Evidence map›Paper›PMID 25034303›Full record

ArticleDysphagia2014

Oral care may reduce pneumonia in the tube-fed elderly: a preliminary study.

Keisuke Maeda, Junji Akagi

Registry-linked trialAbstract read
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In one paragraph

Article in Dysphagia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05656950 (Assessment of Oral Health Status of Patients in Pediatric Intensive Care Units), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05656950 completednot on this mapstarted 2021, after this paper: background citation

Assessment of Oral Health Status of Patients in Pediatric Intensive Care Units

TypeobservationalSponsorSakarya UniversityRan2021 to 2021Enrolled88ConditionsAssessment of Oral Health Status of Patients in Pediatric Intensive Care UnitsArmsAssessment
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Keisuke MaedaDepartment of Internal Medicine, Tamana Regional Health Medical Center, 2172 Tamana, Tamana, Kumamoto, 865-0005, Japan, maeda4work@tng.bbiq.jp.
Junji Akagi
Tamano General Medical College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pneumonia is one of the most important diseases in terms of mortality in the elderly. In particular, bedridden patients who are forbidden oral ingestion during enteral nutrition may have a poor outcome resulting from a respiratory infection. Oral hygiene can play a positive role in preventing aspiration pneumonia in the elderly. The aim of this study was to investigate the effectiveness of oral hygiene for bedridden and tube-fed patients at an increased risk of pneumonia. This retrospective study was conducted from July 2011 to June 2013 on a long-term-care hospital unit. The oral care protocol (OCP) intervention commenced in July 2012, during the study period. The subjects of this study were 63 elderly patients with a mean age of 81.7 years. Thirty-one patients were enrolled in the OCP intervention group, and the mean observation length was 130.4 days; the mean observation length for the 32 patients in the control group was 128.4 days. The incidence of pneumonia and the numbers of days with a recorded fever, antibiotics administration, blood tests, and radiological examinations were reduced from 1.20 to 0.45, 24.57 to 17.48, 25.52 to 10.12, 10.91 to 6.54, and 6.33 to 3.09 %, respectively. These reductions were significantly less in the OCP intervention group. In conclusion, the results of the present study suggest that daily oral care for tube-fed patients who do not receive nutrition by mouth reduced the incidence of pneumonia. In addition to patients consuming food by mouth, all tube-fed patients require dedicated oral care to maintain healthy oral conditions.

Indexed as

Oral HygieneAged, 80 and overAnti-Bacterial AgentsAnti-Infective Agents, LocalBody Mass IndexChlorhexidineControlled Before-After StudiesDrug CombinationsEnteral NutritionFemaleFeverGlucose OxidaseHematologic TestsHumansImmobilizationLactoperoxidaseAnti-Bacterial AgentsAnti-Infective Agents, LocalBioteneChlorhexidineDrug CombinationsGlucose OxidaseLactoperoxidaseMuramidaseSerum Albumin

Identifiers

PMID25034303
OpenAlexW2065860217

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.