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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

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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