Incontinence-associated dermatitis: a cohort study in critically ill patients
Tânia Couto Machado Chianca, Paula Caroline Gonçales, Patrícia Oliveira Salgado, Beatriz de Oliveira Machado, Gilmara Lopes Amorim, Carla Lúcia Goulart Constant Alcoforado, Tânia Couto Machado Chianca, Paula Caroline Gonçales, Patrícia Oliveira Salgado, Beatriz de Oliveira Machado, Gilmara Lopes Amorim, Carla Lúcia Goulart Constant Alcoforado
Abstract
Objectives: Estimate incidence, determine risk factors and propose a prediction model for the development of incontinence- associated dermatitis critically ill adult patients.
Method: Concurrent cohort study with 157 critically ill patients. Data collection was daily performed between February and July 2015, at a public teaching hospital of Belo Horizonte, Minas Gerais. Data was entered in a database and subjected to descriptive, survival and multivariate analysis.
Results: An overall incidence of 20.4% was obtained. Nineteen (19) risk factors significantly associated with the disorder were found. The variables identified in the risk prediction model were male, trauma, use of hypnotics/sedatives, lactulose, nutritional support, loose stools and complaints of burning.
Conclusion: The results showed that dermatitis is a common clinical finding in critically ill adult patients and requires special attention from the nursing staff.
Source: PubMed