Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: Risk factors for pneumonia in
older people include impaired cognitive function and limited ability to perform
activities of daily living (ADLs). Silent aspiration due to a depressed swallowing
reflex, which is mediated via substance P (SP), is another known risk factor.1 We recently reported that long-term oral care reduced
the risk of pneumonia among elderly Japanese nursing home patients.2 However, it is not known whether intensive oral
care affects these risk factors for pneumonia.
Yoshino A, Ebihara T, Ebihara S, Fuji H, Sasaki H. Daily Oral Care and Risk Factors for Pneumonia Among Elderly Nursing Home Patients. JAMA. 2001;286(18):2235-2236. doi:10.1001/jama.286.18.2233