Does the presence of oral health teams influence the incidence of ventilator-associated pneumonia and mortality of patients in intensive care units? Systematic review.

Autor: de Araújo ECF; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil., da Silva RO; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil., Raymundo MLB; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil., Vieira TI; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil., de Sousa SA; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil., Santiago BM; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil., Cavalcanti YW; Department of Clinical and Social Dentistry, University of Paraíba (UFPB), Cidade Universitária, João Pessoa, Paraíba, Brazil.
Jazyk: angličtina
Zdroj: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [Spec Care Dentist] 2023 Jul-Aug; Vol. 43 (4), pp. 452-463. Date of Electronic Publication: 2022 Oct 09.
DOI: 10.1111/scd.12785
Abstrakt: Aims: To verify whether oral health teams influence the oral health status, ventilator-associated pneumonia incidence and mortality rate of patients in Intensive Care Units (ICU).
Materials and Methods: Bibliographic searches were performed in PubMed, Scopus, Web of Science, Lilacs, Embase, Livivo, Open Grey, Academic Google, and Cochrane databases. The assessment of the methodological quality and risk of bias of the included studies and a random-effects meta-analysis to summarize relative risk data for ventilator-associated pneumonia (VAP) and mortality were performed. An analysis of the certainty of the evidence was performed for the main outcomes analyzed.
Results: Records of 518 studies were analyzed by reading titles and abstracts. Five studies were included according to eligibility criteria. The meta-analysis showed that ICU patients undergoing dental care by an oral health team had a lower incidence of VAP (OR = 0.33; 95% CI: 014-0.76) but did not lower mortality rates (OR = 0.46 95% CI: 0.16-1.32). The certainty of the evidence was considered very low.
Conclusion: Dental care provided by oral health teams in a hospital environment did not influence oral health status or mortality, although it contributed to a reduction in VAP of patients admitted to the ICU.
(© 2022 Special Care Dentistry Association and Wiley Periodicals LLC.)
Databáze: MEDLINE
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