November 14, 2001

Daily Oral Care and Risk Factors for Pneumonia Among Elderly Nursing Home Patients

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor


Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

JAMA. 2001;286(18):2235-2236. doi:10.1001/jama.286.18.2233

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.

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