The oral health of coronavirus disease 2019 (COVID-19) patients in the intensive care unit (ICU) is an important issue in treatment of respiratory failure. We retrospectively investigated the oral health history of severe COVID-19 patients who received extracorporeal membrane oxygenation (ECMO) from April 2020 to December 2020 using the oral assessment guide from Fukuoka University (OAG-F). Nineteen consecutive patients (median age: 62 years) were divided into two groups according to survival (survivors, n = 12; non-survivors, n = 7). A univariate analysis revealed no significant differences between the groups in sex, age, body mass index (BMI), or the number of remaining teeth, whereas the ECMO assistance of non-survivors (median: 34 days) was prolonged in comparison to survivors (median: 8 days; p < 0.05). Among the factors of OAG-F, significant differences were observed between the groups in the conditions of the saliva, mucous membrane, and gingiva. The total scores in non-survivors (median: 19) were significantly higher in comparison to survivors (Median: 15.5), suggesting that the frequency of oral health deterioration was higher in non-survivors ( p < 0.05). Taken together, these findings suggest that poor oral health is associated with mortality in COVID-19 patients receiving ECMO in the ICU.
【저자키워드】 COVID-19, ECMO, oral condition, 【초록키워드】 Treatment, coronavirus disease, Saliva, Respiratory failure, Mortality, intensive care, Sex, ICU, extracorporeal membrane oxygenation, Deterioration, body mass index, Health, survival, Survivors, Patient, membrane, age, BMI, group, university, Frequency, COVID-19 patient, Gingiva, Non-survivors, Factor, significant difference, no significant difference, total score, Univariate analysis, survivor, non-survivor, investigated, receiving, median, condition, significantly higher, two group, consecutive patient, remaining teeth, severe COVID-19 patient, 【제목키워드】 clinical, oral, Extracorporeal,