Effects of a standard versus comprehensive oral care protocol among intubated neuroscience ICU patients: results of a randomized controlled trial

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Prendergast, VirginiaLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine,Barrow Neurological Institute (author)

Effects of a standard versus comprehensive oral care protocol among intubated neuroscience ICU patients : results of a randomized controlled trial

Article/chapterEnglish2012

Publisher, publication year, extent ...

Lippincott Williams and Wilkins Ltd.2012
12

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LIBRIS-ID:oai:researchportal.hkr.se/admin:publications/3498d806-8373-4b9e-8586-434c9418652c
oai:researchportal.hkr.se/admin:publications/3498d806-8373-4b9e-8586-434c9418652cURI
https://doi.org/10.1097/JNN.0b013e3182510688DOI
https://lup.lub.lu.se/record/2609167URI
https://urn.kb.se/resolve?urn=urn:nbn:se:bth-7161URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype

Notes

The purpose of the study was to compare changes in oral health during intubation until 48 hours after extubation in neuroscience intensive care unit (ICU) patients enrolled in a standard or a comprehensive oral care protocol. The effects of manual toothbrushing (standard group, n = 31) were compared with those of tongue scraping, electric toothbrushing, and moisturizing (comprehensive group, n = 25) in intubated patients in a neuroscience ICU in a 2-year randomized clinical trial. Oral health was evaluated based on the Oral Assessment Guide (OAG) on enrollment, the day of extubation, and 48 hours after extubation. There were no significant differences in the frequency of the oral care protocol. Protocol compliance exceeded 91% in both groups. The total OAG score and all eight categories significantly deteriorated (Friedman test, p < .001, Bonferroni corrected) in the standard oral care group and did not return to baseline after extubation. Large effect sizes were present at all three points in this group. Thetotal OAG score deteriorated during intubation within the comprehensive protocol group (Friedman test, p < .004) but returned to baseline status after extubation. In four categories, the ratings on tongue, mucous membranes, gingiva, and teeth did not deteriorate significantly over time. Published oral care protocols are substandard in promoting and maintaining oral health in intubated patients. A comprehensive oral care protocol, using a tongue scraper, an electrical toothbrush, and pharmacological moisturizers, was more effective for oral hygiene throughout intubation and after extubation than manual toothbrushing alone.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Odontologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Dentistry hsv//eng

Added entries (persons, corporate bodies, meetings, titles ...)

Jakobsson, UlfLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Family Medicine and Clinical Epidemiology,Lund University Research Groups,Center for Primary Health Care Research,Centrum för primärvårdsforskning(Swepub:lu)cvv-uja (author)
Renvert, StefanBlekinge Tekniska Högskola,Kristianstad University,Sektionen för hälsa(Swepub:bth)sre (author)
Hallberg, Ingalill RahmDepartment Of Health Sciences,Institutionen för Hälsovetenskaper (author)
Institutionen för hälsovetenskaperMedicinska fakulteten (creator_code:org_t)

Related titles

In:Journal of Neuroscience Nursing: Lippincott Williams and Wilkins Ltd.44:3, s. 134-1460888-03951945-2810

Internet link

http://www.ncbi.nlm.nih.gov/pubmed/22555350?dopt=AbstractFULLTEXT
http://dx.doi.org/10.1097/JNN.0b013e3182510688FULLTEXT
oai:researchportal.hkr.se/admin:publications/3498d806-8373-4b9e-8586-434c9418652c
https://doi.org/10.1097/JNN.0b013e3182510688
https://lup.lub.lu.se/record/2609167
https://urn.kb.se/resolve?urn=urn:nbn:se:bth-7161

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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By the university: Kristianstad University College; Lund University; Blekinge Institute of Technology

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