Lyons, M. et al. (2018) Oral care after stroke: Where are we now? European Stroke Journal, 3(4), pp. 347-354. (doi: 10.1177/2396987318775206)
|
Text
162195.pdf - Accepted Version 751kB | |
|
Text
162195Suppl.pdf - Supplemental Material 311kB |
Abstract
Purpose: There appears to be an association between poor oral hygiene and increased risk of aspiration pneumonia – a 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.
Item Type: | Articles |
---|---|
Additional Information: | This work was supported by a NIHR CRN/British Association of Stroke Physicians stroke writing group grant. |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Langhorne, Professor Peter |
Authors: | Lyons, M., Smith, C., Boaden, E., Brady, M. C., Brocklehurst, P., Dickinson, H., Hamdy, S., Higham, S., Langhorne, P., Lightbody, C., McCracken, G., Medina-Lara, A., Sproson, L., Walls, A., and Watkins, D. C. |
College/School: | College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health |
Journal Name: | European Stroke Journal |
Publisher: | SAGE Publications |
ISSN: | 2396-9873 |
ISSN (Online): | 2396-9881 |
Published Online: | 08 May 2018 |
Copyright Holders: | Copyright © 2018 European Stroke Organisation |
First Published: | First published in European Stroke Journal 3(4): 347-354 |
Publisher Policy: | Reproduced in accordance with the copyright policy of the publisher |
University Staff: Request a correction | Enlighten Editors: Update this record