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

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Virginia PrendergastIngalill Rahm Hallberg

Abstract

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. The total 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...Continue Reading

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Citations

Dec 21, 2013·Nursing in Critical Care·Dilek ÖzdenZuhal Gülsoy
Aug 19, 2014·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Esther ChippsTimothy Landers
Apr 27, 2016·Clinical Oral Investigations·Janne Tiigimäe-SaarTiia Tamme
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Jul 13, 2021·Curēus·Virginia Prendergast, Kristina M Chapple

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