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Independent risk factors for the development of incontinence-associated dermatitis (category 2) in critically ill patients with fecal incontinence: A cross-sectional observational study in 48 ICU units
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health, Ghent University, Ghent, Belgium.
Epidemiology and Prevention Unit, Department of Public Health, Ghent University, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium.
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2018 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 81, p. 30-39, article id S0020-7489(18)30025-7Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Critically ill patients suffering from fecal incontinence have a major risk of developing incontinence-associated dermatitis (IAD). The presence of moisture and digestive enzymes (lipase, protease) negatively influences skin barrier function. Additional risk factors will make some patients even more vulnerable than others. In order to provide (cost) effective prevention, this specific patient population should be identified timely.

OBJECTIVES: To identify independent risk factors for the development of IAD category 2 (skin loss) in critically ill patients with fecal incontinence.

DESIGN: A cross-sectional observational study.

SETTING AND PARTICIPANTS: The study was performed in 48 ICU wards from 27 Belgian hospitals. Patients of 18 years or older, with fecal incontinence at the moment of data collection, were eligible to participate. Patients with persistent skin redness due to incontinence (IAD category 1) were excluded.

METHODS: and Hosmer-Lemeshow statistic were calculated as measures of model fit.

RESULTS: was 0.377. The Hosmer-Lemeshow statistic indicated no significant difference between the observed and expected values (p = .301).

CONCLUSIONS: Liquid stool, diabetes, age, smoking, non-use of diapers, fever, and low oxygen saturation were independently associated with IAD category 2 in critically ill patients with fecal incontinence.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 81, p. 30-39, article id S0020-7489(18)30025-7
Keywords [en]
Critical illness, Fecal incontinence, Incontinence-associated dermatitis, Intensive care units, Nursing, Perineal dermatitis, Predictor, Risk
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Nursing
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URN: urn:nbn:se:oru:diva-73168DOI: 10.1016/j.ijnurstu.2018.01.014ISI: 000433646300008PubMedID: 29428583Scopus ID: 2-s2.0-85041507319OAI: oai:DiVA.org:oru-73168DiVA, id: diva2:1296488
Note

Funding Agency:

3 M Deutschland GmbH

Available from: 2019-03-15 Created: 2019-03-15 Last updated: 2019-06-18Bibliographically approved

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Beeckman, Dimitri

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