Question · asked by 1 review

Toothbrushing (with or without antiseptics), as part of oral hygiene care vs No toothbrushing (with or without antiseptics): All‐cause mortality

Population
Critically ill adults receiving mechanical ventilation in ICU
Intervention
Toothbrushing (with or without antiseptics), as part of oral hygiene care
Comparison
No toothbrushing (with or without antiseptics)
Outcome
All‐cause mortality

Toothbrushing (with or without antiseptics), as part of oral hygiene… showed no clear difference in mortality compared with no toothbrushing (with or without antiseptics) (low certainty).

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 2 · 66.7%Moderate 1 · 33.3%High 0 · 0%
FindingEffectStudiesGRADE certainty
Toothbrushing (with or without antiseptics), as part of oral hygiene care vs No toothbrushing (with or without antiseptics)
Mortality · Critically ill adults receiving mechanical ventilation in ICU · Follow-up: mean 1 month
Toothbrushing (with or without antiseptics), as part of oral hygiene… showed no clear difference in mortality compared with no toothbrushing (with or without antiseptics) (low certainty).
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2020) · Cochrane All outcomes
RR 0.84 [0.67, 1.05]5 studies · 910 participantsLow
Toothbrushing (with or without antiseptics), as part of oral hygiene care vs No toothbrushing (with or without antiseptics)
Mortality · Critically ill adults receiving mechanical ventilation in ICU · Follow-up: mean 1 month
Toothbrushing (with or without antiseptics), as part of oral hygiene… showed no clear difference in mortality compared with no toothbrushing (with or without antiseptics) (low certainty).
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2016) · Cochrane All outcomesearlier version CD008367.PUB3, superseded
RR 0.87 [0.70, 1.09]5 studies · 889 participantsLow
Toothbrushing (with or without antiseptics), as part of oral hygiene care vs No toothbrushing (with or without antiseptics)
Mortality · Critically ill adults receiving mechanical ventilation in ICU · Follow-up: mean 1 month
Toothbrushing (with or without antiseptics), as part of oral hygiene… showed no clear difference in mortality compared with no toothbrushing (with or without antiseptics) (moderate certainty).
Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia (2013) · Cochrane All outcomesearlier version CD008367.PUB2, superseded
OR 0.85 [0.62, 1.16]4 studies · 828 participantsModerate

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.