Oral Mucosal Pressure Injury in ICU Patients With Oral Tracheal Intubation

NCT ID: NCT05882539

Last Updated: 2023-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

471 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-01-01

Study Completion Date

2024-12-30

Brief Summary

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In this study, based on the conceptual framework of Pressure Injurie development, the risk factors for pressure injury in critically ill patients provided by the latest guidelines, and combined with the current relevant studies on mucosal pressure injury, we prospectively observed and collected clinical data related to tracheal intubation patients in the ICU, analyzed the risk factors for the occurrence of oral MPI, and established a risk prediction model to help clinical and nursing staff to detect and actively prevent oral MPI at an early stage The study aims to improve the quality of nursing management, enhance the level of nursing services and improve patient satisfaction.

Detailed Description

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Conditions

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Oral Mucosal Pressure Injury

Keywords

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Intensive Care Units Intubation, Intratracheal Mucosal Pressure Injury Prediction Model

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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endotracheal tube material

One group of patients used a spring-loaded endotracheal tube and the other group used a PVC tube.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

Bite block Material

One group of patients used hard bite block and the other group used soft bite block

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

Moisture of oral mucosa

One group of patients had moist oral mucosa after entering the ward and the other group had dry oral mucosa.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

serum albumin level

One group of patients had normal serum albumin level at the first blood sample analysis after tracheal intubation and the other group was abnormal.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

mean arterial pressure level

One group of patients had normal mean arterial pressure leve after entering the ward and the other group was abnormal.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

blood lactate level

One group of patients had normal blood lactate levels at the first blood sample analysis after tracheal intubation and the other group was abnormal.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

constraint

One group of patients was constrained during follow-up and the other group was not constrained.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

sedation

One group of patients was sedated during follow-up and the other group was not sedated.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

prone position

One group of patients had a prone position performed during follow-up and the other group did not.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

Duration of tracheal intubation

Dichotomous grouping of the duration of tracheal intubation according to the results of the study.

endotracheal tube material,Bite block Material

Intervention Type DEVICE

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

Interventions

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endotracheal tube material,Bite block Material

Exposure factors associated with tracheal intubation in patients that may influence the occurrence of oral mucosa pressure injurie, such as the material and fixation of the tracheal tube, the patient's own nutrition, the level of tissue perfusion and relevant treatment factors.

Intervention Type DEVICE

Other Intervention Names

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Moisture of oral mucosa serum albumin level mean arterial pressure level blood lactate level constraint sedation prone position Duration of tracheal intubation

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 years;
2. Duration of ICU admission ≥ 48h.

Exclusion Criteria

1. radiotherapy oral mucositis;
2. Pressure injury to the mucosa, oral ulcers and erosions from other causes already present prior to tracheal intubation;
3. Patients undergoing oral surgery;
4. those who have been brought in from outside the hospital for \>48h for transoral tracheal intubation;
5. Common oral ulcers (not pressure/friction generated).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Zhu Yi Rong

Role: STUDY_DIRECTOR

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Sun Yan

Role: PRINCIPAL_INVESTIGATOR

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Xiang Yan

Role: PRINCIPAL_INVESTIGATOR

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Guo Jingjing

Role: PRINCIPAL_INVESTIGATOR

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Locations

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2nd Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Li Qian, Master

Role: CONTACT

Phone: +86 0571 87767013

Email: [email protected]

Wang Li Zhu, Master

Role: CONTACT

Phone: +86 0571 87767013

Email: [email protected]

Facility Contacts

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Chen Ze Xin

Role: primary

Other Identifiers

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2022-0586

Identifier Type: -

Identifier Source: org_study_id