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Oral health care and aspiration pneumonia in frail older people: a systematic literature review

Claar D van der Maarel-Wierink, Jacques Vanobbergen, Ewald M Bronkhorst, Jos MGA Schols and Cees de Baat (2013) GERODONTOLOGY. 30(1). p.3-9
abstract
Objective: To systematically review the literature on oral health care interventions in frail older people and the effect on the incidence of aspiration pneumonia. Background: Oral health care seems to play an important role in the prevention of aspiration pneumonia in frail older people. Methods: Pubmed, Web of Science, Cochrane Library, EMBASE and CINAHL were searched for eligible intervention studies. Only publications with regard to hospitalized or institutionalized older people, who were not dependent on mechanical ventilation were eligible. Two authors independently assessed the publications for their methodological quality. Results: Five publications were included and reviewed. Two studies showed that improvement of oral health care diminished the risk of developing aspiration pneumonia and the risk of dying from aspiration pneumonia directly. The three studies remaining showed that adequate oral health care decreased the amount of potential respiratory pathogens and suggested a reduction in the risk of aspiration pneumonia by improving the swallowing reflex and cough reflex sensitivity. Conclusions: According to the results of the current systematic literature review oral health care, consisting of tooth brushing after each meal, cleaning dentures once a day, and professional oral health care once a week, seems the best intervention to reduce the incidence of aspiration pneumonia.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
ADULTS, HYGIENE, RISK-FACTORS, FACILITIES, INFECTION, BACTERIA, COMMUNITY, older people, aspiration pneumonia, oral health care, NURSING-HOME RESIDENTS, frailty
journal title
GERODONTOLOGY
Gerodontology
volume
30
issue
1
pages
3 - 9
Web of Science type
Review
Web of Science id
000314750900002
JCR category
DENTISTRY, ORAL SURGERY & MEDICINE
JCR impact factor
0.806 (2013)
JCR rank
65/83 (2013)
JCR quartile
4 (2013)
ISSN
0734-0664
DOI
10.1111/j.1741-2358.2012.00637.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
5646387
handle
http://hdl.handle.net/1854/LU-5646387
date created
2014-07-10 09:47:31
date last changed
2016-12-19 15:39:06
@article{5646387,
  abstract     = {Objective: To systematically review the literature on oral health care interventions in frail older people and the effect on the incidence of aspiration pneumonia.
Background: Oral health care seems to play an important role in the prevention of aspiration pneumonia in frail older people.
Methods: Pubmed, Web of Science, Cochrane Library, EMBASE and CINAHL were searched for eligible intervention studies. Only publications with regard to hospitalized or institutionalized older people, who were not dependent on mechanical ventilation were eligible. Two authors independently assessed the publications for their methodological quality.
Results: Five publications were included and reviewed. Two studies showed that improvement of oral health care diminished the risk of developing aspiration pneumonia and the risk of dying from aspiration pneumonia directly. The three studies remaining showed that adequate oral health care decreased the amount of potential respiratory pathogens and suggested a reduction in the risk of aspiration pneumonia by improving the swallowing reflex and cough reflex sensitivity.
Conclusions: According to the results of the current systematic literature review oral health care, consisting of tooth brushing after each meal, cleaning dentures once a day, and professional oral health care once a week, seems the best intervention to reduce the incidence of aspiration pneumonia.},
  author       = {van der Maarel-Wierink, Claar D and Vanobbergen, Jacques and Bronkhorst, Ewald M and Schols, Jos MGA and de Baat, Cees},
  issn         = {0734-0664},
  journal      = {GERODONTOLOGY},
  keyword      = {ADULTS,HYGIENE,RISK-FACTORS,FACILITIES,INFECTION,BACTERIA,COMMUNITY,older people,aspiration pneumonia,oral health care,NURSING-HOME RESIDENTS,frailty},
  language     = {eng},
  number       = {1},
  pages        = {3--9},
  title        = {Oral health care and aspiration pneumonia in frail older people: a systematic literature review},
  url          = {http://dx.doi.org/10.1111/j.1741-2358.2012.00637.x},
  volume       = {30},
  year         = {2013},
}

Chicago
van der Maarel-Wierink, Claar D, Jacques Vanobbergen, Ewald M Bronkhorst, Jos MGA Schols, and Cees de Baat. 2013. “Oral Health Care and Aspiration Pneumonia in Frail Older People: a Systematic Literature Review.” Gerodontology 30 (1): 3–9.
APA
van der Maarel-Wierink, C. D., Vanobbergen, J., Bronkhorst, E. M., Schols, J. M., & de Baat, C. (2013). Oral health care and aspiration pneumonia in frail older people: a systematic literature review. GERODONTOLOGY, 30(1), 3–9.
Vancouver
1.
van der Maarel-Wierink CD, Vanobbergen J, Bronkhorst EM, Schols JM, de Baat C. Oral health care and aspiration pneumonia in frail older people: a systematic literature review. GERODONTOLOGY. 2013;30(1):3–9.
MLA
van der Maarel-Wierink, Claar D, Jacques Vanobbergen, Ewald M Bronkhorst, et al. “Oral Health Care and Aspiration Pneumonia in Frail Older People: a Systematic Literature Review.” GERODONTOLOGY 30.1 (2013): 3–9. Print.