reduce halitosis; prevent difficulties in eating, pain, or discomfort [ 6 ]; reduce dental plaque and gingival bleeding [ 16 , 17 ]; reduce the prevalence of oral opportunistic pathogens [ 15 , 16 ]; increase the willingness to eat; and contribute to a good nutritional intake and the removal of nasogastric tubes [ 5 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…A clean and healthy mouth will improve oral hygiene status [ 3 ]; promote oral comfort and reduce halitosis; prevent difficulties in eating, pain, or discomfort [ 6 ]; reduce dental plaque and gingival bleeding [ 16 , 17 ]; reduce the prevalence of oral opportunistic pathogens [ 15 , 16 ]; increase the willingness to eat; and contribute to a good nutritional intake and the removal of nasogastric tubes [ 5 , 10 ]. It may also lead to oral sensitivity and inadequate control of saliva and medication side-effects [ 6 , 12 ], affecting the ability to clear food debris out of the oral cavity [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Oral Hygiene in Patients with Stroke: A Best Practice Implementation Project Protocol

et al. 2023

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Oral hygiene has been shown to reduce adverse events and promote the quality of life of patients with stroke. However, a stroke can result in the impairment of physical, sensory, and cognitive abilities, and comprise self-care. Although nurses recognize its benefits, there are areas for improvement in the implementation of the best evidence-based recommendations. The aim is to promote compliance with the best evidence-based recommendations on oral hygiene in patients with stroke. This project will follow the JBI Evidence Implementation approach. The JBI Practical Application of Clinical Evidence System (JBI PACES) and the Getting Research into Practice (GRiP) audit and feedback tool will be used. The implementation process will be divided into three phases: (i) establishing a project team and undertaking the baseline audit; (ii) providing feedback to the healthcare team, identifying barriers to the implementation of best practices, and co-designing and implementing strategies using GRIP, and (iii) undertaking a follow-up audit to assess the outcomes and plan for sustainability. So, the successful adoption of the best evidence-based recommendations on oral hygiene in patients with stroke will reduce the adverse events related to poor oral care and may improve patients’ quality of care. This implementation project has great transferability potential to other contexts.

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Interventions for improving oral health in people after stroke

Abstract: Interventions for improving oral health in people a er stroke (Review)

Cited by 10 publications

References 90 publications

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Oral Health-Related Quality of Life in Patients after Stroke—A Systematic Review

Correlation between a Bedridden Status and the Long-term Outcome in Hemodialysis Patients after Intracerebral Hemorrhaging

Oral Hygiene in Patients with Stroke: A Best Practice Implementation Project Protocol

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