Question · asked by 1 review

Saline rinse plus swab vs Saline-soaked swab: Incidence of VAP

Population
Critically ill patients receiving mechanical ventilation in ICU
Intervention
Saline rinse plus swab
Comparison
Saline-soaked swab
Outcome
Incidence of VAP

Saline rinse plus swab led to lower incidence of VAP compared with saline-soaked swab alone (usual care); GRADE not reported.

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 3 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Saline rinse plus swab vs Saline-soaked swab alone (usual care)
Incidence of VAP · Critically ill patients receiving mechanical ventilation in ICU
Saline rinse plus swab led to lower incidence of VAP compared with saline-soaked swab alone (usual care); GRADE not reported.
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2020) · Cochrane All outcomes
RR 0.41 [0.23, 0.72]2 studies · 153 participantsGRADE not reported
Saline rinse plus swab vs Saline-soaked swab alone (usual care)
Incidence of VAP · Critically ill patients receiving mechanical ventilation in ICU
Saline rinse plus swab led to lower incidence of VAP compared with saline-soaked swab alone (usual care); GRADE not reported.
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2016) · Cochrane All outcomesearlier version CD008367.PUB3, superseded
RR 0.41 [0.23, 0.72]2 studies · 153 participantsGRADE not reported
Saline rinse plus swab vs Saline-soaked swab alone (usual care)
Incidence of VAP · Critically ill patients receiving mechanical ventilation in ICU
Saline rinse plus swab led to lower incidence of VAP compared with saline-soaked swab alone (usual care); GRADE not reported.
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2013) · Cochrane All outcomesearlier version CD008367.PUB2, superseded
OR 0.30 [0.14, 0.63]2 studies · 40 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia
2020 · Cochrane All outcomes
2020-02Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.