{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T01:18:23Z","timestamp":1780967903300,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T00:00:00Z","timestamp":1507766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS022298"],"award-info":[{"award-number":["R01HS022298"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,11]]},"abstract":"\n Background\/Objectives<\/jats:title>\n \n The poor oral hygiene of nursing home (\n NH<\/jats:styled-content>\n ) residents is a matter of increasing concern, especially because of its relationship with pneumonia and other health events. Because details and related risk factors in this area are scant and providers need to be able to easily identify those residents at most risk, this study comprehensively examined the plaque, gingival, and denture status of\n NH<\/jats:styled-content>\n residents, as well as readily available correlates of those indicators of oral hygiene, including items from the Minimum Data Set (\n MDS<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n Oral hygiene assessment and chart abstract conducted on a cross\u2010section of\n NH<\/jats:styled-content>\n residents.\n <\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n NH<\/jats:styled-content>\n s in North Carolina (N = 14).\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n NH<\/jats:styled-content>\n residents (N = 506).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Descriptive data from the\n MDS<\/jats:styled-content>\n and assessments using three standardized measures: the Plaque Index for Long\u2010Term Care (\n PI<\/jats:styled-content>\n \u2010\n LTC<\/jats:styled-content>\n ), the Gingival Index for Long\u2010Term Care (\n GI<\/jats:styled-content>\n \u2010\n LTC<\/jats:styled-content>\n ), and the Denture Plaque Index (\n DPI<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Oral hygiene scores averaged 1.7 (of 3) for the\n PI<\/jats:styled-content>\n \u2010\n LTC<\/jats:styled-content>\n , 1.5 (of 4) for the\n GI<\/jats:styled-content>\n \u2010\n LTC<\/jats:styled-content>\n , and 2.2 (of 4) for the\n DPI<\/jats:styled-content>\n . Factors most strongly associated with poor oral hygiene scores included having dementia, being on hospice care, and longer stay.\n MDS<\/jats:styled-content>\n ratings of gingivitis differed significantly from oral hygiene assessments.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n The findings identify resident subgroups at especially high risk of poor oral health who can be targeted in quality improvement efforts related to oral hygiene; they also indicate need to improve the accuracy of how\n MDS<\/jats:styled-content>\n items are completed.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.15061","type":"journal-article","created":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T11:34:37Z","timestamp":1507808077000},"page":"2516-2521","source":"Crossref","is-referenced-by-count":29,"title":["Readily Identifiable Risk Factors of Nursing Home Residents\u2019 Oral Hygiene: Dementia, Hospice, and Length of Stay"],"prefix":"10.1111","volume":"65","author":[{"given":"Sheryl","family":"Zimmerman","sequence":"first","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"School of Social Work University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Austin","sequence":"additional","affiliation":[{"name":"East Carolina University Brody School of Medicine Greenville North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Cohen","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute School of Medicine Duke University Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Reed","sequence":"additional","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Poole","sequence":"additional","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Ward","sequence":"additional","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip D.","family":"Sloane","sequence":"additional","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Department of Family Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.00565.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.1997.00089.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnt145"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/moe.2002.123493"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-011-9297-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-002-0072-5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-4065(01)00023-8"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1996.tb00835.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2008.08.007"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2000.tb00012.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/0098-9134-19981001-09"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12317"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.1996.tb00837.x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2005.tb01420.x"},{"key":"e_1_2_6_16_1","unstructured":"Center for medicare & medicare services.Resident assessment instrument (rai) version 3.0 manual. chapter 2: assessments for the for the rai.2010.https:\/\/www.ahcancal.org\/facility_operations\/Documents\/UpdatedFilesRAI3.0\/MDS%203.0%20Chapter%202%20-%20V1.03%20July%202010.pdf. 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