| Unique ID issued by UMIN | UMIN000056997 |
|---|---|
| Receipt number | R000065140 |
| Scientific Title | Development and Evaluation of an Oral Care Protocol for Mechanically Ventilated Patients |
| Date of disclosure of the study information | 2025/02/15 |
| Last modified on | 2026/08/16 21:55:12 |
Development and Evaluation of an Oral Care Protocol for Mechanically Ventilated Patients
OCP-MV
Development and Evaluation of an Oral Care Protocol for Mechanically Ventilated Patients
OCP-MV
| Japan |
VAP
| Nursing |
Others
NO
Develop, validate and utilize oral care protocols for intubated patients according to their oral assessment tool scores to improve the oral environment and reduce the incidence of VAP.
Efficacy
Oral bacteria counts, oral humidity and OHAT scores during the observation period (days 1-3)
VAP incidence, duration on ventilator, days in ICU, days to start oral intake after extubation
Interventional
Parallel
Non-randomized
Open -no one is blinded
Active
NO
2
Treatment
| Maneuver |
Reinforce oral moisturizing care using a proprietary oral care protocol.
Normal oral care
| 18 | years-old | <= |
| 90 | years-old | > |
Male and Female
Time of hospitalization
Exclude patients who have been extubated within 48 hours of intubation, patients with oral or facial trauma, and patients who can perform oral care on their own. Patients diagnosed with pneumonia on admission or within 48 hours of admission are also excluded.
60
| 1st name | Yoshiko |
| Middle name | |
| Last name | Sasaki |
Institute of Science Tokyo
Disaster Critical Care Nursing
135-0044
1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
03-3813-6111
ns220003@tmd.ac.jp
| 1st name | Akira |
| Middle name | |
| Last name | Sato |
Institute of Science Tokyo
Disaster Critical Care Nursing
113-8519
1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
08053790803
ns220003@tmd.ac.jp
Institute of Science Tokyo
JPMJSP2120
Non profit foundation
Institute of Science Tokyo
1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
08053790803
ns220003@tmd.ac.jp
NO
東京都
東京科学大学病院(東京都)
| 2025 | Year | 02 | Month | 15 | Day |
https://onlinelibrary.wiley.com/doi/10.1111/nicc.70428
Published
https://onlinelibrary.wiley.com/doi/10.1111/nicc.70428
100
Compared with the controls, the intervention group showed significantly better oral health on Day 3 (mean OHAT 1.88 vs. 5.20; oral moisture 20.4 vs. 6.6; bacterial counts 36.3 vs. 83.0; all p < 0.001). Ventilator duration and ICU stay were shorter in the intervention group (5.0 vs. 9.5 days, p < 0.001; 8.0 vs. 11.0 days, p = 0.006). PED incidence markedly reduced (4% vs. 46%; adjusted odds ratio 0.044, 95% confidence interval 0.009-0.209; number needed to treat = 3). Protocol adherence was 97.8%.
| 2026 | Year | 08 | Month | 16 | Day |
| 2026 | Year | 04 | Month | 10 | Day |
This quasi-experimental study was conducted between February and July 2025 in the emergency intensive care unit (ICU) of a university hospital.
After admission to the participating facility, informed consent was obtained from the patient or a family member.
No adverse events were observed.
The primary outcomes were the 3-day OHAT score, oral moisture level, and oral bacterial count. Secondary outcomes included the duration of mechanical ventilation, ICU length of stay, and the incidence of ventilator-associated pneumonia (VAP), post-extubation delirium (PED), and ICU mortality.
Completed
| 2024 | Year | 10 | Month | 01 | Day |
| 2024 | Year | 11 | Month | 27 | Day |
| 2025 | Year | 02 | Month | 01 | Day |
| 2025 | Year | 07 | Month | 31 | Day |
| 2025 | Year | 07 | Month | 31 | Day |
| 2025 | Year | 08 | Month | 31 | Day |
| 2025 | Year | 12 | Month | 01 | Day |
| 2025 | Year | 02 | Month | 11 | Day |
| 2026 | Year | 08 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000065140