Contribuição da assistência odontológica em nível hospitalar : análise de desempenho e revisão sistemática

• Ano de defesa: 2022
• Autor(a) principal: Araújo, Elza Cristina Farias de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Odontologia; Programa de Pós-Graduação em Odontologia; UFPB
• Palavras-chave em Português: Odontologia - Equipe hospitalar; Saúde bucal - UTI; Saúde bucal - PNE; Procedimentos odontológicos; Dentistry - Hospital staff; Oral health - ICU; Oral health - PNE; Dental procedures; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/26899

The performance of the oral health team (OHT) in a hospital environment involves approaches to different patients, among which Patients with Special Needs (PNE) and those under intensive care, stand out. The objective of this study was to identify factors related to the number of dental procedures and costs for hospital dental care provided to PNE in Brazil, as well as to verify whether the presence of oral health teams contributes to better oral health care and better clinical outcomes for patients in Intensive Care Units (ICU). This is a dissertation divided into 2 articles. The first consists of an observational, retrospective, and cross-sectional study. Based on the information available in the DATASUS Hospital Information System (SIH), data from each city in Brazil that presents information on the Hospital Admission Authorization (AIH) of dental treatment for PNE between 2010 and 2018 were included. The obtained data were analyzed by Spearman's correlation and Tweedie's Multiple Regression (p<0.05). In the second article, a Systematic Review was conducted to verify whether the presence of oral health teams contributes to better oral health care and clinical evolution of patients admitted to the ICU. Bibliographic searches were performed in PubMed, Scopus, Web of Science, Lilacs, Embase, Livivo, Open Grey, Google Scholar and Cochrane databases. The assessment of the methodological quality and risk of bias of the studies was performed using the tools described by the Joanna Briggs Institute. It was observed that the number and cost of procedures, as well as the cost of AIH, showed a significant bivariate correlation (p<0.05) with all independent variables. Higher HDI (p<0.05; B=-18.672), greater oral health coverage in primary care (p<0.05; B=-0.024) and greater number of clinical dentists in hospitals (p<0.05; B=-0.003) implies a lower number of hospital dental procedures. The incidence of ventilator-associated pneumonia (VAP) is lower among patients undergoing intervention by oral health teams during ICU stay (RR=0.0525; 95% CI: 0.320-0.863). Patients admitted to the ICU under the care of oral health teams have a lower risk of dying than those who do not receive this type of care (RR=0.849 95% CI: 0.750-0.962). Greater oral health coverage in primary care and greater number of clinical dentists is associated with a lower number of dental procedures and a lower cost of hospital dental care offered to PNE. The presence of oral health teams in a hospital environment contributes to better health outcomes for ICU patients.