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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Care | Research

Oral status and affecting factors in Iranian ICU patients: a cross-sectional study

Authors: Mostafa Arkia, Jahangir Rezaei, Nader Salari, Siavash Vaziri, Alireza Abdi

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Background

Oral care is crucial in intensive care units (ICUs). Meanwhile, this action is not well-performed, therefore, mouth cavity-associated disorders cause serious outcomes, e.g. ventilator-dependent pneumonia. Considering a lack of studies in Iran on this subject, this study aimed to determine the oral status and affected factors in ICU patients in Iran.

Methods

In a cross-sectional study in 2019, we assessed the oral status of 138 patients admitted to the ICUs in the Kermanshah and Ilam provinces by census method. The tools were a demographic and clinical characteristics checklist, and Beck's oral status assessment scale (BOAS). The researcher investigated the condition of the patient's mouth, and their records. Data were analyzed using descriptive and inferential statistics.

Results

In this study, the prevalence of moderate and severe disorders of the lips, gums and oral mucosa, tongue, teeth, and saliva were 14.4, 26.1, 16.6, 49.3, and 34.8 percent, respectively. Six percent of patients had a normal oral condition. Oral status had a significant relationship with education level, age, marital status, brushing teeth, NG tube, and consciousness level.

Conclusion

Compared to other studies, the prevalence of oral cavity disorders in ICU patients of the Ilam and Kermanshah provinces was high. It mandates paying crucial attention to nurses' continued education, using standard guidelines, and applying new facilities. Moreover, it is mandated for periodical visits of patients by a dentist in ICUs.
Literature
1.
go back to reference Kim S, Chan C, Oliner M, Escobar G. ICU admission control. An empirical study of capacity allocation and its implication for patient outcomes. Manage Sci. 2014;61:19–38.CrossRef Kim S, Chan C, Oliner M, Escobar G. ICU admission control. An empirical study of capacity allocation and its implication for patient outcomes. Manage Sci. 2014;61:19–38.CrossRef
2.
go back to reference Blair E, Langdon K, McIntyre S, Lawrence D, Watson L. Survival and mortality in cerebral palsy: observations to the sixth decade from a data linkage study of a total population register and National Death Index. BMC Neurol. 2019;19(1):111.CrossRefPubMedPubMedCentral Blair E, Langdon K, McIntyre S, Lawrence D, Watson L. Survival and mortality in cerebral palsy: observations to the sixth decade from a data linkage study of a total population register and National Death Index. BMC Neurol. 2019;19(1):111.CrossRefPubMedPubMedCentral
3.
go back to reference Adib-Hajbaghery M, Ansari A, Azizi-Fini I. Oral care in ICU patients: a review of research evidence. Feyz. 2011;15(3):280. [Persian]. Adib-Hajbaghery M, Ansari A, Azizi-Fini I. Oral care in ICU patients: a review of research evidence. Feyz. 2011;15(3):280. [Persian].
4.
go back to reference Shafiei Z, Babaee S, Nazari A. Relationship between mood state and quality of life in patients undergoing coronary artery bypass graft surgery. Iran J Nurs. 2013;26(83):57–67. Shafiei Z, Babaee S, Nazari A. Relationship between mood state and quality of life in patients undergoing coronary artery bypass graft surgery. Iran J Nurs. 2013;26(83):57–67.
5.
go back to reference Abidia FR. Oral care in the intensive care unit: a review. J Contemp Dent Pract. 2007;8(1):76–82. [Persian].CrossRefPubMed Abidia FR. Oral care in the intensive care unit: a review. J Contemp Dent Pract. 2007;8(1):76–82. [Persian].CrossRefPubMed
6.
go back to reference Ranjbar H, Arab M, Abbasszade A, Ranjbar A. Affective factors on oral care and its documentation in intensive care units. Kerman Med Sci Univ. 2011;4(1):45–52 [Persian]. Ranjbar H, Arab M, Abbasszade A, Ranjbar A. Affective factors on oral care and its documentation in intensive care units. Kerman Med Sci Univ. 2011;4(1):45–52 [Persian].
7.
go back to reference Masomi M, Hanifi N, Jamshidi MR, Faghihzadeh S. Investigation of the relationship between oral lesions and early pneumonia associated with mechanical ventilation in patients undergoing mechanical ventilation in intensive care unit. Sciences. 2016;3(2):107–14. [Persian]. Masomi M, Hanifi N, Jamshidi MR, Faghihzadeh S. Investigation of the relationship between oral lesions and early pneumonia associated with mechanical ventilation in patients undergoing mechanical ventilation in intensive care unit. Sciences. 2016;3(2):107–14. [Persian].
8.
go back to reference Javadinia S, Kuchi Z, Saadatju A, Tabasi M, Adib-Hajbaghery M. Oral care in trauma, patients admitted to the ICU. Viewpoints of ICU Nurses. Trauma, Mon. 2014;2:e15110 [Persian]. Javadinia S, Kuchi Z, Saadatju A, Tabasi M, Adib-Hajbaghery M. Oral care in trauma, patients admitted to the ICU. Viewpoints of ICU Nurses. Trauma, Mon. 2014;2:e15110 [Persian].
9.
go back to reference Raphael C, Lecidamia C, Larycia V, Raphael C, JohnysBerton M, Eugênia L, Ana M. Factors associated with oral biofilm in ICU patients with infectious diseases. Rev Odontol UNESP. 2017;46(6):343–50.CrossRef Raphael C, Lecidamia C, Larycia V, Raphael C, JohnysBerton M, Eugênia L, Ana M. Factors associated with oral biofilm in ICU patients with infectious diseases. Rev Odontol UNESP. 2017;46(6):343–50.CrossRef
10.
go back to reference Prendergast V, Kleimanb C, Mary K. The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into PracticeIntensive and Critical. Care Nursing. 2013;29(5):282–90. Prendergast V, Kleimanb C, Mary K. The Bedside Oral Exam and the Barrow Oral Care Protocol: Translating evidence-based oral care into PracticeIntensive and Critical. Care Nursing. 2013;29(5):282–90.
11.
go back to reference Johnstone L, Spence D, Koziol J. Oral hygiene care in the pediatric intensive care unit: practice recommendation. Pediatr Nurs. 2010;36(2):85–96.PubMed Johnstone L, Spence D, Koziol J. Oral hygiene care in the pediatric intensive care unit: practice recommendation. Pediatr Nurs. 2010;36(2):85–96.PubMed
12.
go back to reference Nguh J. Oral care practice guidelines for the care-dependent hospitalized adult outside of the intensive care unit setting. J Interprofessional Educ Pract. 2016;1(4):59–67.CrossRef Nguh J. Oral care practice guidelines for the care-dependent hospitalized adult outside of the intensive care unit setting. J Interprofessional Educ Pract. 2016;1(4):59–67.CrossRef
13.
go back to reference Safarabadi M, Ghaznavi-Rad E, Pakniyat A, Rezaie K, Jadidi A. Comparing the effect of echinacea and chlorhexidine mouthwash on the microbial flora of intubated patients admitted to the intensive care unit. Iran J Nurs Midwifery Res. 2017;22(6):481.CrossRefPubMedPubMedCentral Safarabadi M, Ghaznavi-Rad E, Pakniyat A, Rezaie K, Jadidi A. Comparing the effect of echinacea and chlorhexidine mouthwash on the microbial flora of intubated patients admitted to the intensive care unit. Iran J Nurs Midwifery Res. 2017;22(6):481.CrossRefPubMedPubMedCentral
14.
go back to reference da Cruz M, de Morais T, Trevisani D. Clinical assessment of the oral cavity of patients hospitalized in an intensive care unit of an emergency hospital. Rev Bras Ter Intensiva Oct-Dec. 2014;26(4):379–83. da Cruz M, de Morais T, Trevisani D. Clinical assessment of the oral cavity of patients hospitalized in an intensive care unit of an emergency hospital. Rev Bras Ter Intensiva Oct-Dec. 2014;26(4):379–83.
15.
go back to reference Kima CH, Kimb M, Parkd N. Oral mucosa pressure ulcers in intensive care unit patients: a preliminary observational study of incidence and risk factors. J Tissue Viability. 2019;28(1):27–34.CrossRef Kima CH, Kimb M, Parkd N. Oral mucosa pressure ulcers in intensive care unit patients: a preliminary observational study of incidence and risk factors. J Tissue Viability. 2019;28(1):27–34.CrossRef
16.
go back to reference Atashi V, Yazdannik A, Mahjobipoor H, Yousefi H, Bekhradi R. The impact of systematic oral care on oral health status in patients of intensive care units. J Health Care. 2018;3(7):244–51. [Persian]. Atashi V, Yazdannik A, Mahjobipoor H, Yousefi H, Bekhradi R. The impact of systematic oral care on oral health status in patients of intensive care units. J Health Care. 2018;3(7):244–51. [Persian].
17.
go back to reference Molania T, Mohsen A, Mohsen A, Mohsen A, Jamshid Y, Mohammad Reza P. Frequency of Oral Lesions in Patients with HIV/AIDS in Sari, Iran. J Mazandaran Univ Med Sci. 2019;30(183):92–7. [Persian]. Molania T, Mohsen A, Mohsen A, Mohsen A, Jamshid Y, Mohammad Reza P. Frequency of Oral Lesions in Patients with HIV/AIDS in Sari, Iran. J Mazandaran Univ Med Sci. 2019;30(183):92–7. [Persian].
18.
go back to reference Jahanirinejad M, Arian Kia AN, Shahbazian HBB, Kabi N. Community Periodontal Index of Treatment Needs Assessment of Periodontal Disease in Type 2 Diabetic Patients Compared to Nondiabetic Patients Referred to Ahvaz Golestan Hospital in 2016–2017. Jundishapur Sci Med J. 2018;17(3):295–300. [Persian]. Jahanirinejad M, Arian Kia AN, Shahbazian HBB, Kabi N. Community Periodontal Index of Treatment Needs Assessment of Periodontal Disease in Type 2 Diabetic Patients Compared to Nondiabetic Patients Referred to Ahvaz Golestan Hospital in 2016–2017. Jundishapur Sci Med J. 2018;17(3):295–300. [Persian].
19.
go back to reference Khatibi M, Najafizadeh SR, Shamshyrgaran S, Moezzi Ghadim N. The prevalence of oral mucosal lesions and associated factors in 385 patients with rheumatoid arthritis in rheumatology clinics of Tehran University for a period of one year. Pejouhandeh. 2014;19(2):112–8. [Persian]. Khatibi M, Najafizadeh SR, Shamshyrgaran S, Moezzi Ghadim N. The prevalence of oral mucosal lesions and associated factors in 385 patients with rheumatoid arthritis in rheumatology clinics of Tehran University for a period of one year. Pejouhandeh. 2014;19(2):112–8. [Persian].
20.
go back to reference Yogini J, Naghsh N, Hadadi H. evaluation some oral health indexes Mechanically ventilated patients Admitted into Intensive Care Unit of public Hospitalise in Isfahan in 2015. J Isfahan Dent Sch. 2017;13(3):250–63. [Persian]. Yogini J, Naghsh N, Hadadi H. evaluation some oral health indexes Mechanically ventilated patients Admitted into Intensive Care Unit of public Hospitalise in Isfahan in 2015. J Isfahan Dent Sch. 2017;13(3):250–63. [Persian].
21.
go back to reference Omer O, Mohamed Ibrahim S, Mohamed MA. Nurses’ knowledge, attitude and practice of oral care for intensive care unit patients. Open J Stomatol. 2015;5(7):179–86.CrossRef Omer O, Mohamed Ibrahim S, Mohamed MA. Nurses’ knowledge, attitude and practice of oral care for intensive care unit patients. Open J Stomatol. 2015;5(7):179–86.CrossRef
22.
go back to reference Rashidi M, Haerian A, Zarabadi P, Pourbaferani H. Evaluation of Oral Health of Elderly Patients Referring to Khatam ol Anbia Clinic in Yazd in 2014. J Health Spring Suppl. 2016;7(2):227–35. [Persian]. Rashidi M, Haerian A, Zarabadi P, Pourbaferani H. Evaluation of Oral Health of Elderly Patients Referring to Khatam ol Anbia Clinic in Yazd in 2014. J Health Spring Suppl. 2016;7(2):227–35. [Persian].
23.
go back to reference Akbari M, Kazemian A, Afshari R. Evaluation of oral health status and dental need assessment in narcotic drug abusers. J Mash Dent Sch. 2015;39(3):191–200. [Persian]. Akbari M, Kazemian A, Afshari R. Evaluation of oral health status and dental need assessment in narcotic drug abusers. J Mash Dent Sch. 2015;39(3):191–200. [Persian].
24.
go back to reference Ardakani A, Sharifabad M, Rezapour Y, Ardakani A. Investigation of the relationship of oral health literacy and oral hygiene self-efficacy with DMFT and Gingival index in students of Ardakan University. Payesh. 2015;14(3):351–62. [Persian]. Ardakani A, Sharifabad M, Rezapour Y, Ardakani A. Investigation of the relationship of oral health literacy and oral hygiene self-efficacy with DMFT and Gingival index in students of Ardakan University. Payesh. 2015;14(3):351–62. [Persian].
25.
go back to reference Kosari M, Hoseini Z, Golriz F. The investigation of oral and dental status and its related factors in the elderly in Torbat Heydariyeh in 2015. J Health Chimes. 2016;4(2):39–44. [Persian]. Kosari M, Hoseini Z, Golriz F. The investigation of oral and dental status and its related factors in the elderly in Torbat Heydariyeh in 2015. J Health Chimes. 2016;4(2):39–44. [Persian].
26.
go back to reference Owlia F, Ahadian H, RustaeiZadeh Z, Bahadori L. The prevalence of oral lesion among elderly in Yazd Province Nursing Homes in 2014. J Health. 2017;8(3):321–7. Owlia F, Ahadian H, RustaeiZadeh Z, Bahadori L. The prevalence of oral lesion among elderly in Yazd Province Nursing Homes in 2014. J Health. 2017;8(3):321–7.
27.
go back to reference Maleki Z, GhaemMaghami A, Lesan S. Comparison of soft tissue lesions (OSTLs) prevalence in the elderly institutionalized population who are resided in private and governmental institutes in Tehran Iran 2001–2003. J Dent Sch Shahid Beheshti. 2005;23(4):663–911. [Persian]. Maleki Z, GhaemMaghami A, Lesan S. Comparison of soft tissue lesions (OSTLs) prevalence in the elderly institutionalized population who are resided in private and governmental institutes in Tehran Iran 2001–2003. J Dent Sch Shahid Beheshti. 2005;23(4):663–911. [Persian].
28.
go back to reference Shafipour V, Haghighi A, BagheriNesami M. The impact of oral care in the prevention of ventilator-associated pneumonia: a narrative review. IJNR. 2018;12(6):25–36. [Persian].CrossRef Shafipour V, Haghighi A, BagheriNesami M. The impact of oral care in the prevention of ventilator-associated pneumonia: a narrative review. IJNR. 2018;12(6):25–36. [Persian].CrossRef
29.
go back to reference Rezaei S, Rezaei K. Comparison the effect of Miswak/Aloe Vera & chlorhexidine mouthwashes on gingival index in intubated patients. CMJA. 2015;5(2):1155–66. [Persian]. Rezaei S, Rezaei K. Comparison the effect of Miswak/Aloe Vera & chlorhexidine mouthwashes on gingival index in intubated patients. CMJA. 2015;5(2):1155–66. [Persian].
Metadata
Title
Oral status and affecting factors in Iranian ICU patients: a cross-sectional study
Authors
Mostafa Arkia
Jahangir Rezaei
Nader Salari
Siavash Vaziri
Alireza Abdi
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Care
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02867-6

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