Xerostomia after Acute Stroke

Kerr, Gillian D.; Sellars, Cameron; Bowie, Lynsey; Bagg, J.; Sweeney, M. Petrina; Langhorne, Peter; Stott, David J.

doi:10.1159/000253147

Cited by 14 publications

(6 citation statements)

References 7 publications

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“…Zhu et al reported Candida albicans to be the most prevalent yeast species in patients after stroke, 44 and dysphagia 23 and lower salivary flow rates were found to significantly associated with its oral carriage. 31 …”

Section: Oral Opportunistic Pathogensmentioning

confidence: 99%

A systematic review and meta-analysis of clinical, microbiological, and behavioural aspects of oral health among patients with stroke

Dai

Lam

et al. 2015

Journal of Dentistry

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Section: Oral Opportunistic Pathogensmentioning

confidence: 99%

A systematic review and meta-analysis of clinical, microbiological, and behavioural aspects of oral health among patients with stroke

Dai

Lam

et al. 2015

Journal of Dentistry

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“…Desoutter et al found increasing age and anticholinergic medications are associated with higher risk of dry mouth but medications that induce hypersialorrhea protect against occurrence. Established diseases associated with dry mouth include diabetes mellitus, autoimmune diseases such as rheumatoid arthritis, renal failure, and stroke . Although oral disease history of patient was not associated with exposure, we found it to be a strong risk factor.…”

Section: Discussionmentioning

confidence: 56%

Comparative risk of oral ulcerations among antipsychotics users - population-based retrospective cohort study

Lai

Hsieh

Wong

et al. 2015

Pharmacoepidemiol Drug Saf

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“…14,19 Dehydration and xerostomia can be a particular problem because of oxygen therapy, mouth breathing, side-effects of medications and reduced food and fluid intake. 39,40 In these circumstances, oral care can be challenging and is often given low priority by nurses. 41 Oral care can be further complicated where swallow safety is compromised, as patients may be unable to keep any food residue, toothpaste or rinsing fluids from entering their airway.…”

Section: Resultsmentioning

confidence: 99%

Oral care after stroke: Where are we now?

Lyons

Smith

Boaden

et al. 2018

European Stroke Journal

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There appears to be an association between poor oral hygiene and increased risk of aspiration pneumoniaa leading cause of mortality post-stroke. We aim to synthesise what is known about oral care after stroke, identify knowledge gaps and outline priorities for research that will provide evidence to inform best practice. Methods: A narrative review from a multidisciplinary perspective, drawing on evidence from systematic reviews, literature, expert and lay opinion to scrutinise current practice in oral care after a stroke and seek consensus on research priorities. Findings: Oral care tends to be of poor quality and delegated to the least qualified members of the caring team. Nursing staff often work in a pressured environment where other aspects of clinical care take priority. Guidelines that exist are based on weak evidence and lack detail about how best to provide oral care. Discussion: Oral health after a stroke is important from a social as well as physical health perspective, yet tends to be neglected. Multidisciplinary research is needed to improve understanding of the complexities associated with delivering good oral care for stroke patients. Also to provide the evidence for practice that will improve wellbeing and may reduce risk of aspiration pneumonia and other serious sequelae. Conclusion: Although there is evidence of an association, there is only weak evidence about whether improving oral care reduces risk of pneumonia or mortality after a stroke. Clinically relevant, feasible, cost-effective, evidence-based oral care interventions to improve patient outcomes in stroke care are urgently needed.

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Xerostomia after Acute Stroke

Cited by 14 publications

References 7 publications

A systematic review and meta-analysis of clinical, microbiological, and behavioural aspects of oral health among patients with stroke

A systematic review and meta-analysis of clinical, microbiological, and behavioural aspects of oral health among patients with stroke

Comparative risk of oral ulcerations among antipsychotics users - population-based retrospective cohort study

Oral care after stroke: Where are we now?

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