Table 5.13 Oral Care for the Treatment of Dysphagia-Related Complications Post ABI
Author/Year/ Country/Study design/PEDro Score/N |
Methods |
Outcomes |
Seguin et al. (2014) France RCT PEDro=7 N=167 |
Population: Povidone-Iodine group (n=85): TBI=62, Stroke=23; Mean Age=48 yr; Gender: Male=60, Female=25; Mean Time Post Injury=6 hr; Mean GCS=6. Placebo group (n=82): TBI=61, Stroke=21; Mean Age=48 yr; Gender: Male=64, Female=18; Mean Time Post Injury=6 hr; Mean GCS=6. Intervention: Patients were randomly assigned to either receive povidone-iodine for decontamination of the oropharyngeal tract, or placebo. Outcome Measure: Incidence of ventilator-associated pneumonia (VAP). |
|
Cabov et al. (2010) Croatia RCT PEDro=8 N=60 |
Population: Neoplasms (61.7%), Head trauma (28.3%), Polytrauma (10%). Intervention: Patients were randomized to either the chlorhexidine group or the placebo group. Those in the chlorhexidine group had antiseptic decontamination of dental plaque and the oral mucosa by applying the gel to their oral cavity. The gel was not rinsed off after application. Outcome Measure: Rate of infections, Plaque score. |
|
Yoneyama et al. (2002) Japan RCT PEDro=6 N=366 |
Population: Nursing home patients. Intervention: Patients were randomly allocated to receive oral care (n=184) or no oral care (n=182). Outcome Measure: Pneumonia, febrile days, death from pneumonia, Activities of Daily Living Scale, Mini Mental State Exam (MMSE). |
|
Fourrier et al. (2000) France RCT PEDro=5 N=60 |
Population: Intensive Care Unit patients. Intervention: Chlorhexidine 0.2% (dental gel) group or the control group where dental care consisted of standard oral care including rinsing the mouth with bicarbonate isotonic serum, followed by oropharyngeal sterile aspiration 4x/day. Outcome Measure: The development of nosocomial infections, Caries-Absent-Occluded Index. |
|
Robertson and Carter (2013) Canada Case Control N=83 |
Population: TBI, Intracranial hemorrhage, tumour, Other. Standard oral care (SOC) Group (n=51): Mean Age=57 yr; Gender: Male=27, Female=24. Enhanced oral care (EOC) group (n=32): Mean Age=61 yr; Gender: Male=23, Female=9. Intervention: Patients in the SOC group received a standard protocol for oral hygiene and were reviewed retrospectively; patients in the EOC group were prospectively studied and received an enhanced oral hygiene protocol. The oral care kit was kept beside the patient’s bed and nurses were trained prior. The EOC consisted of brushing, mouth rinse, and swabs. Outcome Measure: Incidence of non-ventilator hospital-acquired pneumonia (NV-HAP). |
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PEDro = Physiotherapy Evidence Database rating scale score (Moseley et al., 2002)