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Pesquisa : E06.170.100 [Categoria DeCS]
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  1 / 1876 MEDLINE  
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[PMID]:27770574
[Au] Autor:de Baat C; de Baat P; Gerritsen AE; Flohil KA; van der Putten GJ; van der Maarel-Wierink CD
[Ad] Endereço:Flemish-Netherlands Geriatric Oral Research Group BENECOMO, Ghent, Belgium/Nijmegen, The Netherlands.
[Ti] Título:Risks, consequences, and prevention of falls of older people in oral healthcare centers.
[So] Source:Spec Care Dentist;37(2):71-77, 2017 Mar.
[Is] ISSN:1754-4505
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:One-third of community-dwelling people older than 65 years of age fall each year, and half of them fall at least twice a year. Older care home residents are approximately three times more likely to fall when compared to community-dwelling older people. Risk indicators for falls are related to the older people's body, environment, behavior, and activities. An important health risk indicator is (orthostatic or postprandial) hypotension, which may induce cerebral hypoperfusion. Although the majority of falls remain without major consequences, 10% to 25% of falls in care homes result in bodily trauma. Prevalent fall-related injuries are brain injury, lower extremity fracture including hip fracture and forearm/wrist fracture, facial fracture, humeral fracture, and rib/scapular fracture. As fall accidents by older people can have severe consequences, prevention of falls is of paramount importance. Healthcare providers, including oral healthcare providers, should inform older people on risks of falling and draw attention to potentially hazardous arrangements.
[Mh] Termos MeSH primário: Acidentes por Quedas/prevenção & controle
Assistência Odontológica para Idosos
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1111/scd.12212


  2 / 1876 MEDLINE  
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[PMID]:29058854
[Ti] Título:Study Concludes Most Nursing Home Patients Refuse Dental Care.
[So] Source:J Calif Dent Assoc;45(2):70, 2017 02.
[Is] ISSN:1043-2256
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência Odontológica para Idosos/utilização
Pacientes Internados
Casas de Saúde
Recusa do Paciente ao Tratamento
[Mh] Termos MeSH secundário: Seres Humanos
Tempo de Internação/estatística & dados numéricos
New York
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171024
[St] Status:MEDLINE


  3 / 1876 MEDLINE  
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[PMID]:28926671
[Au] Autor:Yanagisawa S; Nakano M; Goto T; Yoshioka M; Shirayama Y
[Ti] Título:Development of an Oral Assessment Sheet for Evaluating Older Adults in Nursing Homes.
[So] Source:Res Gerontol Nurs;10(5):234-239, 2017 Sep 01.
[Is] ISSN:1938-2464
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A new general use oral assessment sheet (OAS), comprising three items each in three categories (i.e., oral hygiene, biting and chewing, and oral function), was developed to improve the oral health of older adults requiring nursing care. Seventy-nine care workers used the assessment sheet to evaluate oral conditions in 188 institutionalized older adults. Forty-five care workers and three dental professionals then assessed oral conditions in 45 institutionalized older adults using the test-retest method before and after dental professional guidance. Cronbach's alpha of the OAS was 0.72, and 0.65, 0.57, and 0.82 for the three subcategories of oral hygiene, biting and chewing, and oral function, respectively. After dental professional intervention, absolute and relative agreement coefficients increased to more than 0.6 and 0.89, respectively. Reliability and validity of the OAS were verified, and difficulties in oral assessment experienced by care workers were identified. [Res Gerontol Nurs. 2017; 10(5):234-239.].
[Mh] Termos MeSH primário: Assistência Odontológica para Idosos/métodos
Diagnóstico Bucal/normas
Casas de Saúde
Saúde Bucal
Higiene Bucal/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Avaliação Geriátrica/métodos
Seres Humanos
Masculino
Mastigação/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE
[do] DOI:10.3928/19404921-20170621-04


  4 / 1876 MEDLINE  
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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28832778
[Au] Autor:Azevedo JS; Azevedo MS; Oliveira LJC; Correa MB; Demarco FF
[Ad] Endereço:Universidade Federal de Pelotas, Pelotas, Brasil.
[Ti] Título:[Needs for dental prostheses and their use in elderly Brazilians according to the National Oral Health Survey (SBBrazil 2010): prevalence rates and associated factors].
[Ti] Título:Uso e necessidade de prótese dentária em idosos brasileiros segundo a Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): prevalências e fatores associados..
[So] Source:Cad Saude Publica;33(8):e00054016, 2017 Aug 21.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:The objectives of this study were to evaluate the use of and need for dental prostheses among elderly Brazilians (65-74 years of age) and to verify associated factors. Data were analyzed from 7,496 elderly participants in the National Oral Health Survey in 2010 (SBBrazil 2010). Use of and need for dental prosthesis were the outcomes. The exposure variables included demographic and socioeconomic characteristics, dental services use, and self-rated oral health. Descriptive, bivariate, and multivariate analyses were performed. Prevalence rates for use of and need for dental prostheses were 78.2% and 68.7%, respectively. The Southeast Region had the highest prevalence of use (71.3%) and the greatest need for dental prostheses (82.9%). Multivariate Poisson regression analyses showed greater use of dental prostheses by women, individuals with 5 to 7 years of schooling, and users of private dental services, and lower use by black individuals and those with self-reported need for dental prostheses. Less need for dental prostheses was seen in women and in users of private services, and greater need in those with self-reported need for dental prostheses. Regional differences were seen in the distribution of use and need for dental prostheses. Still, the findings showed high prevalence rates for both outcomes in all regions of Brazil. Socioeconomic and demographic variables and use of dental services influenced the use of and need for dental prostheses.
[Mh] Termos MeSH primário: Prótese Dentária/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Brasil
Estudos Transversais
Assistência Odontológica para Idosos/estatística & dados numéricos
Assistência Odontológica para Idosos/utilização
Inquéritos de Saúde Bucal
Prótese Dentária/utilização
Feminino
Seres Humanos
Masculino
Saúde Bucal/estatística & dados numéricos
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171106
[Lr] Data última revisão:
171106
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170824
[St] Status:MEDLINE


  5 / 1876 MEDLINE  
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[PMID]:28640674
[Au] Autor:Northridge ME; Estrada I; Schrimshaw EW; Greenblatt AP; Metcalf SS; Kunzel C
[Ad] Endereço:Mary E. Northridge and Ariel P. Greenblatt are with the Department of Epidemiology & Health Promotion, New York University College of Dentistry, New York. Ivette Estrada and Carol Kunzel are with the Section of Population Oral Health, Columbia University College of Dental Medicine, New York. Eri
[Ti] Título:Racial/Ethnic Minority Older Adults' Perspectives on Proposed Medicaid Reforms' Effects on Dental Care Access.
[So] Source:Am J Public Health;107(S1):S65-S70, 2017 May.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older. Participants reported problems with affording copayments for care, complicated health and social issues, the need for vision and dental care close to home, and confusion about and stigmatization with Medicaid coverage. Federal, state, and local public health agencies can help by clarifying and simplifying Medicaid plans and sustaining benefits that older adults need to live healthy and dignified lives.
[Mh] Termos MeSH primário: Afroamericanos/psicologia
Assistência Odontológica para Idosos
Acesso aos Serviços de Saúde
Medicaid/economia
Medicaid/organização & administração
[Mh] Termos MeSH secundário: Afroamericanos/estatística & dados numéricos
Idoso
Idoso de 80 Anos ou mais
Assistência Odontológica para Idosos/estatística & dados numéricos
República Dominicana/etnologia
Feminino
Grupos Focais
Gastos em Saúde
Seres Humanos
Masculino
Meia-Idade
Cidade de Nova Iorque
Porto Rico/etnologia
Pesquisa Qualitativa
Estigma Social
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2016.303640


  6 / 1876 MEDLINE  
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[PMID]:28291859
[Au] Autor:Maniewicz S; Buser R; Duvernay E; Vazquez L; Loup A; Perneger TV; Schimmel M; Müller F
[Ti] Título:Short Dental Implants Retaining Two-Implant Mandibular Overdentures in Very Old, Dependent Patients: Radiologic and Clinical Observation Up to 5 Years.
[So] Source:Int J Oral Maxillofac Implants;32(2):415-422, 2017 Mar/Apr.
[Is] ISSN:1942-4434
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To describe the survival rate and peri-implant bone loss in very old patients dependent for their activities of daily living (ADL), treated with mandibular two-implant overdentures (IODs) in the context of a previously reported randomized controlled trial. MATERIALS AND METHODS: A total of 19 patients received two interforaminal Straumann implants (Regular Neck, 4.1 mm diameter, 8 mm length) that were subsequently loaded with Locator attachments, transforming their preexisting inferior conventional denture into an IOD. The primary outcome measures were implant survival rate and radiographically assessed peri-implant bone loss. Secondary outcome measures included peri-implant probing depth and Plaque Index scores, as well as implant mobility. Nutritional state (body mass index and blood markers) and cognitive state (Mini-Mental State Examination) were also analyzed. RESULTS: The patient cohort comprised eight men and 11 women with a mean age of 85.7 ± 6.6 years. The implant survival rate up to 5 years was 94.7%, with one early and one late implant failure. The mean loss of peri-implant bone height was 0.17 mm per year (95% confidence interval: 0.09 to 0.24; P < .001). Peri-implant probing depth and Plaque Index scores were low and stable during the first 2 years, and thereafter increased continuously. Correlation analysis suggests that a reduced cognitive function and nutritional state are not a particular risk factor for accelerated peri-implant bone loss. CONCLUSION: The high implant survival and acceptable peri-implant health suggest that neither age nor dependency for the ADLs is a contraindication for the placement of implants. Nevertheless, close monitoring of the patients concerning a potential further functional decline precluding denture management and performing oral hygiene measures is advised.
[Mh] Termos MeSH primário: Assistência Odontológica para Idosos
Implantes Dentários
Planejamento de Prótese Dentária
Retenção em Prótese Dentária/métodos
Prótese Dentária Fixada por Implante/métodos
Revestimento de Dentadura
Arcada Parcialmente Edêntula/reabilitação
Mandíbula/cirurgia
[Mh] Termos MeSH secundário: Atividades Cotidianas
Idoso
Idoso de 80 Anos ou mais
Perda do Osso Alveolar/etiologia
Perda do Osso Alveolar/patologia
Estudos de Coortes
Assistência Odontológica para Idosos/métodos
Assistência Odontológica para Idosos/normas
Implantes Dentários/efeitos adversos
Índice de Placa Dentária
Retenção em Prótese Dentária/normas
Prótese Dentária Fixada por Implante/efeitos adversos
Feminino
Seres Humanos
Masculino
Estado Nutricional
Periodontite/patologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Dental Implants)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170315
[St] Status:MEDLINE
[do] DOI:10.11607/jomi.5361


  7 / 1876 MEDLINE  
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[PMID]:27323699
[Au] Autor:Fjeld KG; Eide H; Mowe M; Hove LH; Willumsen T
[Ad] Endereço:Faculty of Dentistry, University of Oslo, Oslo, Norway.
[Ti] Título:Dental hygiene registration: development, and reliability and validity testing of an assessment scale designed for nurses in institutions.
[So] Source:J Clin Nurs;26(13-14):1845-1853, 2017 Jul.
[Is] ISSN:1365-2702
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS AND OBJECTIVES: To develop and test the dental hygiene registration, a dental hygiene assessment scale for nurses working in institutions. BACKGROUND: Removal of dental plaque is a key factor in preventing oral health-related diseases. A simple, but reliable dental hygiene assessment scale that enables nurses to monitor residents' dental hygiene on a daily basis, will improve monitoring oral hygiene status and quality of dental health care. DESIGN: Descriptive study on the development and evaluation of a dental hygiene registration instrument. METHODS: The dental hygiene registration was developed and tested over several stages during the period of 2011-2014. Dental hygiene registration consists of a five-point plaque score scale. The score indicates whether measures are needed. A reference group comprising both medical and dental personnel designed dental hygiene registration. Dental plaque was used as a measure of dental hygiene. A pictorial series of teeth with varying amounts of plaque was used to achieve intra-examiner agreement. Dental hygiene registration assessments were scored 50 times to assess interexaminer reliability between one dental hygienist and one clinical nurse. Dental hygiene registration was validated against the plaque index score of the Simplified Oral Hygiene Index. The Regional Ethics Committee approved the study (2011/915). RESULTS: Estimates for intra-examiner agreement on plaque score were good for the dental hygienist (κ = 0·7) and very good for the clinical nurse (κ = 0·8). Estimates for interexaminer reliability for dental hygiene registration between the dental hygienist and the clinical nurse were moderate (κ = 0·4). dental hygiene registration corresponded significantly with Simplified Oral Hygiene Index (Spearman's correlation coefficient = 0·8, p < 0·001) indicating good validity. CONCLUSION: The developed dental hygiene registration appears to be reliable and valid. RELEVANCE TO CLINICAL PRACTICE: Dental hygiene registration may contribute to the provision of daily oral care. Dental hygiene registration enables nurses to evaluate their own effort when assisting in dental hygiene and to register whether further effort is needed.
[Mh] Termos MeSH primário: Índice de Placa Dentária
Avaliação em Enfermagem
Higiene Bucal/estatística & dados numéricos
Periodontite/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Assistência Odontológica para Idosos
Feminino
Seres Humanos
Masculino
Variações Dependentes do Observador
Periodontite/enfermagem
Periodontite/patologia
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160622
[St] Status:MEDLINE
[do] DOI:10.1111/jocn.13452


  8 / 1876 MEDLINE  
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[PMID]:27814251
[Au] Autor:Hutten MC
[Ti] Título:Prosthodontic considerations for managing the older adult patient.
[So] Source:Gen Dent;64(6):18-22, 2016 Nov-Dec.
[Is] ISSN:0363-6771
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As the baby boom generation ages, it is projected that by 2050 the number of Americans older than 65 years of age will increase to a staggering 88 million. Those Americans 85 years and older will soon represent the fastest growing segment of the population, predicted to surge to 20 million by 2060. Management of chronic disease processes affecting older Americans will consume 86% of the nation's healthcare expenditures. Dentists and specialists alike must understand these disease processes and become active members of the healthcare team. Oral healthcare providers should become astute at developing treatment plan modifications that take into account the various medical conditions affecting the older adult population and provide restorative care that may simplify oral maintenance procedures as this population of patients continues to age.
[Mh] Termos MeSH primário: Assistência Odontológica para Idosos/métodos
[Mh] Termos MeSH secundário: Idoso
Doença Crônica/epidemiologia
Doença Crônica/terapia
Prótese Dentária
Prótese Total
Acesso aos Serviços de Saúde
Seres Humanos
Doenças da Boca/epidemiologia
Doenças da Boca/terapia
Boca Edêntula/terapia
Polimedicação
Prostodontia/métodos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:161105
[St] Status:MEDLINE


  9 / 1876 MEDLINE  
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[PMID]:27801931
[Au] Autor:Komiyama T; Ohi T; Miyoshi Y; Murakami T; Tsuboi A; Tomata Y; Tsuji I; Watanabe M; Hattori Y
[Ad] Endereço:Division of Aging and Geriatric Dentistry, Department of Oral Function and Morphology, Graduate School of Dentistry, Sendai, Japan.
[Ti] Título:Association Between Tooth Loss, Receipt of Dental Care, and Functional Disability in an Elderly Japanese Population: The Tsurugaya Project.
[So] Source:J Am Geriatr Soc;64(12):2495-2502, 2016 Dec.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine whether number of remaining teeth and regular dental care affect incident functional disability in elderly Japanese adults. DESIGN: Prospective cohort study. SETTING: Tsurugaya district, Sendai, Japan. PARTICIPANTS: Community-dwelling individuals aged 70 and older (N = 834). MEASUREMENTS: The outcome measurement was incident functional disability, defined as first certification of long-term care insurance in Japan, which is determined on the basis of a strictly established uniform nationwide standard. During a median follow-up of 7.9 years (interquartile range 4.8-7.9 years), information on long-term care insurance was obtained from the Sendai Municipal Authority. Oral health was assessed according to number of remaining teeth and presence or absence of regular dental care. Data were also collected on age, sex, body mass index, medical history, smoking, alcohol consumption, duration of education, depressive symptoms, cognitive impairment, physical functioning, and social support. RESULTS: Participants with 10 to 19 teeth (adjusted hazard ratio (aHR) = 1.42, 95% confidence interval (CI) = 1.03-1.94), one to nine teeth (aHR = 1.46, 95% CI = 1.04-2.03), and no teeth (aHR = 1.49, 95% CI = 1.03-2.14) were more likely to develop functional disability than those with 20 or more teeth. There was no significant difference in risk of functional disability between participants with 20 or more teeth and those with zero to 19 teeth who were receiving regular dental care, whereas those with zero to 19 teeth without regular dental care had a significantly greater risk of functional disability than those with 20 or more teeth (HR = 1.46, 95% CI = 1.11-1.92). CONCLUSION: Tooth loss was associated with greater risk of functional disability in community-dwelling elderly Japanese. Regular dental care might moderate the risk of functional disability in elderly individuals with missing teeth.
[Mh] Termos MeSH primário: Assistência Odontológica para Idosos/utilização
Avaliação da Deficiência
Avaliação Geriátrica
Perda de Dente/epidemiologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Incidência
Seguro de Assistência de Longo Prazo
Japão/epidemiologia
Masculino
Saúde Bucal
Estudos Prospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161102
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14390


  10 / 1876 MEDLINE  
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[PMID]:27748575
[Au] Autor:Izumi M; Takeuchi K; Ganaha S; Akifusa S; Yamashita Y
[Ad] Endereço:Department of Oral Functional Management, School of Oral Health Sciences, Faculty of Dentistry, Kyushu Dental University, Kitakyushu, Japan.
[Ti] Título:Effects of oral care with tongue cleaning on coughing ability in geriatric care facilities: a randomised controlled trial.
[So] Source:J Oral Rehabil;43(12):953-959, 2016 Dec.
[Is] ISSN:1365-2842
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Methods for preventing aspiration pneumonia are needed soon in order to reduce mortality from aspiration pneumonia and promote the health of the elderly. The aim of this randomised controlled trial was to examine whether oral care with tongue cleaning improves coughing ability in elderly individuals living in geriatric care facilities. Participants comprised of 114 residents of 11 group homes and private nursing homes in Aso City in Kumamoto Prefecture. Participants were randomly assigned to either (i) a group that underwent routine oral care with tongue cleaning (intervention group; n = 58) or (ii) a group that underwent routine oral care alone (control group; n = 56). Coughing ability was evaluated by measuring peak expiratory flow (PEF) before and after 4 weeks of intervention. Before the intervention, PEF did not differ significantly between the intervention group (1·65 ± 1·11 L s ) and control group (1·59 ± 1·05 L s ; P = 0·658). However, on termination of the intervention, PEF was significantly higher in the intervention group (2·54 ± 1·42 L s ) than in the control group (1·90 ± 1·20 L s ; P = 0·014). After the intervention, PEF had increased significantly in both groups; however, this increase was significantly greater in the intervention group (0·90 ± 0·95 L s ) than in the control group (0·31 ± 0·99 L s ; P < 0·001). Oral care with tongue cleaning led to increased PEF, suggesting improved coughing ability. Oral care incorporating tongue cleaning appears to be important for preventing aspiration pneumonia.
[Mh] Termos MeSH primário: Tosse/fisiopatologia
Assistência Odontológica para Idosos/métodos
Casas de Saúde
Higiene Bucal/métodos
Pneumonia Aspirativa/prevenção & controle
Língua
[Mh] Termos MeSH secundário: Atividades Cotidianas
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE
[do] DOI:10.1111/joor.12451



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