Observational studyNursing open2021
Oral health matters in cognitive impaired aged residents in geriatric care facilities: A cross-sectional survey.
Observational study in Nursing open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Association Between Oral Hygiene Behaviours and Cognitive Decline in Adults: A Systematic Review and Meta-Analysis.Journal of advanced nursing · 2025Pooled it
- Association Between Cognitive Impairment and Dysphagia: A Two-Sample Mendelian Randomization Study.Brain and behavior · 2025Pooled it
- Association between dysphagia and activities of daily living in older adults: a systematic review and meta-analysis.European geriatric medicine · 2024Pooled it
- Aspiration pneumonia in nursing literature-a mapping review.Frontiers in rehabilitation sciences · 2024Pooled it
- Dysphagia and Oral Health in Older Adults: Examining Demographic and Clinical Associations.Dysphagia · 2026Article
- Implementation and Acceptance of Oral Health Assessment Tools in Residential Aged Care Facilities: A Scoping Review.Gerodontology · 2025Article
- Feasibility of an oral health promotion program among older people in geriatric care facilities, Shanghai, China: a pre/post-implementation study.BMC geriatrics · 2024Article
- Oral health assessment in institutionalized elderly: a scoping review.BMC oral health · 2024Article
- Research status, hotspots and trends on oral care research in the elderly published from 2002 to 2022: A bibliometric analysis - A review article.Nursing open · 2023Review
- Association of oral status with frailty among older adults in nursing homes: a cross-sectional study.BMC oral health · 2023Article
- Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction.Frontiers in psychology · 2023Article
- Self-efficacy and attitudes of nurses providing oral care in geriatric care facilities: A cross-sectional study in Shanghai.Nursing open · 2023Article
- Association of adolescent self-esteem in 2014 and cognitive performance in 2014, 2016, and 2018: a longitudinal study.Frontiers in psychology · 2023Article
- Oral Health Status and Treatment Need in Geriatric Patients with Different Degrees of Cognitive Impairment and Dementia: A Cross-Sectional Study.Journal of family medicine and primary care · 2021Article
- Oral health matters in cognitive impaired aged residents in geriatric care facilities: A cross-sectional survey.Nursing open · 2021Observational
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo investigate the oral health status of aged residents and explore the possible factors associated with oral health and the effect of cognitive impairment (CI) on it in geriatric care facilities (GCF) using oral health assessment tool (OHAT) in Shanghai, China.
backgroundOral health is closely associated with overall health. Problems like missing teeth, dental caries, dental pain, periodontal diseases, oral infections and dysphagia are common in GCFs. Furthermore, residents in GCFs with CI are becoming a dominant group and this prevalence increases with age. Detection of oral problems earlier and taking oral care actions is required for these special populations.
methodsThe study was an observational cross-sectional study conducted in 42 GCFs. Data were collected from 657 subjects, including oral health assessment (OHAT), cognitive impairment (Mini-Mental State Examination, MMSE) and respondents' characteristics. The subjects were divided into CI group and non-CI group based on MMSE. Oral health conditions were compared between the two groups.
resultsOral health status in the CI group was significantly worse than that in the non-CI group (p < .001) with four OHAT dimensions (tongue (p = .0007), saliva (p = .0011), natural teeth (p = .0155) and oral cleanliness (p < .001)). The worst dimension was natural teeth. Debris and plaque index (p < .001), oral odour (p < .001), chewing function (p = .0151) and swallowing function (p = .0405) were worse in CI group than those in non-CI group. In the CI group, providing oral care was a protective factor in oral health (OR = 0.600 95CI% (0.39-0.92)) and wearing dentures was a risk factor (OR = 2.09, 95CI% (1.31-3.32)), while the similar effects were not found in non-CI group.
conclusionsOral health status among aged residents in GCFs in China was worse among individuals with CI. Caregivers in GCFs should focus more on seniors' oral health with CI. RELEVANCE TO CLINICAL PRACTICE: Residents who are suffering from CI are more vulnerable to have oral problems. Regular and proper oral health check-ups in daily nursing work to define oral problems of residents are significant. Nursing staff should pay more attention to oral assessment and effective intervention.
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