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Oral health in patients with stroke: a meta-analysis of comparative studies
Liang-Nan Zeng1,2,3,4; Wen-Wang Rao1,2; Shi-Hong Luo5; Qing-E Zhang6; Brian J. Hall7,8; Gabor S. Ungvari9,10; Li-Gang Chen3,4; Yu-Tao Xiang1,2
AbstractObjective: 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.
KeywordOral Health Stroke Comparative Studies
Indexed BySCIE
WOS Research AreaRehabilitation
WOS SubjectRehabilitation
WOS IDWOS:000487926300001
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Cited Times [WOS]:3   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, China
2.Center for Cognition and Brain Sciences, University of Macau, Taipa, China
3.Department of Neurosurgery, The Affiliated Hospital of Southwest Medical University
4.Neurosurgery Clinical Medical Research Center of Sichuan Province, Academician (Expert) Workstation of Sichuan Province
5.Department of Oral implant, The Affiliated Stomatology Hospital of Southwest Medical University, Sichuan, China
6.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, School of Mental Health, Capital Medical University, Beijing, China
7.Global and Community Mental Health Research Group, Department of Psychology, University of Macau, Taipa, China
8.Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
9.Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia
10.University of Notre Dame Australia, Fremantle, Australia
First Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Liang-Nan Zeng,Wen-Wang Rao,Shi-Hong Luo,et al. Oral health in patients with stroke: a meta-analysis of comparative studies[J]. TOPICS IN STROKE REHABILITATION,2019,27(1):75-80.
APA Liang-Nan Zeng,Wen-Wang Rao,Shi-Hong Luo,Qing-E Zhang,Brian J. Hall,Gabor S. Ungvari,Li-Gang Chen,&Yu-Tao Xiang.(2019).Oral health in patients with stroke: a meta-analysis of comparative studies.TOPICS IN STROKE REHABILITATION,27(1),75-80.
MLA Liang-Nan Zeng,et al."Oral health in patients with stroke: a meta-analysis of comparative studies".TOPICS IN STROKE REHABILITATION 27.1(2019):75-80.
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