Evidence map›Paper›PMID 37728853›Full record

ArticleEuropean geriatric medicine2023

Relationship between oral frailty, health-related quality of life, and survival among long-term care residents.

Taija Puranen, Kaija Hiltunen, Hannu Kautiainen, Merja H Suominen, Karoliina Salminen, Päivi Mäntylä, Hanna-Maria Roitto, Kaisu H Pitkälä, Riitta K T Saarela

Erratum issuedOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European geriatric medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  11. [Analysis of the Occurrence and Influencing Factors of Oral Frailty in Elderly Residents of Elderly Care Facilities].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Article
  12. Exploring Oral Care in Long-Term Care Homes: An Institutional Ethnography.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Taija PuranenSocial Services, Health Care and Rescue Services Division, Development Support, City of Helsinki, P.O. Box 6008, 00099, Helsinki, Finland. taija.puranen@hel.fi.ORCID 0000-0002-4844-1660
Kaija HiltunenDepartment of Oral and Maxillofacial Diseases, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-3307-6605
Hannu KautiainenPrimary Health Care Unit, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0003-0786-0858
Merja H SuominenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.
Karoliina SalminenDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4704-3211
Päivi MäntyläInstitute of Dentistry, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0003-2091-972X
Hanna-Maria RoittoDepartment of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-5466-2873
Kaisu H PitkäläDepartment of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-9659-6985
Riitta K T SaarelaSocial Services, Health Care and Rescue Services Division, Oral Health Care, City of Helsinki, Helsinki, Finland. riitta.saarela@hel.fi.ORCID 0000-0002-1850-1757
University of Helsinki · FIDepartment of Social Services · AUKuopio University Hospital · FIUniversity of Eastern Finland · FI

Funding

Helsingin Kaupunki University Central Hospital
6 · The paper itself

Abstract

purposeWe evaluated oral frailty (OFr) and its association with health-related quality of life (HRQoL), energy and protein intake, and survival among older long-term care residents.

methodsThis cross-sectional study with a 3-year follow-up for survival assessed 349 residents in long-term care facilities (73% female, mean age 82 years). We defined OFr with six signs (dry mouth, food residue on oral surfaces, unclear speech, inability to keep mouth open or pain expression during the clinical oral examination, diet pureed/soft) and OFr severity was categorized as Group 1, (mild) = 0-1 signs, Group 2 (moderate) = 2-4 signs, and Group 3 (severe) = 5-6 signs. We measured HRQoL with 15D instrument, and energy and protein intake by a 1- to 2-day food record. Mortality was retrieved from central registers on March 2021.

resultsOf the residents, 15% had 0-1, 67% 2-4 and 18% 5-6 OFr signs. HRQoL decreased linearly from Group 1 to Group 3. OFr correlated with such dimensions of HRQoL as mobility, eating, speech, excretion, usual activities, mental function, and vitality. We found no association between OFr categories and energy and protein intake. Survival decreased linearly from Group 1 to Group 3.

conclusionsOFr was common among older long-term care residents and OFr severity predicts poorer outcomes. The six oral signs denoting OFr may be used at the bedside to screen residents at risk for OFr.

Indexed as

FrailtyLong-Term CareQuality of LifeAged, 80 and overCross-Sectional StudiesFemaleHumansMaleNursing HomesHealth-related quality of lifeLong-term careNutrient intakeOral frailtySurvival

Identifiers

PMID37728853
PMCPMC10754726
OpenAlexW4386877674

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.