Silveira, Ericka Janine Dantas daMartins, Hélder Domiciano Dantas2020-06-172020-06-172020-02-20MARTINS, Hélder Domiciano Dantas. Fatores de risco para o aparecimento de alterações bucais em pacientes internados em UTI: estudo de coorte. 2020. 54f. Dissertação (Mestrado em Ciências Odontológicas) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2020.https://repositorio.ufrn.br/jspui/handle/123456789/29287Introduction: The intensive care unit (ICU) is a sector of the hospital area where care is provided to patients in critical condition, which may present oral alterations that can interfere the systemic condition. Objective: To evaluate the risk factors for the development of oral alterations in a group of patients seen in the Intensive Care Unit. Materials and methods: This is a prospective cohort field study carried out between May and December 2019 with 43 patients in the ICU of the League Against Cancer / RN. Data were collected by 03 evaluators who included the main outcomes (oral alterations with greater frequency and morbidity) and data related to patients (sex, age, length of hospital stay, discharge or death, underlying diseases, physio-respiratory condition and hematological exams). Mann Whitney (U), Pearson's Chi-square tests with continuity correction and Fisher's Exact Test were performed. The level of significance adopted was 0.05. Results: Among the 43 patients included, 53.5% (n = 23) were female, with a mean age of 59.8 years (. ± 17.4). In relation to the groups, the mean age of the group that presented oral alterations (66.9 years) was higher than the group without alterations (52.3 years), in addition to longer hospital stay (15.3 days) and higher levels of C-reactive protein. The incidence of these changes in patients admitted to the ICU was 51.2% (35.6% -66.8%). Among patients with oral changes (n = 22), hyposalivation (n = 9) and lingual biofilm (n = 9; 40.9%) were the most common. It was observed that male patients (p = 0.02), older than 60 years (p = 0.004) and who use mechanical ventilation (p <0.05) had a higher risk for the development of oral lesions. Conclusions: Age and sex were important risk factors for the development of oral changes in the patients analyzed. The use of the orotracheal tube and mechanical ventilation throughout hospitalization should also be considered. In addition, due to more than 50% of hospitalized patients showing changes, it is important to have the DC fully in the ICU for the prevention, diagnosis and treatment of oral problems.Acesso AbertoUnidade de Terapia IntensivaFatores de riscoDiagnóstico bucalmasterThesisCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA