Oral health in patients with stroke: a meta-analysis of comparative studies

Liang Nan Zeng, Wen Wang Rao, Shi Hong Luo, Qing E. Zhang, Brian J. Hall, Gabor S. Ungvari, Li Gang Chen, Yu Tao Xiang

Research output: Contribution to journalReview article

Abstract

Objective: This meta-analysis systematically analyzed and compared oral health between stroke patients and controls. Data source: The electronic databases of PubMed, EMBASE, PsycINFO, Medline and Web of Science were independently searched by two authors from their inception to 14 June 2018. Study selection: Eleven studies comparing oral health between stroke patients (n = 1,742) and controls (n = 1,193) were analyzed. Data extraction: The full texts of the 11 studies were independently reviewed. Data on oral health were independently extracted by two authors. Data synthesis: Mean differences (MD) and 95% confidence intervals (CI) were calculated and synthesized using fixed or random-effects models, as appropriate. Compared to controls, stroke patients had poorer oral health: they had more Dental Caries (5 studies; MD = 2.89, 95% CI: 0.91–4.88, p=.04), but less Remaining Teeth scores (6 studies; MD = −2.93, 95% CI: −3.91, −1.95; p <.00001). Both the Plaque Index (3 studies; MD = 0.21, 95% CI: 0.14, 0.28; p <.00001) and Gingival Index scores (4 studies; MD = 0.22, 95% CI: 0.14, 0.30; p <.00001) were significantly higher in stroke patients, indicating worse periodontal status. Conclusions: Stroke patients had poorer overall oral health status compared to controls. Given the importance of oral health to overall health, further research on screening for oral health problems after stroke should be conducted and effective management strategies should be devised and implemented.

Original languageEnglish
JournalTopics in Stroke Rehabilitation
DOIs
Publication statusE-pub ahead of print - 28 Sep 2019

Fingerprint

Oral Health
Meta-Analysis
Stroke
Confidence Intervals
Periodontal Index
Information Storage and Retrieval
Dental Caries
PubMed
Health Status
Tooth
Databases
Health
Research

Cite this

Zeng, Liang Nan ; Rao, Wen Wang ; Luo, Shi Hong ; Zhang, Qing E. ; Hall, Brian J. ; Ungvari, Gabor S. ; Chen, Li Gang ; Xiang, Yu Tao. / Oral health in patients with stroke : a meta-analysis of comparative studies. In: Topics in Stroke Rehabilitation. 2019.
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title = "Oral health in patients with stroke: a meta-analysis of comparative studies",
abstract = "Objective: This meta-analysis systematically analyzed and compared oral health between stroke patients and controls. Data source: The electronic databases of PubMed, EMBASE, PsycINFO, Medline and Web of Science were independently searched by two authors from their inception to 14 June 2018. Study selection: Eleven studies comparing oral health between stroke patients (n = 1,742) and controls (n = 1,193) were analyzed. Data extraction: The full texts of the 11 studies were independently reviewed. Data on oral health were independently extracted by two authors. Data synthesis: Mean differences (MD) and 95{\%} confidence intervals (CI) were calculated and synthesized using fixed or random-effects models, as appropriate. Compared to controls, stroke patients had poorer oral health: they had more Dental Caries (5 studies; MD = 2.89, 95{\%} CI: 0.91–4.88, p=.04), but less Remaining Teeth scores (6 studies; MD = −2.93, 95{\%} CI: −3.91, −1.95; p <.00001). Both the Plaque Index (3 studies; MD = 0.21, 95{\%} CI: 0.14, 0.28; p <.00001) and Gingival Index scores (4 studies; MD = 0.22, 95{\%} CI: 0.14, 0.30; p <.00001) were significantly higher in stroke patients, indicating worse periodontal status. Conclusions: Stroke patients had poorer overall oral health status compared to controls. Given the importance of oral health to overall health, further research on screening for oral health problems after stroke should be conducted and effective management strategies should be devised and implemented.",
keywords = "comparative studies, Oral health, stroke",
author = "Zeng, {Liang Nan} and Rao, {Wen Wang} and Luo, {Shi Hong} and Zhang, {Qing E.} and Hall, {Brian J.} and Ungvari, {Gabor S.} and Chen, {Li Gang} and Xiang, {Yu Tao}",
year = "2019",
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doi = "10.1080/10749357.2019.1656413",
language = "English",
journal = "Topics in Stroke Rehabilitation",
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Oral health in patients with stroke : a meta-analysis of comparative studies. / Zeng, Liang Nan; Rao, Wen Wang; Luo, Shi Hong; Zhang, Qing E.; Hall, Brian J.; Ungvari, Gabor S.; Chen, Li Gang; Xiang, Yu Tao.

In: Topics in Stroke Rehabilitation, 28.09.2019.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Oral health in patients with stroke

T2 - a meta-analysis of comparative studies

AU - Zeng, Liang Nan

AU - Rao, Wen Wang

AU - Luo, Shi Hong

AU - Zhang, Qing E.

AU - Hall, Brian J.

AU - Ungvari, Gabor S.

AU - Chen, Li Gang

AU - Xiang, Yu Tao

PY - 2019/9/28

Y1 - 2019/9/28

N2 - Objective: This meta-analysis systematically analyzed and compared oral health between stroke patients and controls. Data source: The electronic databases of PubMed, EMBASE, PsycINFO, Medline and Web of Science were independently searched by two authors from their inception to 14 June 2018. Study selection: Eleven studies comparing oral health between stroke patients (n = 1,742) and controls (n = 1,193) were analyzed. Data extraction: The full texts of the 11 studies were independently reviewed. Data on oral health were independently extracted by two authors. Data synthesis: Mean differences (MD) and 95% confidence intervals (CI) were calculated and synthesized using fixed or random-effects models, as appropriate. Compared to controls, stroke patients had poorer oral health: they had more Dental Caries (5 studies; MD = 2.89, 95% CI: 0.91–4.88, p=.04), but less Remaining Teeth scores (6 studies; MD = −2.93, 95% CI: −3.91, −1.95; p <.00001). Both the Plaque Index (3 studies; MD = 0.21, 95% CI: 0.14, 0.28; p <.00001) and Gingival Index scores (4 studies; MD = 0.22, 95% CI: 0.14, 0.30; p <.00001) were significantly higher in stroke patients, indicating worse periodontal status. Conclusions: Stroke patients had poorer overall oral health status compared to controls. Given the importance of oral health to overall health, further research on screening for oral health problems after stroke should be conducted and effective management strategies should be devised and implemented.

AB - Objective: This meta-analysis systematically analyzed and compared oral health between stroke patients and controls. Data source: The electronic databases of PubMed, EMBASE, PsycINFO, Medline and Web of Science were independently searched by two authors from their inception to 14 June 2018. Study selection: Eleven studies comparing oral health between stroke patients (n = 1,742) and controls (n = 1,193) were analyzed. Data extraction: The full texts of the 11 studies were independently reviewed. Data on oral health were independently extracted by two authors. Data synthesis: Mean differences (MD) and 95% confidence intervals (CI) were calculated and synthesized using fixed or random-effects models, as appropriate. Compared to controls, stroke patients had poorer oral health: they had more Dental Caries (5 studies; MD = 2.89, 95% CI: 0.91–4.88, p=.04), but less Remaining Teeth scores (6 studies; MD = −2.93, 95% CI: −3.91, −1.95; p <.00001). Both the Plaque Index (3 studies; MD = 0.21, 95% CI: 0.14, 0.28; p <.00001) and Gingival Index scores (4 studies; MD = 0.22, 95% CI: 0.14, 0.30; p <.00001) were significantly higher in stroke patients, indicating worse periodontal status. Conclusions: Stroke patients had poorer overall oral health status compared to controls. Given the importance of oral health to overall health, further research on screening for oral health problems after stroke should be conducted and effective management strategies should be devised and implemented.

KW - comparative studies

KW - Oral health

KW - stroke

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U2 - 10.1080/10749357.2019.1656413

DO - 10.1080/10749357.2019.1656413

M3 - Review article

JO - Topics in Stroke Rehabilitation

JF - Topics in Stroke Rehabilitation

SN - 1074-9357

ER -