Cochrane · systematic review · CD003864
Interventions for improving oral health in people after stroke
Campbell, P, Bain, B, Furlanetto, DLC, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
17
current version
GRADE rated
9
No studies
8
Included studies
NR
No studies 8 · 47.1%Ungraded 0 · 0%Very low 4 · 23.5%Low 5 · 29.4%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Oral health care interventions compared with usual care for people after stroke
Population: adults with stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dental plaque (Analysis 1.1) Oral health care interventions vs usual care | no estimate extracted | 2 studies · 83 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Denture plaque (Analysis 1.3) Oral health care interventions vs usual care | no estimate extracted | 1 study · 38 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Presence of oral disease: gingivitis (Analysis 1.4) Oral health care interventions vs usual care | no estimate extracted | 2 studies · 83 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Presence of oral disease: denture‐induced stomatitis (Analysis 1.6) Oral health care interventions vs usual care | no estimate extracted | 1 study · 38 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Presence of related infection: pneumonia (Analysis 1.7) Oral health care interventions vs usual care | OR 4.17 [0.82, 21.11] | 1 study · 204 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Stroke survivor and providers' knowledge to OHC: knowledge (Analysis 1.8) Oral health care interventions vs usual care | SMD 0.7 [0.06, 1.35] | 3 studies · 728 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Stroke survivor and providers' attitudes to OHC: attitude (Analysis 1.11) Oral health care interventions vs usual care | SMD 0.28 [0.01, 0.54] | 3 studies · 728 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Oral health care intervention compared with placebo for people after stroke
Population: adults with stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dental plaque Oral health care intervention vs placebo | no estimate extracted | NR | No studies |
Denture plaque Oral health care intervention vs placebo | no estimate extracted | NR | No studies |
Presence of oral disease Oral health care intervention vs placebo | no estimate extracted | NR | No studies |
Presence of related infection: pneumonia (Analysis 2.1) Oral health care intervention vs placebo | OR 0.39 [0.14, 1.09] | 2 studies · 242 participants | Low Downgraded: risk of bias, indirectness |
Stroke survivor and providers' knowledge and attitudes to oral health care Oral health care intervention vs placebo | no estimate extracted | NR | No studies |
One oral healthcare intervention compared with another oral healthcare intervention for people after stroke
Population: adults with stroke
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Dental plaque (Analysis 3.1) One oral healthcare intervention vs another oral healthcare intervention | no estimate extracted | 1 study · 61 participants | Low Downgraded: risk of bias, imprecision |
Denture plaque One oral healthcare intervention vs another oral healthcare intervention | no estimate extracted | NR | No studies |
Presence of oral disease One oral healthcare intervention vs another oral healthcare intervention | no estimate extracted | NR | No studies |
Presence of related infection: pneumonia One oral healthcare intervention vs another oral healthcare intervention | no estimate extracted | NR | No studies |
Stroke survivor and providers' knowledge and attitudes to oral health care One oral healthcare intervention vs another oral healthcare intervention | no estimate extracted | NR | No studies |