CHORAL Study

A multi-centered stepped wedge cluster RCT of the de-adoption of chlorhexidine prophylaxis and implementation of an oral care bundle for ventilated patients

[CHORAL Study @CHORAL_Study]

@CHORAL_Study trial results in visual abstract form 👇@BrianCuthberts8 @ProfLouiseR @efan75 @lisa_burry @orlasmith51 @Vicvovie @damon_scales @AndreAmaral_YYZ

[Intensive Care Medicine @yourICM]

De-adopt chlorhexidine & implement oral care bundle in #ICU pts on MV?
🪥 no benefit on mortality, infection-related ventilator-associated complications, oral procedural pain, time to extubate
🪥 better oral health
📖CHORAL trial results https://t.co/f7Z2Zh9Bpy
Visual abstract ⬇️

[CHORAL Study @CHORAL_Study]

CHORAL study results are now available! Effect of oral chlorhexidine de-adoption and implementation of an oral care bundle on mortality for mechanically ventilated patients in the intensive care unit (CHORAL)| SpringerLink https://t.co/2CYtkma55v

[British Geriatrics Society @GeriSoc]

We recommend that oral health care should be included in the routine health care of nursing home residents, especially in those with dementia, to reduce the risk of developing orofacial pain https://t.co/puoPQ3wSlW

[CHORAL Study @CHORAL_Study]

@DrSSutherland1 @craig_dale1 @UofTDentistry @Sunnybrook @CdnDentalAssoc And thank you to @DrSSutherland1 as coauthor! I am grateful for wonderful interprofessional collaborators.

[SMH Critical Care @SMHcriticalcare]

The ecological effects of selective decontamination of the digestive tract (SDD) on antimicrobial resistance: a 21-year longitudinal single-centre study | Critical Care | Full Text https://t.co/wzAAivcvz0

[CHORAL Study @CHORAL_Study]

@Jules_M88 Congratulations on your ATS presentation @Jules_M88

[Bloomberg Nursing @UofTNursing]

We are pleased to announce that Bloomberg Nursing has been ranked the #1 Faculty of Nursing in Canada for the 4th consecutive year! Tremendous thanks to our clinical partners, students, faculty & staff for helping us maintain our status as best in Canada. https://t.co/Xa7qklQBL4

[Michelle Kho, PT, PhD @khome]

CYCLE Pilot RCT: 66 patients, 7 centres - a multicentre RCT of early in-bed cycling w/ mechanically ventilated pts is feasible & safe @CCCTG_ @CIHR_IRSC @CanRespirResNet @InnovationCA @OntarioLung @CRC_CRC @STJOESHAMILTON @ResearchStJoes @MacHealthSci https://t.co/uQOXTQSYBD

[TJ Valenzano @tjvalen14]

Great to see @Jules_M88 presenting findings from the @CHORAL_Study at St. Mike's REID - talking about the impact of oral care in critical care! @UofTNursing @SMHcriticalcare

[CHORAL Study @CHORAL_Study]

@SMHcriticalcare staff celebrating their outstanding improvements in oral care for mechanically ventilated patients 🥇@CHORAL_Study @orlasmith51 @swift_shannon @craig_dale1 @BrianCuthberts8

[CHORAL Study @CHORAL_Study]

Chlorhexidine-related ventilator-associated events: Toward recognition? https://t.co/IpJeVNwwEw

[CHORAL Study @CHORAL_Study]

@CHORAL_Study is very fortunate to be collaborating with the stellar Medical-Surgical ICU staff at @StMikesHospital. Generating new evidence for oral care during mechanical ventilation. @SMHcriticalcare @orlasmith51 @BrianCuthberts8 @swift_shannon @suddicu @craig_dale1

[CHORAL Study @CHORAL_Study]

A compelling editorial on oral care with chlorhexidine in Intensive Care Medicine: https://t.co/oTDAovCRUd @CHORAL_Study @suddicu @SMHcriticalcare @BrianCuthberts8 @orlasmith51 @yourICM

[CHORAL Study @CHORAL_Study]

@CHORAL_Study is thrilled collaborate with @MountSinai ICU to improve oral care for mechanically ventilated patients. Oral care is critical care. @lisa_burry @BrianCuthberts8 @craig_dale1 @orlasmith51 @geetamehta0 @laveenamunshi

[CHORAL Study @CHORAL_Study]

An important paper by @StijnBLOT and colleagues. Paradoxical outcomes of chlorhexidine use require further investigation. https://t.co/cypvb4V4Fj

[Ruth Kleinpell @RKleinpell]

New study cautions on indiscriminate use- Effects of chlorhexidine gluconate oral care on hospital mortality: a hospital-wide, observational cohort study by @StijnBLOT and colleagues
https://t.co/Mu2rlbgIDI

[Suddicu study @suddicu]

The story so far- SDD reduces mortality in the critically ill when oral agents are combined with IV antibiotics (and markedly reduces VAP) https://t.co/4hnBjDoqfk @suddicu @CHORAL_Study @georgeinstitute @CCCTG_ @ANZICS_CTG @UKCCRGroup

[CHORAL Study @CHORAL_Study]

The Sunnybrook Critical Care Unit is prioritizing oral health during mechanical ventilation. That’s something to smile about! @Sunnybrook @BrianCuthberts8 @lisa_burry @efan75 @AndreAmaral_YYZ @SMHcriticalcare @orlasmith51 @gmaern @damon_scales @Vicvovie

[Suddicu study @suddicu]

With SuDDICU now in its 10th year as a study we thought it would be nice to share the story for far! SuDDICU was founded in 2008 as a multi-national project since conception jointly ran between the UK (@UKCCRGroup), Australia and New Zealand (@ANZICS_CTG) and Canada (@CCCTG_).

[Susan Sutherland @DrSSutherland1]

Canker sores are a real pain! https://t.co/V9AnfP4zC5

[CHORAL Study @CHORAL_Study]

Oral chlorhexidine use associated with increased mortality in hospitalized patients https://t.co/WkG1ljJjSH @CHORAL_Study @SMHcriticalcare @lisa_burry @BrianCuthberts8 @efan75 @Vicvovie @craig_dale1 @AndreAmaral_YYZ