Evidence map›Paper›PMID 39349370›Full record

Observational studyNursing in critical care2025

Characteristics of oral mucosal pressure injuries in children with orotracheal intubation in intensive care units: An observational study.

Yueyue Zhao, Jie Guo, Jie Ma, Yanjun Ge, Junna Wang, Conghui Li, Caixiao Shi

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yueyue ZhaoPediatric Intensive Care Unit, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.ORCID https://orcid.org/0000-0003-2343-1447
Jie GuoPediatric Intensive Care Unit, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Jie MaPediatric Intensive Care Unit, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Yanjun GeNursing Department, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Junna WangPediatric Intensive Care Unit, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Conghui LiPediatric Intensive Care Unit, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.
Caixiao ShiNursing Department, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTracheal intubation can be used for ventilation to ensure an unobstructed respiratory tract, and it is the most common respiratory support technique used in paediatric intensive care unit (PICU) patients. Orotracheal intubation is usually the preferred method of tracheal intubation. However, it can cause stress-related damage to the oral mucosa. Identifying the factors that cause oral mucosal pressure injury (OMPI) can prevent its occurrence in children with oral endotracheal intubation.

aimTo examine the characteristics of OMPI in children who underwent orotracheal intubation in the PICU and to assess their influencing factors. STUDY

designAn observational, prospective study. Data were gathered from the PICU of a tertiary hospital in China between January 2023 and October 2023. The patient data were obtained from the 'General Information Questionnaire', 'Paediatric Critical Illness Score', 'STRONGkids Scale' and 'OMPI Staging and Assessment Tools'. Data analysis was subsequently performed using univariate and logistic regression analyses.

resultsA total of 187 children who underwent orotracheal intubation were analysed. During the observation period, 44.92% (n = 84) of the children developed OMPI. It comprised 63.10% (n = 53) of stage I injuries, 33.33% (n = 28) of stage II injuries and 3.57% (n = 3) of stage III injuries. The common injury sites were the lower jaw (48.81%), upper jaw (29.76%), tongue (20.24%) and joints (10.71%). The logistic regression analysis results revealed that high critical illness (OR = 0.835, 95% CI: 0.726-0.961), long intubation time (OR = 1.043, 95% CI: 1.021-1.067), prone ventilation (OR = 6.708, 95% CI: 1.421-31.670), hypothermia (OR = 5.831, 95% CI: 1.208-28.149), use of dental pads (OR = 5.520, 95% CI: 1.150-26.487) and low albumin levels (OR = 6.238, 95% CI: 1.285-30.281) were the main contributing factors for OMPI in children with orotracheal intubation (p < .05).

conclusionsThe occurrence of OMPI in children who underwent orotracheal intubation in the PICU was notable and was predominantly observed in stages I and II. Consequently, clinical nursing personnel should proactively recognize risk factors and administer timely interventions to mitigate the occurrence of OMPI in such children. RELEVANCE TO CLINICAL PRACTICE: The incidence of OMPI in children who underwent orotracheal intubation was relatively high. Nurses and doctors should closely monitor the risk factors for orotracheal intubation in children to prevent the occurrence of OMPI.

Indexed as

Intubation, IntratrachealMouth MucosaPressure UlcerChildChild, PreschoolChinaFemaleHumansInfantIntensive Care Units, PediatricMaleProspective Studieschildintensive care unitintratracheal intubationoral mucosapressure injury

Identifiers

PMID39349370
PMCPMC12045017

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.