Radiologic Evaluation of Oral Health Status in Patients Admitted to the Intensive Care Unit: A Multi-Institutional Retrospective Study

被引:0
|
作者
Kim, Yesel [1 ]
机构
[1] Jeonju Kijeon Coll, Dept Dent Hyg, Jeonju 54989, South Korea
关键词
computed tomography; hospital dentistry; intensive care unit; oral care; oral hygiene; VENTILATOR-ASSOCIATED PNEUMONIA;
D O I
10.3390/jcm13133913
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Surveys distributed among intensive care unit (ICU) nurses reveal a significant need for dental care, with many acknowledging poor oral hygiene management. Poor oral health in ICU patients is linked to systemic problems, including aspiration pneumonia, necessitating pre-intervention assessments for bacterial diseases and dental risks. This study aims to evaluate the oral health status of ICU patients across three institutions through retrospective analysis. Methods: This retrospective study assessed the oral health status of ICU patients, using computed tomography (CT) images from three institutions over ten years. Through CT images, the oral status was evaluated in terms of total and lost tooth count and the presence of oral lesions (periapical lesions, cysts and tumors, caries, tartar, moderate to severe periodontal bone loss, tooth fractures). Variables included gender, age, the duration of ICU stay, and types of ICU. Statistical analysis was performed using chi-square tests, independent-sample t-tests, and logistic regression analysis. Results: Of the 450 participants, 430 were analyzed, revealing a prevalence of oral lesions in 67.0% of subjects. The prevalence of oral lesions was higher in males (71.5%) than females (57.7%, p = 0.006), and higher in those aged 40 and above (72.1%) compared to those under the age of 40 (47.8%, p < 0.001). This study found significant differences in oral health status based on gender, age, and ICU type, with surgical ICU patients generally having better oral health. Risk factors for oral lesions included gender, age, and duration of ICU stay. Conclusions: Most ICU patients have at least one oral lesion, regardless of the reason for their ICU admission. In particular, male ICU patients aged 40 and above have a higher prevalence of oral lesions, necessitating careful oral health assessment and treatment.
引用
收藏
页数:11
相关论文
共 50 条
  • [21] Psychological Evaluation of Patients in Critical Care/Intensive Care Unit and Patients Admitted in Wards
    Sharma, Gaurav B.
    Maben, E. V. S.
    Kotian, M. S.
    Ganaraja, B.
    JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2014, 8 (12) : WC1 - WC3
  • [22] Impact of mechanical ventilation on the functional status in patients admitted to the intensive care unit
    JA Araújo Neto
    RF Bomfim
    FB Lima
    DA Castro
    EB Moura
    MO Maia
    Critical Care, 15 (Suppl 2):
  • [23] Patients With Vasculitides Admitted to the Intensive Care Unit: Implications From a Single-Center Retrospective Study
    Haviv, Yael
    Shovman, Ora
    Bragazzi, Nicola Luigi
    Sharif, Kassem
    Yavne, Yarden
    Shoenfeld, Yehuda
    Amital, Howard
    Watad, Abdulla
    JOURNAL OF INTENSIVE CARE MEDICINE, 2019, 34 (10) : 828 - 834
  • [24] Predictors of Clinically Significant Bleeding in Thrombocytopenic Dengue Patients Admitted to Intensive Care Unit: A Retrospective Study
    Logia, Priya
    Selvam, Velmurugan
    Parasuraman, Vetriselvan
    Mk, Renuka
    Rajagopalan, Ram Eachambadi
    INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2023, 27 (12) : 888 - 894
  • [25] Associations Between Family Member Involvement and Outcomes of Patients Admitted to the Intensive Care Unit: Retrospective Cohort Study
    Gray, Tamryn F.
    Kwok, Anne
    Do, Khuyen M.
    Zeng, Sandra
    Moseley, Edward T.
    Dbeis, Yasser M.
    Umeton, Renato
    Tulsky, James A.
    El-Jawahri, Areej
    Lindvall, Charlotta
    JMIR MEDICAL INFORMATICS, 2022, 10 (06)
  • [26] Mortality of patients with systemic lupus erythematosus admitted to the intensive care unit - A retrospective single-center study
    Zamir, Guy
    Haviv-Yadid, Yael
    Sharif, Kassem
    Bragazzi, Nicola Luigi
    Watad, Abdulla
    Dagan, Amir
    Amital, Howard
    Shoenfeld, Yehuda
    Shovman, Ora
    BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2018, 32 (05): : 701 - 709
  • [27] A Retrospective Observational Study of Anticoagulation Practices in Critically ill Patients with Atrial Fibrillation Admitted to the Intensive Care Unit
    Miller, N. H. C.
    Johnston, B. W.
    Hampden-Martin, A.
    Waite, A. A. C.
    Waugh, V
    Welters, I. D.
    JOURNAL OF INTENSIVE CARE MEDICINE, 2022, : 1569 - 1579
  • [28] Evaluation of airway care score as a criterion for extubation in patients admitted in neurosurgery intensive care unit
    Tanwar, Gayatri
    Singh, Udeyana
    Kundra, Sandeep
    Chaudhary, Ashwani K.
    Kaytal, Sunil
    Grewal, Anju
    JOURNAL OF ANAESTHESIOLOGY CLINICAL PHARMACOLOGY, 2019, 35 (01) : 85 - 91
  • [29] Factors affecting the oral health of patients in intensive care units: a prospective observational study
    Ciftci, Muhammed Ali
    Efe Arslan, Dilek
    JOURNAL OF RESEARCH IN NURSING, 2024, 29 (06) : 483 - 495
  • [30] Prospective evaluation of bleeding risk among thrombocytopenic patients admitted in intensive care unit
    Hariri, Geoffroy
    Belossi, Vincent
    Perol, Louis
    Missri, Louai
    Gabarre, Paul
    Bonny, Vincent
    Urbina, Tomas
    Baudel, Jean-Luc
    Guidet, Bertrand
    Joffre, Jeremie
    Maury, Eric
    Dumas, Guillaume
    Ait-Oufella, Hafid
    JOURNAL OF CRITICAL CARE, 2024, 79