I have read and accept the terms and conditions, View permissions information for this article. Comparison of the diagnostic utility of physician-diagnosed with algorithm-defined stroke-associated pneumonia. Smith C 1, ' ' Kishore A 1 Affiliations . Zuo Y, Yalavarthi S, Shi H, et al. The participants were HCAs, staff nurses or ward sisters, with between 4 months and 6 years of experience of working in hospital stroke care. The inflammation and carotid artery risk for atherosclerosis study dental substudy, Tooth loss and atherosclerosis: the Nagahama study, Periodontal disease and stroke: a meta‐analysis of cohort studies, A systematic review and meta‐analysis of clinical, microbiological, and behavioural aspects of oral health among patients with stroke, Systematic review of the association between respiratory diseases and oral health, Oral health‐related quality of life in hospitalised stroke patients, A systematic review of the preventative effect of oral hygiene on pneumonia and respiratory tract infection in elderly people in hospitals and nursing homes: effect estimates and methodological quality of randomised controlled trials, Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia, Organisation, practice and experiences of mouth hygiene in stroke unit care: a mixed methods study, Oral care intervention to reduce incidence of ventilator‐associated pneumonia in the neurologic intensive care unit, Developing and evaluating the implementation of a complex intervention: using mixed methods to inform the design of a randomised controlled trial of an oral healthcare intervention after stroke, Randomized clinical trial of oral health promotion interventions among patients following stroke, Effect of an oral hygienic care program for stroke patients in the intensive care unit, Effect of oropharyngeal povidone‐iodine preventive oral care on ventilator‐associated pneumonia in severely brain‐injured or cerebral hemorrhage patients: a multicenter, randomized controlled trial, Foundations of mixed methods research: integrating quantitative and qualitative approaches in the social and behavioral sciences, Criteria for Reporting the Development and Evaluation of Complex Interventions in healthcare: revised guideline (CReDECI 2), Developing and evaluating complex interventions: the new Medical Research Council guidance, Staff‐led interventions for improving oral hygiene in patients following stroke, Powered versus manual toothbrushing for oral health, The additional effect of a dentifrice on the instant efficacy of toothbrushing: a crossover study, Improving oral health in institutionalised elderly people by educating caregivers: a randomised controlled trial, The development of the THROAT: the holistic and reliable oral assessment tool, Qualitative Research Practice: A Guide for Social Science Students and Researchers, Can a novel clinical risk score improve pneumonia prediction in acute stroke care? Baseline oral assessment using The Holistic and Reliable Oral Assessment Tool (THROAT)27 was documented by a member of the research nursing team. 2a and b) and video clips demonstrating a dental hygienist administering the study oral hygiene care protocols (powered and manual brushing, plus denture brushing and care) to a stroke survivor. We developed our complex intervention in line with MRC guidance22, considering the evidence from an existing systematic review in the field23, the rationale for the intervention and the requirement to evaluate implementation of the intervention in the clinical care setting. The SARS-CoV-2 pandemic is by no means the first viral infection to be linked to an increased incidence of stroke. Craig Smith. We therefore first undertook an exploratory, qualitative approach using focus groups of healthcare professionals who worked on the ASU and SRU, using open‐ended questions to identify the education and training needs. If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. associated with severe COVID-19 disease/treatment,87 secondary stroke in COVID-19 patients may also have a cardioembolic source. However, the interviews included carers where necessary and were conducted by a qualitative researcher with experience in interviewing older adults with language or communication problems. None of the participating patients withdrew consent. Patients with a known allergy to chlorhexidine were not excluded, but were offered the chlorhexidine‐free non‐foaming toothpaste if otherwise willing to participate. However, brushing in the acute phase of stroke may be potentially harmful due to disruption of biofilm and enhanced risk of aspiration. Several early‐phase studies have evaluated oral hygiene interventions in hospitalised stroke patients, but have differed considerably in the populations studied (ventilated vs. non‐ventilated patients), timing from stroke onset, healthcare environment (intensive care, acute stroke unit, rehabilitation unit), interventions used and outcome measures15-19. The main rationale and requirements were to comprehensively clean the oral cavity (±dentures), whilst considering particular challenges of oral care in stroke patients, existing variation in oral care practices and safety (e.g. We also gratefully acknowledge the staff at MANDCP (Manchester School for Dental Care Professionals) for their assistance developing the web‐based training resource and training, the nursing staff and healthcare assistants at SRFT for participating in the staff training and focus groups and Dr Marko de Jager (Philips Research) for his helpful comments on the manuscript. 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