{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:01:25Z","timestamp":1780642885494,"version":"3.54.1"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["16768752.H28\u201030"],"award-info":[{"award-number":["16768752.H28\u201030"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute stroke often causes complications such as aspiration pneumonia, which can be prevented through oral hygiene. However, evidence supporting individualised oral care remains limited. We developed a multidisciplinary oral function management protocol and evaluated its benefits in patients with acute stroke, including its impact on aspiration pneumonia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective multicentre cohort study, data from 1616 patients with acute stroke admitted to participating hospitals between 31 July 2017, and 27 January 2021 were analysed. Hospitals implemented our oral function management program (Protocol group) or provided conventional oral care (control group). To minimise confounding by baseline severity, propensity scores were estimated using stroke severity and initial complications; patients were matched 1:1 using nearest\u2010neighbour matching with a calliper of 0.2, resulting in 313 matched pairs (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009626). Primary outcome was the incidence of aspiration pneumonia; secondary outcomes were hospital stay length and oral function improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant differences in aspiration pneumonia onset rates were detected between the protocol and control groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.7639). Compared to controls, the protocol group showed significant improvements in oral hygiene (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), tongue mobility (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0292), and FOIS scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0005). Time from admission to discharge evaluation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and total length of hospital stay (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0018) were significantly reduced. Compared to administration of conventional oral care, implementation of this Protocol facilitated earlier oral management and feeding\/swallowing rehabilitation, potentially reducing hospital stays and enhancing oral functions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The protocol may enhance oral functionality and reduce hospitalisation duration by systematising multidisciplinary oral management and swallowing rehabilitation, alongside supporting conventional pneumonia prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70143","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T07:20:27Z","timestamp":1767424827000},"page":"866-879","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of a Standardised Medical\u2013Dental Collaborative Protocol on Acute Stroke Rehabilitation: A Multicentre Prospective Cohort Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8070-2062","authenticated-orcid":false,"given":"Yu","family":"Yoshizumi","sequence":"first","affiliation":[{"name":"Department of Dysphagia Rehabilitation Graduate School of Medical and Dental Sciences, Institute of Science Tokyo  Tokyo Japan"},{"name":"Oral Surgery, Saitama Red Cross Hospital Japanese Red Cross Society  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5400-3958","authenticated-orcid":false,"given":"Yoshiyuki","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Clinical Dental Research Promotion Unit, Faculty of Dentistry Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Inaji","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Karakama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Ome Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayako","family":"Nakane","sequence":"additional","affiliation":[{"name":"Department of Dysphagia Rehabilitation Graduate School of Medical and Dental Sciences, Institute of Science Tokyo  Tokyo Japan"},{"name":"Dentistry and Oral Surgery Japan Community Healthcare Organization Tokyo Shinjuku Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiaki","family":"Matsubara","sequence":"additional","affiliation":[{"name":"Department of Dysphagia Rehabilitation Graduate School of Medical and Dental Sciences, Institute of Science Tokyo  Tokyo Japan"},{"name":"Department of Dental Hygiene University of Shizuoka, Junior College  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8018-4537","authenticated-orcid":false,"given":"Junichi","family":"Furuya","sequence":"additional","affiliation":[{"name":"Department of Dysphagia Rehabilitation Graduate School of Medical and Dental Sciences, Institute of Science Tokyo  Tokyo Japan"},{"name":"Department of Oral Function Management, Graduate School of Dentistry Showa Medical University  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinsuke","family":"Irie","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Kushiro Kojinkai Memorial Hospital  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Suiseikai Kajikawa Hospital  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masateru","family":"Katayama","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tokyo Dental College Ichikawa General Hospital  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuhiko","family":"Sakai","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine and Hospital Dentistry Tokyo Dental College  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takanori","family":"Hayakawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery National Hospital Organization Disaster Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihisa","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiro","family":"Inokuchi","sequence":"additional","affiliation":[{"name":"Department of Gerodontology and Dysphagia Rehabilitation JA Toride Medical Center  Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Ishihara","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Medicine Tokushima University Hospital  Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Takano","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine, Institute of Health Biosciences The University of Tokushima Graduate Faculty of Dentistry  Tokushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobukazu","family":"Komoribayashi","sequence":"additional","affiliation":[{"name":"Iwate Prefectural Advanced Critical Care and Emergency Center Iwate Medical University  Iwate Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Tamada","sequence":"additional","affiliation":[{"name":"Gerodontology, Department of Oral Health Science, Faculty of Dental Medicine Hokkaido University  Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8458-1329","authenticated-orcid":false,"given":"George","family":"Umemoto","sequence":"additional","affiliation":[{"name":"Swallowing Disorders Center Fukuoka University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuyuki","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Department of Neurology Brain Attack Center Ota Memorial Hospital  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junichi","family":"Yamazoe","sequence":"additional","affiliation":[{"name":"Section of Geriatric Dentistry and Perioperative Medicine in Dentistry Kyushu University Hospital  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5514-6419","authenticated-orcid":false,"given":"Haruka","family":"Tohara","sequence":"additional","affiliation":[{"name":"Department of Dysphagia Rehabilitation Graduate School of Medical and Dental Sciences, Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taketoshi","family":"Maehara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medical and Dental Sciences Institute of Science Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01376517\u2010200810000\u201000007"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0b013e31828a412c"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511422909"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2019.1656413"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201008951\u2010x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12855"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910808700418"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003864.pub3"},{"key":"e_1_2_11_10_1","unstructured":"M.Inaji G.Tohara J.Furuya et\u00a0al. Building a Seamless Oral Function Management System in Stroke Treatment. The 20th Annual Congress of Japan Association of Neurosurgical Clinics 15thJuly 2017."},{"key":"e_1_2_11_11_1","unstructured":"M.InajiandT.Maehara Construction of Seamless and Continuous Collaboration System of Medical and Dental Intervention on Stroke Patients. The 23rd Annual Meeting of the Japanese Society of Dysphagia Rehabilitation 16thSeptember 2017. (in Japanese)."},{"key":"e_1_2_11_12_1","first-page":"478","article-title":"Tokyo Medical and Dental University (TMDU) Oral Function Management Protocol","volume":"64","author":"Research Group of the Study to Develop the Management Method of Oral Function in Stroke Patients","year":"2018","journal-title":"Japanese Journal of Nursing Arts (Kango Gijutsu)"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834\u20107819.2005.tb00360.x"},{"key":"e_1_2_11_14_1","first-page":"1","article-title":"Reliability and Validity of the Japanese Version of Oral Health Assessment Tool (OHAT\u2010J)","volume":"37","author":"Matsuo K.","year":"2016","journal-title":"Journal of the Japanese Society for Disability and Oral Health"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(05)75550\u20101"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2022.106893"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10915"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18147453"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111379"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11195854"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2023.06.011"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19116448"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/joor.70143","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.70143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T06:18:16Z","timestamp":1780640296000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.70143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,2]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/joor.70143"],"URL":"https:\/\/doi.org\/10.1111\/joor.70143","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JOOR.70143\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70143\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70143\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70143\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70143\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70143\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JOOR.70143\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,2]]},"assertion":[{"value":"2024-12-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}