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Oral findings of patients in the intensive care unit: a systematic review
María Paula Aranda Gómez1,1, Elizabeth Chaparro Torres2, Nicole Dayanna Hernández Abahunza3
1Universidad Santo Tomás, Bucaramanga, Colombia. mariapaula.aranda@ustabuca.edu.co Universidad Santo Tomás Universidad Santo Tomás Bucaramanga Colombia mariapaula.aranda@ustabuca.edu.co.
Introduction:
Patients in intensive care units often experience a decline in oral health. Systematic reports of oral findings in these patients are scarce.
Objective:
To document oral cavity lesions in patients in Intensive Care Units.
Materials And Methods:
A systematic review was conducted, with a literature search across five databases, focusing on publications from 2018 to 2023. The identified articles were imported into the Mendeley reference manager; titles and abstracts were reviewed in pairs and under blinded conditions. Pre-selected articles were exported to the Rayyan application for eligibility assessment. Quality of the studies was assessed using the Joanna Briggs Institute (JBI) tool. This research is classified as risk-free and complies with copyright regulations by exercising citation rights (Law 1915 of 2018 and Law 1032 of 2006).
Results:
A total of 1553 articles were identified. Using the PRISMA methodology, 11 studies were included, with 54% retrieved from PubMed and 91% published in English. Toothbrushing was the most frequently documented oral care procedure. Gingivitis and ulcers were the most frequent oral findings.
Discussion:
The literature confirms the presence of oral findings in these patients, which are related to their systemic health status, procedures, equipment, and oral health care protocols.
Conclusion:
Although oral care is provided at a high rate in critically ill patients, oral alterations and lesions are frequently observed. The involvement of a dentist is essential for the comprehensive care of these patients.
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