Geriatrics, Oral Health Care
Conditions
Keywords
geriatrics, oral health care, elderly, coconut oil, palliative care
Brief summary
This is a prospective, longitudinal, randomised, open-label, multicentric, interventional, comparative superiority study. The main objective is to demonstrate the superiority of oral care with coconut oil on the oral status of elderly people hospitalised in geriatrics, versus oral care with glycerol sticks.
Interventions
PROCEDURECoconut oil mouth care
Daily oral care is done with coconut oil throughout the patient's hospitalization
PROCEDUREGlycerin mouthwashes
Daily oral care is performed with glycerin sticks as in current practice.
Sponsors
University Hospital, Limoges
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged 75 and over * Patients hospitalised in geriatric medicine and geriatric SMR departments * Patients able to open their mouths for treatment * Patients not able to carry out their oral hygiene on their own * Patients who have given their written consent (consent of the patient or patient consent accompanied by the designated representative if the patient is unable to give written consent)
Exclusion criteria
* Patients with a known allergy to coconut * Patients requiring medicated mouth care as prescribed by a doctor * Patients under guardianship, tutorship or curatorship * Confused patients who have had medically diagnosed dehydration for less than 48 hours * Patients with swallowing difficulties * Patients in the terminal phase of end of life Secondary
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Revised Oral Assement Guide (ROAG) between Day 1 and Day 8 | From Day 1 to Day 8 | Change in total score between Day 1 (D1) and Day 8 (D8) on the Revised Oral Assessment Guide (ROAG), translated and validated in French. The scale assesses 8 indicators (voice, swallowing, lips, tongue,saliva, mucous membranes, gums and teeth) according to 3 levels. The result gives a total score out of 24 points |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Weekly ROAG scores (Revised Oral Assment Guide) | Every week from the date of inclusion until the date of discharge, on average over 37 days. | Weekly ROAG scores (overall score and score per indicator) for all participants included until discharge (an assessment will also be carried out at discharge). |
| ROAG betwen Day 1 (D1) and Day 8 (D8) for patients with "palliative care" status | from Day 1 to Day 8 | Changes in the ROAG overall score between D1 and D8, translated and validated in French. The degree of dependence is assessed using the KATZ scale (dependence group) at inclusion. |
| Number of oral care stopped | At the end of the study, on average of 37 days. | Number of patients who stopped the oral care initially proposed and reasons for discontinuing oral care, evaluated at the end of the study |
Countries
France
Outcome results
None listed