ArticleClinical oral investigations2021
Analysis of oral risk factors for ventilator-associated pneumonia in critically ill patients.
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Pooled it
- Biofilm Formation on Endotracheal and Tracheostomy Tubing: A Systematic Review and Meta-Analysis of Culture Data and Sampling Method.MicrobiologyOpen · 2025Pooled it
- Application of double-sleeve endotracheal tube in infection control for icu patients: a randomized controlled trial.Head & face medicine · 2025Trial
- The Impact of Improved Oral Care Methods on the Oral Health of Patients Undergoing Transoral Mechanical Ventilation.Computational and mathematical methods in medicine · 2022Trial
- Development of ventilator associated pneumonia prevention knowledge and attitudes scale.BMC nursing · 2026Article
- Potential protective effect of dental treatment among subgroups of critically ill ventilated patients: a retrospective survival analysis.Critical care science · 2026Article
- Oral normality alterations and the impact on pneumonia, sepsis, and bloodstream infections in critically ill patients: a prospective cohort study.Critical care science · 2026Article
- A Survey Study of Oral Care Given by Nurses in Intensive Care Units.Risk management and healthcare policy · 2025Article
- Poor oral health is associated with social vulnerability in critically ill trauma patients.Trauma surgery & acute care open · 2025Article
- Commentary: Factors affecting the oral health of patients in intensive care units: a prospective observational study.Journal of research in nursing : JRN · 2024Article
- Relationship of oral bacterial number with medical hospitalization costs in analysis of Diagnosis Procedure Combination database from single institution in Japan.Scientific reports · 2024Article
- Impact of various solutions on the oral health status of critically ill patients.Journal of medicine and life · 2024Article
- Synergistic Antibiofilm Action ofMolecules (Basel, Switzerland) · 2023Article
- The association of oral health with length of stay and mortality in the intensive care unit.Clinical oral investigations · 2023Article
- Breath Sensor Technology for the Use in Mechanical Lung Ventilation Equipment for Monitoring Critically Ill Patients.Diagnostics (Basel, Switzerland) · 2022Article
- Oral health care for the critically ill: a narrative review.Critical care (London, England) · 2021Review
- Article
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis a cross-sectional study to evaluate the association between oral health findings and ventilator-associated pneumonia (VAP) among critically ill patients in intensive care units (ICU). MATERIAL AND
methodsData were collected from medical records, and a detailed oral physical examination was performed on 663 critically ill patients on mechanical ventilation. Data were statistically analysed using univariate and logistic regression models relating the development of VAP with the oral findings.
resultsAt oral physical examination, the most frequent findings were tooth loss (568-85.67%), coated tongue (422-63.65%) and oral bleeding (192-28.96%). Patients with a coated tongue or oral bleeding on the first day of ICU hospitalization developed more VAP than did patients without these conditions (20.14 vs 13.69%, p = 0.02; 23.44 vs 15.50%, p = 0.01, respectively). In the logistic regression, a coated tongue and oral bleeding were considered independent risk factors for VAP development (OR = 1.61 (1.03-2.51) and OR = 1.69 (1.08-2.66), respectively).
conclusionsThe presence of a coated tongue and oral bleeding in ICU admission could be considered markers for the development of VAP. CLINICAL RELEVANCE: The results of this paper reinforce the importance of proper maintenance of oral hygiene before intubation, which may lead to a decrease in the incidence of VAP in the ICU.
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