MAPPS: Mouth care to prevent pneumonia in older people study

Mouth cAre to Prevent Pneumonia in older people Study (MAPPS): a feasibility study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN63296676

Enrollment

1470

Registered

2022-01-04

Start date

2021-11-01

Completion date

Unknown

Last updated

2025-01-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mouth care to prevent pneumonia in older people Infections and Infestations

Interventions

Patient: Three times daily tooth brushing with an antiseptic mouthwash (Chlorhexidine 0.2%) and application of lip moisturiser for a maximum 4 weeks. Patients will be encouraged to complete this indep

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Mouth care intervention: 1. Aged over 18 years old 2. Admitted to unit in study (predominantly patients with hip fracture, but will include some medical/orthopaedic patients) 3. Consent or assent to take part in the study 4. Anticipated hospital stay of >3 days Qualitative interviews: 1. Ward staff 2. Senior nursing staff 3. Patients/carers

Exclusion criteria

Exclusion criteria: Mouth care intervention: 1. Patients on the end of life care pathway 2. Within 10 days of a positive COVID swab

Design outcomes

Primary

Measure	Time frame
Proportion of mouth care episodes delivered out of eligible episodes, information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were delivered (i.e. not coded as missed or forgotten). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner.	—

Measure

Time frame

Proportion of mouth care episodes delivered out of eligible episodes, information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were delivered (i.e. not coded as missed or forgotten). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner.

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Secondary

Measure	Time frame
1. Mouth care delivery 1.1 Proportion of delivered mouth care episodes out of eligible mouth care episodes in patients needing consultee consent, reported monthly per unit - Information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were delivered (i.e. not coded as missed or forgotten). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner. For this patient population, we will also look at their consent type i.e. nominated or personal consultee agreement 1.2 Proportion of refused mouth care episodes out of eligible mouth care episodes, per unit per month - Information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were not delivered (i.e. coded as refused/declined). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner. 1.3 Proportion of staff related non delivered mouth care episodes per unit per month - Information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were not delivered (i.e. coded as missed or forgotten). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner. 1.4 Time to achieve maximal mouth care delivery in each unit (expressed in days) - The number of days taken for all eligible mouth care episodes to be delivered (e.g. expected vs actually delivered). 2. Recruitment 2.1 Proportion of recruited patients out of eligible patients per unit monthly - Comparison against the monthly screening logs and recruitment logs. 2.2 Proportion	—

Measure

Time frame

1. Mouth care delivery 1.1 Proportion of delivered mouth care episodes out of eligible mouth care episodes in patients needing consultee consent, reported monthly per unit - Information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were delivered (i.e. not coded as missed or forgotten). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner. For this patient population, we will also look at their consent type i.e. nominated or personal consultee agreement 1.2 Proportion of refused mouth care episodes out of eligible mouth care episodes, per unit per month - Information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were not delivered (i.e. coded as refused/declined). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner. 1.3 Proportion of staff related non delivered mouth care episodes per unit per month - Information will be collected daily via the daily mouth care record during their stay on the participating ward. This will be the proportion of mouth care episodes that were not delivered (i.e. coded as missed or forgotten). Participants could be in the intervention for up to 28 days, with 3 eligible mouth care episodes each day, unless they are discharged or withdrawn sooner. 1.4 Time to achieve maximal mouth care delivery in each unit (expressed in days) - The number of days taken for all eligible mouth care episodes to be delivered (e.g. expected vs actually delivered). 2. Recruitment 2.1 Proportion of recruited patients out of eligible patients per unit monthly - Comparison against the monthly screening logs and recruitment logs. 2.2 Proportion

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Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026