Characteristics of oral mucosal pressure injuries in children with orotracheal intubation in intensive care units: An observational study.
Yueyue Zhao, Jie Guo, Jie Ma and 4 others
PMID 39349370WHAT IT FOUND
In 187 PICU children with oral endotracheal tubes, oral mucosal pressure injury occurred in 84 (44.92%).
Longer intubation, prone ventilation, dental pads, low albumin, mild hypothermia and critical illness were associated with OMPI.
Key findings
01Oral mucosal pressure injury occurred in 84 of 187 children (44.92%).
02Of children with OMPI, 53 had stage I injury, 28 had stage II injury and 3 had stage III injury.
03Logistic analysis identified critical care score, intubation duration, hypothermia, low albumin, prone ventilation and dental pad use as factors associated with OMPI.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single centre in China, so results may not apply where tube fixation, repositioning or oral care differ. Cross-sectional observational design found associations, not proof that any factor caused OMPI. The OMPI staging tool was developed by the research team and had moderate agreement between observers (0.632). The study did not evaluate oral environment factors such as saliva and microbes.
The easy way to misread this
Do not read this as proof that dental pads, prone ventilation or hypothermia cause OMPI. The study found associations in one PICU and did not test whether changing those factors prevents injury.