Gurgel-Juarez Nalia, Perrier Marie-France, Hoffmann Tammy, Lannin Natasha, Jolliffe Laura, Lee Rachel, Brosseau Lucie, Flowers Heather
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Centre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia.
JMIR Res Protoc. 2020 Jul 1;9(7):e17249. doi: 10.2196/17249.
Oral care is important to prevent buccal and systemic infections after an acquired brain injury (ABI). Despite recent advancements in the development of ABI clinical practice guidelines, recommendations for specific clinical processes and actions to attain adequate oral care often lack information.
This systematic review will (1) identify relevant ABI clinical practice guidelines and (2) appraise the oral care recommendations existing in the selected guidelines.
A search strategy was developed based on a recent systematic review of clinical practice guidelines for ABI. The protocol includes a search of MEDLINE, EMBASE, and DynaMed Plus databases, as well as organizational and best-practice websites and reference lists of accepted guidelines. Search terms will include medical subject headings and user-defined terms. Guideline appraisal will involve the Appraisal of Guidelines for Research and Evaluation II ratings, followed by a descriptive synopsis for oral care recommendations according to the National Health and Medical Research Council evidence levels.
This project started in April 2019, when we developed the search strategy. The preliminary search of databases and websites yielded 863 and 787 citations, respectively, for a total of 1650 citations. Data collection will start in August 2020 and we expect to begin disseminating the results in May 2021.
Nursing staff may not have detailed recommendations on how to provide oral care for neurologically impaired patients. The findings of this review will explore the evidence for oral care in existing guidelines and improve outcomes for patients with ABI. We expect to provide adequate orientations to clinicians, inform policy and guidelines for best practices, and contribute to future directions for research in the ABI realm.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/17249.
口腔护理对于预防获得性脑损伤（ABI）后的口腔及全身感染至关重要。尽管近期ABI临床实践指南的制定取得了进展，但关于实现充分口腔护理的具体临床流程和行动的建议往往缺乏相关信息。
本系统评价将（1）识别相关的ABI临床实践指南，以及（2）评估所选指南中存在的口腔护理建议。
基于近期对ABI临床实践指南的系统评价制定了检索策略。该方案包括检索MEDLINE、EMBASE和DynaMed Plus数据库，以及组织网站、最佳实践网站和已接受指南的参考文献列表。检索词将包括医学主题词和用户定义的术语。指南评估将涉及使用《研究与评价指南II》评级，随后根据澳大利亚国家卫生与医学研究委员会的证据水平对口腔护理建议进行描述性概述。
该项目于2019年4月启动，当时我们制定了检索策略。对数据库和网站的初步检索分别产生了863条和787条引文，共计1650条引文。数据收集将于2020年8月开始，预计2021年5月开始传播结果。
护理人员可能没有关于如何为神经功能受损患者提供口腔护理的详细建议。本评价的结果将探索现有指南中口腔护理的证据，并改善ABI患者的治疗效果。我们期望为临床医生提供充分的指导，为最佳实践的政策和指南提供信息，并为ABI领域的未来研究方向做出贡献。
国际注册报告识别号（IRRID）：PRR1-10.2196/17249
