Incidence and characteristics of hospital-acquired mucous membrane pressure injury: A five-year analysis
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113791668. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. |
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Description
Background: Pressure injuries on mucous membranes are caused by pressure from medical devices at the site of injury and differ to those on the skin. Intensive care patients, who have multiple devices in situ, are particularly vulnerable. There is a significant knowledge gap regarding mucous membrane pressure injury (MMPI) incidence in acute hospital settings.
Aim: To analyse MMPI incidence and characteristics in a tertiary acute general hospital.
Methods: A secondary data analysis of hospital clinical incident reports was conducted. The sample included all adults with MMPIs between 2015 and 2019. The STROBE reporting guideline was followed.
Results: There were 414 reports of MMPI. Most (91.5%, n = 379) were hospital-acquired with the majority found in intensive care patients (74.4%, n = 282). Hospital-acquired MMPI incidence was 0.1% (11 MMPI per 10,000 hospital episodes). In intensive care, the incidence was 2.4% (235 MMPI per 10,000 intensive care episodes). The median time from device insertion until reporting of an MMPI was 3 days. The most common sites of mucosal injury were the lips (35.6%) and mouth (28.8%). In all cases except one, MMPI was associated with medical device use at the site of injury. Five device types were identified (oral endotracheal tube-related 70.3%; urinary catheter 15.5%; gastric tube 8.3%; nasal prongs 3.5%; tracheostomy tube 2.4%). In intensive care, oral endotracheal tube-related devices were most often associated with MMPI (84.8%), whereas in non-intensive care MMPI it was the urinary catheter (51.4%).
Conclusions: While hospital-acquired MMPI incidence is relatively low, it is considerably higher in intensive care patients compared to those in non-intensive care settings. The most common sites are the lips and mouth. Relevance to clinical practice: Mucous membrane pressure injuries represent a significant proportion of all hospital-acquired pressure injuries. Patient or public contribution: Neither patients nor the public were directly involved in this project.
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| ID Code: | 234494 |
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| Item Type: | Contribution to Journal (Journal Article) |
| Refereed: | Yes |
| Additional Information: | Funding: This study was part-funded by a research grant from The Prince Charles Hospital Foundation (ref: NI2019-01). |
| Measurements or Duration: | 10 pages |
| DOI: | 10.1111/jocn.16473 |
| ISSN: | 0962-1067 |
| Pure ID: | 113791668 |
| Divisions: | Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Nursing |
| Funding Information: | The authors would like to acknowledge and to sincerely thank the hospital's Quality and Effectiveness Support Team for its rigorous follow-up of clinical incident reports, MMPI validation, and documentation, and maintenance and provision of the pressure injury database analysed in this study. The authors would also like to acknowledge and thank Dr Sandra Miles (Australian Catholic University; Nursing Research and Practice Development Centre) for contributing to study conceptualisation, protocol development and study progression, Lorraine Adams (Coordinator Clinical Incidents, Safety & Quality Unit) for checking and providing clinical incident report data, Amanda Griffin (research assistant) and Melanie Jüttner (research assistant) for their assistance to check and clean the database and retrieve data from patients' charts, Saveen Oghana (research student) for his assistance with the initial checking and cleaning of the first three years of data (2015-2017), Melinda Scott (Director, Clinical Health Information Services) for providing hospital admission data, and Rachel Bushell (Clinical Nurse Data Manager, Adult Intensive Care Services) for providing intensive care admission data. Open access publishing facilitated by Australian Catholic University, as part of the Wiley - Australian Catholic University agreement via the Council of Australian University Librarians. This study was part‐funded by a research grant from The Prince Charles Hospital Foundation (ref: NI2019‐01). |
| Copyright Owner: | 2022 The Authors |
| Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au |
| Deposited On: | 09 Aug 2022 04:00 |
| Last Modified: | 07 Jun 2024 16:55 |
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