Findings

What do systematic reviews say?

8 questions · 8 findings · 1 reviews · Dental public health and special care

No studies found 1 · 12.5%GRADE not reported 4 · 50%Very low 1 · 12.5%Low 2 · 25%Moderate 0 · 0%High 0 · 0%

Incidence of NHAP · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
8-30 months
Incidence of NHAP, follow-up 8-30 months, 5018 (5 studies), Low. Not pooled (individual and cluster-randomised designs, varying effect measures and follow-up). Component estimates: Bourigault HR 0.65 (0.29 to 1.46;…
5 studies · 5018 participants
Low

Mortality (all‐cause) · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
12-30 months
All-cause mortality, follow-up 12-30 months, 3764 (3 studies), Very low. Not pooled. Adachi RR 0.80 (0.40 to 1.58; 88); Juthani-Mehta HR 1.16 (0.88 to 1.53; 834); Zimmerman adjusted IRR 0.83 (0.61 to 1.12; 1606).…
3 studies · 3764 participants
Very low

Mortality (pneumonia-associated) · Residents of nursing homes and other long-term care facilities

Professional oral care may leads to lower mortality (pneumonia-associated) compared with usual oral care (low certainty).

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
24 months
RR 0.43 [0.25, 0.76]
2 studies · 454 participants
Low

Fever · Residents of nursing homes and other long-term care facilities

Professional oral care led to lower incidence or prevalence of fever compared with usual oral care; GRADE not reported.

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
24 months
RR 0.49 [0.33, 0.75]
1 study · 366 participants
GRADE not reported

Adverse effects of interventions · Residents of nursing homes and other long-term care facilities

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
Measured in only 1 study (834 participants), which reported no serious events and 64 non-serious events, the most common of which were oral cavity disturbances (not defined) and dental staining.
1 study · 834 participants
GRADE not reported

Change in data on economics and quality of life · Residents of nursing homes and other long-term care facilities

Professional oral care led to higher change in data on economics and quality of life compared with usual oral care; GRADE not reported.

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
24 months
MD 1.5 [0.32, 2.68]
1 study · 322 participants
GRADE not reported

Oral health indices · Residents of nursing homes and other long-term care facilities

Professional oral care led to higher oral health indices compared with usual oral care; GRADE not reported.

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
24 months
RR 2.81 [1.39, 5.69]
1 study · 199 participants
GRADE not reported

Change in systemic antibiotic use · Residents of nursing homes and other long-term care facilities

The review found no eligible studies for this question.

1 finding from 1 review

Oral care measures for preventing nursing home‐acquired pneumonia 2022 · Cochrane All outcomes
No studies measured change in systemic antibiotic use.
0 studies
No studies found