{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:40:27Z","timestamp":1792687227472,"version":"4.5.0"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effects of oral hygiene care on swallowing-related outcomes in hospitalised patients with post-stroke dysphagia (PSD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic literature search was conducted in MEDLINE, Embase, Web of Science, Scopus, CINAHL, CENTRAL and ClinicalTrials.gov up to May 2026. Randomised controlled trials (RCTs) and non-RCTs with a comparison group that reporting swallowing-related outcomes were included. Risk of bias was assessed using RoB 2 for RCTs and ROBINS-I for non-RCTs. Where appropriate, meta-analyses were conducted using random-effects models to estimate mean differences (MDs), odds ratios (ORs) and risk differences (RDs) with 95% confidence intervals (CIs). The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies, comprising 7 RCTs and two non-RCTs, were included, with risk-of-bias ratings ranging from low risk to some concerns for RCTs and moderate risk for non-RCTs. Oral hygiene care increased the odds of achieving independent oral intake compared with usual care (OR\u00a0=\u00a02.54, 95% CI, 1.80; 3.59; I2\u00a0=\u00a00%), corresponding to a 13% absolute increase (RD\u00a0=\u00a00.13, 95% CI, 0.03; 0.23; I2\u00a0=\u00a00%). Functional Oral Intake Scale (FOIS; scores 1\u20137), with higher scores indicating more independent and unrestricted oral intake, favoured oral hygiene care (MD\u00a0=\u00a00.40, 95% CI, 0.07; 0.72; I2\u00a0=\u00a00%). Similarly, Gugging Swallowing Screen (GUSS; scores 0\u201320), assessing swallowing safety and dysphagia severity, favoured oral hygiene care (MD\u00a0=\u00a02.93, 95% CI, 1.01; 4.85; I2\u00a0=\u00a00%). The certainty of the evidence for achieving independent oral intake was rated as high.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Oral hygiene care supports swallowing recovery in patients with PSD, particularly independent oral intake and should be considered an active component of dysphagia rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/esj\/aakag126","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:09:24Z","timestamp":1792685364000},"source":"Crossref","is-referenced-by-count":0,"title":["Effects of oral hygiene care on swallowing recovery in hospitalised patients with post-stroke dysphagia: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2255-2178","authenticated-orcid":false,"given":"Sungkrit","family":"Pojmonpiti","sequence":"first","affiliation":[{"name":"ELOHA (Equal Lifelong Oral Health for All) research group, Department of Oral Health Sciences, Faculty of Medicine and Health Sciences, University of Ghent , Ghent ,","place":["Belgium"]},{"name":"Department of Neurology, Ghent University Hospital , Ghent ,","place":["Belgium"]},{"name":"Dental Department, Chulabhorn Hospital, Chulabhorn Royal Academy , Bangkok ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariska","family":"Meersschaut","sequence":"additional","affiliation":[{"name":"Department of Neurology, Ghent University Hospital , Ghent ,","place":["Belgium"]},{"name":"Department of Head and Skin, Faculty of Medicine and Health Sciences, University of Ghent , Ghent ,","place":["Belgium"]},{"name":"Nuclear Medicine and Molecular Imaging research group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven , Leuven ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Batens","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Ghent University Hospital , Ghent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margot","family":"Baudelet","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Ghent University Hospital , Ghent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4672-4752","authenticated-orcid":false,"given":"Veerle","family":"De Herdt","sequence":"additional","affiliation":[{"name":"Department of Neurology, Ghent University Hospital , Ghent ,","place":["Belgium"]},{"name":"Department of Head and Skin, Faculty of Medicine and Health Sciences, University of Ghent , Ghent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Janssens","sequence":"additional","affiliation":[{"name":"ELOHA (Equal Lifelong Oral Health for All) research group, Department of Oral Health Sciences, Faculty of Medicine and Health Sciences, University of Ghent , Ghent ,","place":["Belgium"]},{"name":"Department of Oral Health, Ghent University Hospital , Ghent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"2026102212091768600_ref1","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1007\/s40141-013-0017-y","article-title":"Dysphagia after stroke: an overview","volume":"1","author":"Gonz\u00e1lez-Fern\u00e1ndez","year":"2013","journal-title":"Curr Phys Med Rehabil Rep"},{"key":"2026102212091768600_ref2","doi-asserted-by":"publisher","first-page":"LXXXIX","DOI":"10.1177\/23969873211039721","article-title":"European stroke organisation and European Society for Swallowing Disorders guideline for the diagnosis and treatment of post-stroke dysphagia","volume":"6","author":"Dziewas","year":"2021","journal-title":"Eur Stroke J"},{"key":"2026102212091768600_ref3","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1016\/S1474-4422(24)00053-X","article-title":"Dysphagia after stroke: research advances in treatment interventions","volume":"23","author":"Labeit","year":"2024","journal-title":"The Lancet Neurology"},{"key":"2026102212091768600_ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1403610","article-title":"Prevalence, risk factors, and outcomes of dysphagia after stroke: a systematic review and meta-analysis. 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