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Abstract：
Introduction: Surveys distributed among intensive care unit (ICU) nurses reveal a significant need for dental care, with many acknowledging poor oral hygiene management. Poor oral health in ICU patients is linked to systemic problems, including aspiration pneumonia, necessitating pre-intervention assessments for bacterial diseases and dental risks. This study aims to evaluate the oral health status of ICU patients across three institutions through retrospective analysis. Methods: This retrospective study assessed the oral health status of ICU patients, using computed tomography (CT) images from three institutions over ten years. Through CT images, the oral status was evaluated in terms of total and lost tooth count and the presence of oral lesions (periapical lesions, cysts and tumors, caries, tartar, moderate to severe periodontal bone loss, tooth fractures). Variables included gender, age, the duration of ICU stay, and types of ICU. Statistical analysis was performed using chi-square tests, independent-sample t-tests, and logistic regression analysis. Results: Of the 450 participants, 430 were analyzed, revealing a prevalence of oral lesions in 67.0% of subjects. The prevalence of oral lesions was higher in males (71.5%) than females (57.7%, p = 0.006), and higher in those aged 40 and above (72.1%) compared to those under the age of 40 (47.8%, p < 0.001). This study found significant differences in oral health status based on gender, age, and ICU type, with surgical ICU patients generally having better oral health. Risk factors for oral lesions included gender, age, and duration of ICU stay. Conclusions: Most ICU patients have at least one oral lesion, regardless of the reason for their ICU admission. In particular, male ICU patients aged 40 and above have a higher prevalence of oral lesions, necessitating careful oral health assessment and treatment.
摘要：
简介：在重症监护病房（ICU）护士中进行的调查显示，对牙科护理的需求非常大，许多人承认口腔卫生管理不善。ICU患者口腔健康状况不佳与系统性问题有关，包括吸入性肺炎,需要对细菌性疾病和牙科风险进行干预前评估。本研究旨在通过回顾性分析评估ICU患者的口腔健康状况。方法：这项回顾性研究评估了ICU患者的口腔健康状况，使用来自三个机构的计算机断层扫描（CT）图像超过十年。通过CT图像,根据总牙齿数量和丢失牙齿数量以及口腔病变的存在（根尖周病变，囊肿和肿瘤，龋齿,牙垢,中度至重度牙周骨质流失，牙齿骨折）。变量包括性别，年龄,ICU住院时间,ICU的类型。统计分析采用卡方检验，独立样本t检验，和逻辑回归分析。结果：在450名参与者中，430进行了分析，在67.0%的受试者中发现口腔病变的患病率。男性口腔病变患病率(71.5%)高于女性(57.7%,p=0.006),40岁及以上人群(72.1%)高于40岁以下人群(47.8%,p<0.001)。这项研究发现，基于性别的口腔健康状况存在显着差异，年龄,和ICU类型，与外科ICU患者一般有更好的口腔健康。口腔病变的危险因素包括性别、年龄,ICU住院时间。结论：大多数ICU患者至少有一个口腔病变，不管他们入住ICU的原因是什么。特别是,40岁及以上男性ICU患者口腔病变患病率较高,需要仔细的口腔健康评估和治疗。
