Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis

Frontiers in Medicine

Medicine

Lijuan Chen¹  Hongzhan Jiang²  Huihui Lin²  Jiali Shen²  Qiuqin Xu²  Yuanchan Li² 

[1] Department of General Surgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen, China;Nursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, China;

关键词: incontinence-associated dermatitis;    critical care;    risk factors;    systematic review;    meta-analysis;   

DOI  :  10.3389/fmed.2023.1146697

 received in 2023-01-17, accepted in 2023-03-27,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectivesIncontinence-associated dermatitis (IAD) is increasingly found among critically ill patients, but the risk factors for IAD in these patients are currently unclear. The purpose of this meta-analysis was to identify the risk factors of IAD in critically ill patients.MethodsWeb of Science, PubMed, EMBASE, and Cochrane Library were systemically searched until July 2022. The studies were selected based on inclusion criteria, and data were independently extracted by two researchers. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the included studies. Odds ratios (ORs) and their associated 95% confidence intervals (CIs) were used to identify significant differences in the risk factors. The I2 test was used to estimate the heterogeneity of studies, and Egger's test was used to assess the potential publication bias.ResultsA total of 7 studies enrolling 1,238 recipients were included in the meta-analysis. Age ≥ 60 (OR = 2.18, 95% CI: 1.38~3.42), female sex (OR = 1.76, 95% CI: 1.32~2.34), dialysis (OR = 2.67, 95% CI: 1.51~4.73), fever (OR = 1.55, 95% CI: 1.03~2.33), vasoactive agent (OR = 2.35, 95% CI: 1.45~3.80), PAT score ≥ 7 (OR = 5.23, 95% CI: 3.15~8.99), frequency of bowel movement > 3times/d (OR = 5.33, 95% CI: 3.19~8.93), and liquid stool (OR = 2.61, 95% CI: 1.56~4.38) were the risk factors of IAD among critically ill patients.ConclusionsMany risk factors are related to IAD among critically ill patients. Nursing staff should pay more attention to evaluating the risk of IAD and enhance the care of high-risk groups.

【 授权许可】

Unknown   
Copyright © 2023 Jiang, Shen, Lin, Xu, Li and Chen.