The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
A Systematic Review of the Preventive Effect of Oral Hygiene on Pneumonia and Respiratory Tract Infection in Elderly People in Hospitals and Nursing Homes: Effect Estimates and Methodological Quality of Randomized Controlled Trials
Abstract
The objective of this study was to investigate the preventive effect of oral hygiene on pneumonia and respiratory tract infection, focusing on elderly people in hospitals and nursing homes, by systematically reviewing effect estimates and methodological quality of randomized controlled trials (RCTs) and to provide an overview of additional clinical studies in this area. Literature searches were conducted in the Medline database, the Cochrane library databases, and by hand‐searching reference lists. Included publications were analyzed for intervention (or topic) studied, main conclusions, strength of evidence, and study design. RCTs were further analyzed for effect magnitudes and methodological details. Absolute risk reductions (ARRs) and numbers needed to treat (NNTs) were calculated. Fifteen publications fulfilled the inclusion criteria. There was a wide variation in the design and quality of the studies included. The RCTs revealed positive preventive effects of oral hygiene on pneumonia and respiratory tract infection in hospitalized elderly people and elderly nursing home residents, with ARRs from 6.6% to 11.7% and NNTs from 8.6 to 15.3 individuals. The non‐RCT studies contributed to inconclusive evidence on the association and correlation between oral hygiene and pneumonia or respiratory tract infection in elderly people. Mechanical oral hygiene has a preventive effect on mortality from pneumonia, and non‐fatal pneumonia in hospitalized elderly people and elderly nursing home residents. Approximately one in 10 cases of death from pneumonia in elderly nursing home residents may be prevented by improving oral hygiene. Future research in this area should be focused on high‐quality RCTs with appropriate sample size calculations.
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Cites
Assessing the quality of reports of randomized clinical trials: Is blinding necessary?
Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996) · Controlled Clinical Trials · doi:10.1016/0197-2456(95)00134-4 · Cited by 17,582
Schulz (1995) · doi:10.1001/jama.1995.03520290060030 · Cited by 5,634
Moher, D., Schulz, K. F., & Altman, D. G. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04337-3 · Cited by 5,373
Randomized, Controlled Trials, Observational Studies, and the Hierarchy of Research Designs
Concato, J., Shah, N., & Horwitz, R. I. (2000) · New England Journal of Medicine · doi:10.1056/nejm200006223422507 · Cited by 3,563
Moher, D., Schulz, K. F., & Altman, D. G. (2001) · BMC Medical Research Methodology · doi:10.1186/1471-2288-1-2 · Cited by 2,755
Cited by
Baijens, L. W., Clavé, P., Cras, P., Ekberg, O., Forster, A., Kolb, G., Leners, J. C., Masiero, S., Mateos del Nozal, J., Ortega, O., et al. (2016) · Clinical Interventions in Aging · doi:10.2147/cia.s107750 · Cited by 773
A case‐control study on the association between periodontitis and coronavirus disease (COVID‐19)
Anand, P. S., Jadhav, P., Kamath, K. P., Kumar, S. R., Vijayalaxmi, S., & Anil, S. (2022) · Journal of Periodontology · doi:10.1002/jper.21-0272 · Cited by 126
Tongue microbiota and oral health status in community-dwelling elderly adults.
Asakawa, M., Takeshita, T., Furuta, M., Kageyama, S., Takeuchi, K., Hata, J., Ninomiya, T., & Yamashita, Y. (2018) · mSphere · doi:10.1128/msphere.00332-18 · Cited by 113
Fereshtehnejad, S., Garcia‐Ptacek, S., Religa, D., Holmer, J., Buhlin, K., Eriksdotter, M., & Sandborgh‐Englund, G. (2018) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2017.05.004 · Cited by 81
Kageyama, S., Takeshita, T., Furuta, M., Tomioka, M., Asakawa, M., Suma, S., Takeuchi, K., Shibata, Y., Iwasa, Y., & Yamashita, Y. (2018) · The Journals of Gerontology Series A · doi:10.1093/gerona/glx205 · Cited by 73
Metadata
- Authors
- Sjögren, P., Nilsson, E., Forsell, M., Johansson, O., & Hoogstraate, J.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2008-11
- Volume
- 56
- Issue
- 11
- Pages
- 2124-2130
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2156277024
- Cited by
- 372
- References
- 5
- FWCI
- 1.51
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: A Systematic Review of the Preventive Effect of Oral Hygiene on Pneumonia and Respiratory Tract Infection in Elderly People in Hospitals and Nursing Homes: Effect Estimates and Methodological Quality of Randomized Controlled Trials. https://app.cochat.ai/papers/10.1111/j.1532-5415.2008.01926.x
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- Sjögren, P., Nilsson, E., Forsell, M., Johansson, O., & Hoogstraate, J. (2008). A Systematic Review of the Preventive Effect of Oral Hygiene on Pneumonia and Respiratory Tract Infection in Elderly People in Hospitals and Nursing Homes: Effect Estimates and Methodological Quality of Randomized Controlled Trials. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.2008.01926.x
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
