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

Schmalz, Gerhard; Li, Simin; Ziebolz, Dirk

doi:10.3390/jcm11051415

Cited by 4 publications

(4 citation statements)

References 50 publications

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“…A recent systematic review also reported a decrease in health-related quality of life in the stroke patients. 22 Consistent with the previous literature, a decrease in health-related quality of life in the stroke patients was also observed compared with the healthy controls in the present study.…”

Section: Discussionsupporting

confidence: 93%

“…In their study comparing hospitalised stroke patients and a healthy control group, Schimmel et al 21 observed higher OHIP‐14 values than in the control group, and reported lower oral health‐related quality of life in the stroke patients. A recent systematic review also reported a decrease in health‐related quality of life in the stroke patients 22 . Consistent with the previous literature, a decrease in health‐related quality of life in the stroke patients was also observed compared with the healthy controls in the present study.…”

Section: Discussionsupporting

confidence: 92%

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Vitamin D levels and oral health in stroke patients during inpatient rehabilitation

Yakşi

Horasan²

2023

J of Oral Rehabilitation

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Vitamin D levels and oral health in stroke patients during inpatient rehabilitation

Yakşi

Horasan²

2023

J of Oral Rehabilitation

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“…While for a definitive confirmation of the hypothesis of this review, a control group would be needed, it was decided to include studies without a control group to increase the number of included studies and, thus, the ability to draw conclusions. This was performed similarly to previous studies [ 40 , 47 ]. Most studies showed a moderate quality ( Table 4 ).…”

Section: Discussionmentioning

confidence: 94%

Dental Caries in Adult Patients with Rheumatoid Arthritis—A Systematic Review

Kreher

Ernst

Ziebolz

et al. 2023

JCM

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Patients suffering from rheumatoid arthritis (RA) are repeatedly affected by oral diseases or complaints, including xerostomia, periodontitis and dental caries. The aim of this systematic review was the evaluation of caries prevalence and/or incidence in patients with RA. Within this review, there is a systematic search of the literature based on PubMed, Web of Science and Scopus. Two independent researchers performed the search in February 2023. The search terms were “dental caries” AND “rheumatoid arthritis”. Additionally, a manual search completed the review process. Studies on adult patients (age ≥ 18 years) only suffering from RA were included. Studies had to explicitly report on the prevalence or incidence of dental caries. The respective studies were checked regarding suitability and, if they were eligible, analyzed qualitatively. A quality appraisal was performed for all of the analyzed studies. A total of 336 studies were detected, of which 16 studies met the in- and exclusion criteria. The sample sizes of the clinical investigations ranged between 13 and 1337 participants. Twelve studies evaluated a healthy control group. In 8/12 studies, a significant difference in the prevalence/incidence of caries was found between RA patients and controls. The majority of the studies applied the decayed (DT), missing and filled teeth index (DMFT) for the diagnosis of caries. On average (mean value), 0.8 to 5.79 carious teeth per patient were reported across the studies. There was no information on the stadium, activity or location of caries (e.g., root caries) in any study. Quality appraisal revealed a moderate quality for most studies. In conclusion, caries prevalence was heterogeneous across studies, while a higher caries prevalence was repeatedly reported in RA patients against controls. Further research regarding dental caries in RA appears recommendable; multidisciplinary, patient-centered dental care for patients with RA should be fostered to improve patients’ dental health status.

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“…Finally, by regression analysis, we found that age, toothache, evaluation of dental and oral status, reason for not having visited the dentist in the past year, and time since the last visit to the dentist were factors influencing OHRQoL among patients hospitalised with a stroke in this study. This suggests to us that health care professionals should support oral hygiene and dental visits and promote oral health education for patients to improve their oral health and OHRQoL [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

Oral health knowledge, attitudes, and practices and oral health-related quality of life among stroke inpatients: a cross-sectional study

Huang

Liu

et al. 2022

BMC Oral Health

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Background Stroke patients have poor oral hygiene, experience oral dysfunction due to disease factors, and have impaired oral health-related quality of life (OHRQoL). This study aimed to determine the oral health knowledge, attitudes, and practices of stroke inpatients, assess the OHRQoL of these patients, and identify their correlates. Methods In this cross-sectional study, 281 stroke inpatients aged between 22 and 88 years (57.94 ± 10.94) were conveniently selected from three hospitals in Guangzhou, China. OHRQoL was measured among these stroke patients using a Chinese version of the Oral Health Impact Profile-14 (OHIP-14). SPSS 26.0 was used for statistical analysis. Mean scores, standard deviations, and frequency distributions were obtained. The Mann–Whitney U test, Kruskal‒Wallis H test, Spearman's correlation, and multiple linear regression were used in the analysis. Results The mean score of the patients' OHRQoL was 8.37 ± 6.67, with the highest score in the pain or discomfort of the mouth dimension (3.11 ± 2.13) and pain being the most common negative effect (13.5%). In multiple linear regression analysis, significant differences were found between patients only in age (P = 0.008), toothache (P < 0.001), self-rated oral health (P < 0.001), time since last dentist visit (P = 0.037) and reason for not having visited a dentist in the past year (P < 0.001). Conclusion The OHRQoL of patients hospitalised with stroke was moderate, and oral conditions still need to be improved. Increasing age, toothache, a longer time since the last dental visit and the reason for not visiting a dentist in the past year had a negative effect on OHRQoL, and better self-rated oral health had a positive effect. Therefore, in clinical work, greater attention should be given to elderly stroke patients, patients with poor oral status and poor oral health behaviours, timely assessment of patients’ swallowing function, nutritional function, and self-care ability, and early and targeted oral health interventions and guidance.

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

Cited by 4 publications

References 50 publications

Vitamin D levels and oral health in stroke patients during inpatient rehabilitation

Vitamin D levels and oral health in stroke patients during inpatient rehabilitation

Dental Caries in Adult Patients with Rheumatoid Arthritis—A Systematic Review

Oral health knowledge, attitudes, and practices and oral health-related quality of life among stroke inpatients: a cross-sectional study

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