외상중환자실 인공호흡기를 장착한 환자의 구강건강상태
Oral Health Status of Patients with Ventilators in the Trauma Intensive Care Unit
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Abstract
Objectives: To evaluate the oral health status of intubated patients in a trauma intensive care unit (TICU). Methods: Medical records of 70 patients in the TICU between March and November 2018 were reviewed to assess their systemic and general characteristics. Oral health status was examined using the modified Bedside Oral Exam (M-BOE). Among the eight items investigated, swallowing, lips, saliva, plaque, and odor were considered for analysis without further processing, whereas soft tissues, such as the gingiva, buccal mucosa, and tongue were stratified by their texture, color, and moisture level. Oral hygiene scores ranged from 0 (excellent) to 42 (very poor). Results: Oral health status showed that the average M-BOE score was 11.76±4.87. The lowest and highest scores were 3 and 24, respectively. Furthermore, the item-wise breakdown of oral health status showed that the average score was high for gingiva, mucosa, and tongue, and there was a deviation between the minimum and maximum values. Conclusion: The oral health of patients in the TICU was poor. It is crucial to evaluate the oral condition at the time of admission and to improve the oral health of intubated patients, which requires more detailed oral management.
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