Risk factors analysis of oral mucous membrane pressure injury in oral endotracheal intubation patients
Objective To determine the incidence and potential risk factors of tracheal catheter-related oral mucosal injury in patients with oral intubation.Methods The general data,clinical data and tracheal catheter usage data of 102 patients with oral intubation in the emergency intensive care unit of Tongde Hospital of Zhejiang Province from July 2022 to March 2023 were retrospectively analyzed.The potential risk factors of tracheal catheter-related oral mucosal injury in patients with oral intubation were analyzed by univariate and binary logistic regression.Results Among 102 cases,33 cases(32.4%)had tracheal catheter-related oral mucosal pressure injury.Univariate analysis showed statistically significant differences in APACHE Ⅱ score(t =5.540,P＜0.001),hypoproteinemia(χ2 =16.127,P＜0.001),anemia(χ2 =18.638,P＜0.001),vasoactive drugs(χ2 =7.947,P =0.005),anticoagulants(χ2 =9.167,P =0.002),tracheal catheter type(χ2 =-3.193,P =0.001)and time of indwelling tracheal catheter(Z =-5.476,P＜0.001).Multivariate binary logistic regression analysis showed that APACHE Ⅱ score(OR =1.694,P =0.002,95%CI:1.211-2.368),hypoproteinemia(OR =6.618,P =0.034,95%CI:1.149-38.106),tracheal catheter type(OR = 7.489,P =0.017,95%CI:1.430-39.217)and tracheal time of indwelling tracheal catheter(OR =1.103,P =0.001,95%CI:1.005-1.020)were independent factors of tracheal catheter-related oral mucosa injury.Conclusions The incidence of oral mucosal pressure injury through oral tracheal intubation is relatively high,with APACHE Ⅱscore,hypoproteinemia,tracheal catheter type,and tracheal time of indwelling tracheal catheter as independent risk factors.It is recommended to choose smaller tracheal catheters as much as possible in clinical practice,while meeting treatment requirements,to shorten the tracheal time of indwelling tracheal catheter,strengthen nutritional support,and prevent the occurrence of oral mucosal pressure injury in patients undergoing oral tracheal intubation.
NETL
NSTL
万方数据
维普
