Evidence map›Paper›PMID 40603266›Full record

Trial reportInternational wound journal2025

Innovative Tracheal Tube Design Enhances Oral Health in Intubated Patients.

Linyan Wang, Han Sheng, Dan-Ying Zhang, Ye-Ping Fei, Zhihong Zhu, Ping Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

6 authors.

Linyan WangDepartment of Pain Medcine, The Affiliated Hospital of Jiaxing University, Jiaxing, China.ORCID https://orcid.org/0000-0003-4694-0754
Han ShengDepartment of Pain Medcine, The Affiliated Hospital of Jiaxing University, Jiaxing, China.ORCID https://orcid.org/0000-0003-0744-0597
Dan-Ying ZhangDepartment of Nursing, The Affiliated Hospital of Jiaxing University, Jiaxing, China.
Ye-Ping FeiDepartment of Nursing, The Affiliated Hospital of Jiaxing University, Jiaxing, China.
Zhihong ZhuDepartment of Nursing, The Affiliated Hospital of Jiaxing University, Jiaxing, China.
Ping WangDepartment of Pain Medcine, The Affiliated Hospital of Jiaxing University, Jiaxing, China.

Funding

Jiaxing Key Discipline of Medicine on Nursing 2023-ZC-007Jiaxing Science and Technology Program 2022AY30015Provincial key clinical Specialty 2024-ZJZK-002
6 · The paper itself

Abstract

Endotracheal intubation is a crucial intervention for mechanically ventilated patients in the intensive care unit (ICU). However, the presence of the tube and bite block in the mouth significantly raises the risk of mucosal pressure injuries (MMPI) and other oral complications. These complications not only compromise oral health but also prolong hospitalisation and increase medical costs. Despite advances in airway management, effective solutions to mitigate these risks remain limited. Few studies have explored reducing mucosal pressure and improving oral health by optimising the design and reducing the volume of oral devices. Therefore, this study aimed to design and evaluate a novel nested tracheal tube device to reduce oral MMPI and improve oral health outcomes in intubated patients. A prospective, non-blinded, randomised, parallel-controlled intervention study was conducted, involving 151 patients who were intubated for more than 48 h. Participants were randomly assigned into two groups: the intervention group (n = 75), which received the novel nested tracheal tube device, and the control group (n = 76), which received the standard endotracheal tube with bite block. The primary outcome measure was the incidence of MMPI. Secondary outcomes included the Beck Oral Health Score, plaque index, ventilator-associated pneumonia (VAP) and costs. Compared to the standard group, the nested tracheal tube group showed a significant reduction in MMPI (χ

Indexed as

Equipment DesignIntubation, IntratrachealOral HealthPressure UlcerRespiration, ArtificialAdultAgedAged, 80 and overFemaleHumansIntensive Care UnitsMaleMiddle AgedPneumonia, Ventilator-AssociatedProspective Studiesairway managementbite blockendotracheal intubationoral cavitypressure injuryRCT

Identifiers

PMID40603266
PMCPMC12221615

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.