Through an integrative review, the objective of this article was to answer a question: what are the conditions and oral care in hospitalized elderly patients? We used 6 main databases and obtained 1051 articles, of which 78 met the inclusion criteria. Conclusions: there is a high prevalence of oral problems in the hospitalized elderly population; poor oral health is not an isolated health problem – it is related to pneumonia, sarcopenia, poor nutrition, and quality of life; oral hygiene protocols in daycare routines improve oral conditions and quality of life and integrating dentistry into medical screening: hospitalization offers a privileged opportunity to identify and correct oral problems and promote oral health.

Introduction: Smoking is associated with worse response to P2Y12 inhibitors. However, the relationship between smoking, platelet reactivity (PR) and traditional risk factors for atherosclerosis is unclear. Hypothesis: To analyze the relationship between smoking, PR and risk factors for atherosclerosis. Methods: A prospective databank of 13 research protocols was retrospectively analyzed. Among 1260 patients included in the analysis, 299 were smokers; 721 had acute coronary syndromes (521 with clopidogrel), and 539 had stable coronary artery disease (4 with clopidogrel). The association between smoking and PR analyzed by Multiplate-ADP (MPADP) and VerifyNow-PRUTest (VNPRU), inflammatory markers (leukocytes and hs-C-reactive protein), creatinine, HbA1c, total cholesterol, HDL-c, LDL-c and triglycerides, was analyzed in univariate and multivariable models. PR results were analyzed as continuous and categorical variables (bellow or above the median). Results: Unadjusted results for the comparison between smokers and non-smokers are depicted in the Table and Figure. In adjusted models, the significant associations between smoking and PR were maintained: 1) MPADP Odds-Ratio (OR)=0.984, p<0.001; 2) VNPRU OR=0.996, P=0.008; 3) MPADPCAT>MD OR=0.450, P<0.001; 4) VNADPCAT>MD OR=0.408, p<0.001; 5) ADPMEDIAN>MD OR=0.394, p<0.001). HDL-c (negative) was the only risk factor for atherosclerosis that correlated independently with smoking in all adjusted models, with leukocytes (positive) and creatinine (negative) showing correlation in 4 of the 5 models. Conclusion: Smoking is independently associated with lower PR and HDL-c levels.

Guardieiro B. Comparison between two different local hemostasis techniques for dental extractions in patients ondual antiplatelet therapy: a within-person, singleblind, randomized trial [thesis].

Objectives: to analyze the correspondence between nurse and dental surgeon assessments in the application of an Oral Health Assessment in dental screening of elderly hospitalized patients. Methods: cross-sectional study with elderly patients (n = 54) admitted to University Hospital from the Federal University of São Paulo. Data were collected through the assessment of oral cavity. Descriptive statistical techniques were used to analyze them, using tables and graphs. Results: there was correlation and agreement between nurse and dental surgeon assessments referring to application of an Oral Health Assessment in dental screening of hospitalized elderly. Conclusions: oral Health Assessment in dental screening for hospitalized elderly by nurses demonstrated excellent reproducibility and may be a resource to identify buccal alteration, helping the planning and execution of nurse care associated to oral health.

No abstract