Question · asked by 1 review

Powered toothbrushing (as part of comprehensive oral care) vs Manual toothbrushing: Duration of mechanical ventilation

Population
Critically ill patients receiving mechanical ventilation in ICU
Intervention
Powered toothbrushing (as part of comprehensive oral care)
Comparison
Manual toothbrushing
Outcome
Duration of mechanical ventilation

Powered toothbrushing (as part of comprehensive oral care) showed no clear difference in duration of mechanical ventilation compared with manual toothbrushing (standard oral 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
Powered toothbrushing (as part of comprehensive oral care) vs Manual toothbrushing (standard oral care)
Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU
Powered toothbrushing (as part of comprehensive oral care) showed no clear difference in duration of mechanical ventilation compared with manual toothbrushing (standard oral care); GRADE not reported.
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2020) · Cochrane All outcomes
MD 0.00 [-1.78, 1.78]1 study · 78 participantsGRADE not reported
Powered toothbrushing (as part of comprehensive oral care) vs Manual toothbrushing (standard oral care)
Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2016) · Cochrane All outcomesearlier version CD008367.PUB3, superseded
One study (Prendergast 2012, 78 participants, high risk of bias): no difference between powered and manual toothbrushing for duration of mechanical ventilation.1 study · 78 participantsGRADE not reported
Powered toothbrushing (as part of comprehensive oral care) vs Manual toothbrushing (standard oral care)
Duration of mechanical ventilation · Critically ill patients receiving mechanical ventilation in ICU
Powered toothbrushing (as part of comprehensive oral care) showed no clear difference in duration of mechanical ventilation compared with manual toothbrushing (standard oral care); GRADE not reported.
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2013) · Cochrane All outcomesearlier version CD008367.PUB2, superseded
MD 0.00 [-1.78, 1.78]1 study · 78 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.