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
  • [1] Evaluation of antifungals in the surgical intensive care unit: a multi-institutional study
    Garey, KW
    Neuhauser, MM
    Bearden, DT
    Cannon, JP
    Lewis, RE
    Gentry, LO
    Kontoyiannis, DP
    MYCOSES, 2006, 49 (03) : 226 - 231
  • [2] Multi-institutional Profile of Adults Admitted to Pediatric Intensive Care Units
    Edwards, Jeffrey D.
    Houtrow, Amy J.
    Vasilevskis, Eduard E.
    Dudley, R. Adams
    Okumura, Megumi J.
    JAMA PEDIATRICS, 2013, 167 (05) : 436 - 443
  • [3] Retrospective study of patients with haematological malignancies admitted in an intensive care unit
    F Faria
    P Alves
    E Gonçalves
    A Martins
    L Viterbo
    F Viseu
    A Aguiar
    Critical Care, 3 (Suppl 1):
  • [4] Survival of patients with SLE admitted to an intensive care unit - a retrospective study
    Whitelaw, DA
    Gopal, R
    Freeman, V
    CLINICAL RHEUMATOLOGY, 2005, 24 (03) : 223 - 227
  • [5] Survival of patients with SLE admitted to an intensive care unit—a retrospective study
    D. A. Whitelaw
    R. Gopal
    V. Freeman
    Clinical Rheumatology, 2005, 24 : 223 - 227
  • [6] Retrospective Evaluation of Surgical and Medical Patients Admitted to a Mixed Intensive Care Unit
    Altintas, Neriman Defne
    Izdes, Seval
    Sen, Pelin
    Ocal, Hakan
    But, Abdulkadir
    JOURNAL OF MEDICAL AND SURGICAL INTENSIVE CARE MEDICINE, 2012, 3 (01): : 5 - 8
  • [7] Oral Conditions of Patients Admitted to an Intensive Care Unit
    Baeder, Fernando Martins
    Cabral, Gloria Maria Pimenta
    Prokopowitsch, Igor
    Araki, Angela Toshie
    Duarte, Danilo Antonio
    Santos, Maria Teresa Botti Rodrigues
    PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLINICA INTEGRADA, 2012, 12 (04): : 517 - 520
  • [8] Assessment of the Oral Health Status of Patients Admitted to Pediatric Intensive Care Units
    Bozkurt, Ramazan
    Eser, Ismet
    DIMENSIONS OF CRITICAL CARE NURSING, 2024, 43 (02) : 53 - 60
  • [9] Improvement in the prognosis of cirrhotic patients admitted to an intensive care unit, a retrospective study
    Galbois, Arnaud
    Trompette, Marie-Laetitia
    Das, Vincent
    Boelle, Pierre-Yves
    Carbonell, Nicolas
    Thabut, Dominique
    Housset, Chantal
    Ait-Oufella, Hafid
    Offenstadt, Georges
    Maury, Eric
    Guidet, Bertrand
    EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2012, 24 (08) : 897 - 904
  • [10] RETROSPECTIVE STUDY OF PATIENTS ADMITTED WITH SUBMANDIBULAR SPACE INFECTIONS TO THE INTENSIVE CARE UNIT
    Sundararajan, K.
    Gopaldas, J.
    Somehsa, H.
    Shaw, D.
    INTENSIVE CARE MEDICINE, 2014, 40 : S267 - S267