HRC 2012-2017 PAV

This data assessed ICU patients over a six-year period, focusing on the role of dental procedures and plaque removal. The incidence of VAP was tracked in relation to the frequency and interval of dental consultations. A logistic regression was performed to associate VAP occurrence with variables such as consultation intervals, dental procedures, duration of mechanical ventilation (MV), age, among others. The findings revealed a significant reduction in VAP incidence over time, with a lower risk observed in 2017 compared to 2012. Shorter intervals between dental consultations were linked to a decrease in VAP cases. No association was found between undergoing dental procedures and an increased risk of VAP; however, patients requiring these interventions appeared more vulnerable. Additionally, older patients (over 52 years) and those on MV for more than 10 days exhibited a higher risk of developing VAP. Dental interventions in the ICU, particularly when performed early and at shorter intervals, contribute to the reduction of VAP incidence. These findings underscore the importance of integrating regular dental care into ICU protocols, emphasizing the potential for improved outcomes with systematic oral care. Although dental procedures themselves do not increase the risk of VAP, early interventions aimed at controlling plaque and infection sources seem crucial for patient outcomes.

本数据集对 ICU 患者在六年时间跨度内进行了评估，聚焦于牙科手术及牙菌斑清除的作用。VAP 的发生率与牙科咨询的频率及间隔相关联进行追踪。通过逻辑回归分析，将 VAP 发生与咨询间隔、牙科手术、机械通气（MV）持续时间、年龄等变量关联。研究发现，VAP 的发生率随时间显著降低，2017 年相较于 2012 年观察到了更低的风险。牙科咨询间隔缩短与 VAP 病例数的减少相关。未发现进行牙科手术与 VAP 风险增加之间的关联；然而，需要这些干预措施的患者似乎更为脆弱。此外，年龄超过 52 岁的患者以及机械通气超过 10 天的患者显示出更高的 VAP 发生风险。在 ICU 中进行的牙科干预，尤其是早期且间隔较短时，有助于降低 VAP 的发生率。这些发现强调了将常规牙科护理纳入 ICU 操作规程的重要性，并突显了系统化口腔护理可能带来的改善效果的潜力。尽管牙科手术本身并不会增加 VAP 的风险，但旨在控制牙菌斑和感染源的早期干预对于患者预后似乎至关重要。