Oropharyngeal tube-related pressure injury in critically ill patients: a prospective cohort study
DOI:
https://doi.org/10.12957/reuerj.2025.90619Keywords:
Nursing, Patient Safety, Equipment and Supplies, Intubation, Pressure UlcerAbstract
Objective: to investigate the incidence, risk factors, and characteristics of oropharyngeal tube (OPT)-related pressure injury in critically ill patients. Method: a prospective cohort study conducted in the adult Intensive Care Unit of a university hospital from May to July 2023. Patients using an orothracheal tube OPT for more than 24 hours were included; those with skin pathologies were excluded. Participants were monitored until OPT removal, discharge, transfer, or death. Results: the incidence of pressure injury was 32.8%. Mucosal Membrane Injury (28.6%) and Stage 2 (28.6%) were the predominant classifications. The lips and labial commissure (52.4%) were the most affected sites. Fever, pulmonary dysfunction, elevated C-Reactive Protein scores, and low Glasgow Coma Scale scores were risk factors (p<0.05). Conclusion: evidence-based interventions are necessary to reduce the rate of these injuries.
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