Staff-led interventions for improving oral hygiene in patients following stroke

Brady, Marian; Furlanetto, Denise L.C.; Hunter, Romana V.; Lewis, Steff; Milne, Vikki

doi:10.1002/14651858.cd003864.pub2

Cited by 72 publications

(101 citation statements)

References 39 publications

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“…A Cochrane review that included 3 studies found that oral care and decontamination gel versus oral care and placebo gel reduced the incidence of pneumonia in the intervention group (P=0.03). 238 Wagner et al 239 conducted a cohort study comparing rates of pneumonia in hospitalized stroke patients before and after implementation of systematic oral hygiene care. The unadjusted incidence of hospital-acquired pneumonia was lower in the group assigned to oral hygiene care compared with control subjects (14% versus 10 The most recent and comprehensive meta-analysis of pharmacological interventions for venous thromboembolism prophylaxis in AIS included 1 very large trial (n=14 578) and 4 small trials of UFH, 8 small trials of LMWHs or heparinoids, and 1 trial of a heparinoid.…”

Section: C-eomentioning

confidence: 99%

2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

Powers¹,

Rabinstein²,

Ackerson³

et al. 2018

Stroke

4,392

2,535

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Background and Purpose-The purpose of these guidelines is to provide an up-to-date comprehensive set of recommendations for clinicians caring for adult patients with acute arterial ischemic stroke in a single document. The intended audiences are prehospital care providers, physicians, allied health professionals, and hospital administrators. These guidelines supersede the 2013 guidelines and subsequent updates. Methods-Members of the writing group were appointed by the American Heart Association Stroke Council's Scientific Statements Oversight Committee, representing various areas of medical expertise. Strict adherence to the American Heart Association conflict of interest policy was maintained. Members were not allowed to participate in discussions or to vote on topics relevant to their relations with industry. The members of the writing group unanimously approved all recommendations except when relations with industry precluded members voting. Prerelease review of the draft guideline was performed by 4 expert peer reviewers and by the members of the Stroke Council's Scientific Statements Oversight The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest. Guidelines for the Early Management of PatientsThis guideline was approved by the American Heart Association Science Advisory and Coordinating Committee on November 29, 2017, and the American Heart Association Executive Committee on December 11, 2017. A copy of the document is available at http://professional.heart.org/statements by using either "Search for Guidelines & Statements" or the "Browse by Topic" area. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@ wolterskluwer.com. Tables) is available The American Heart Association requests that this document be cited as follows: Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, Biller J, Brown M, Demaerschalk BM, Hoh B, Jauch EC, Kidwell CS, Leslie-Mazwi TM, Ovbiagele B, Scott PA, Sheth KN, Southerland AM, Summers DV, Tirschwell DL; on behalf of the American Heart Association Stroke Council. 2018 Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2018;49:eXXXeXXX. doi: 10.1161/STR.0000000000000158. Data Supplement 1 (EvidenceThe expert peer review of AHA-commissioned documents (eg, scientific statements, clinical practice guidelines, systematic reviews) is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit http://professional.heart.org/statements. Select the "Guidelines & Statem...

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Section: C-eomentioning

confidence: 99%

2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

Powers¹,

Rabinstein²,

Ackerson³

et al. 2018

Stroke

4,392

2,535

View full text Add to dashboard Cite

show abstract

“…plaque, gingival health, and oral hygiene) was an oral health promotion outcome in 7 of 8 studies [52][53][54][55][56][57], while changes in systemic blood marker levels (e.g. C-reactive protein, IL-6) were an outcome in 5 studies [52,54,56,58,59].…”

Section: Oral Health Promotion Outcomesmentioning

confidence: 99%

A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease

Lam

Zhang

Samaranayake

et al. 2011

International Journal of Cardiology

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“…Standardised protocols and daily oral assessments are recommended to improve oral health (Brady et al, 2011;Chan & Hui-Ling, 2012;Cohn & Fulton, 2006;Kwok et al, 2015;Özden et al, 2013;Prendergast et al, 2012). Furthermore, compliance with assessments and protocols are essential and these should be easy and quick to use (Berry, et al, 2007;Prendergast et al, 2013).…”

Section: Need For Oral Assessmentsmentioning

confidence: 99%

“…Dysphagia is common in stroke patients increasing the risk of xerostomia. Certain medications also contribute to xerostomia, such as syrups and anti -hypertensives, as well as the use of oxygen and suction (Brady et al, 2011;Cohn & Fulton, 2006;Kwok et al, 2014). Sugar intake can also increase the risk of plaque formation and therefore oral health education should be provided during their hospital stay (Moynihan & Kelly, 2014).…”

Section: Introductionmentioning

confidence: 99%

Improving oral hygiene for stroke patients

Woon

2017

Australasian Journal of Neuroscience

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In stroke nursing, oral hygiene is fundamental and should be a priority. Patients are more dependent on the nursing staff due to problems with cognition, arm weakness, a reduced conscious level, dysphagia or aphasia. Patients rely on nurses for oral care and are at a higher risk of xerostomia (dry mouth). Effective oral care removes plaque and prevents complications such as pneumonia which would increase patient length of stay. A lack of knowledge exists amongst nursing staff in the area of oral conditions and evidence based oral hygiene. Different practices exist based on traditions or experience and education is limited. A standardised assessment tool and oral hygiene guideline should be developed to support and ensure that effective oral hygiene occurs.

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Staff-led interventions for improving oral hygiene in patients following stroke

Cited by 72 publications

References 39 publications

2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

A systematic review of the effectiveness of oral health promotion activities among patients with cardiovascular disease

Improving oral hygiene for stroke patients

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