Jan Kottner1, Ulrike Blume-Peytavi2, Christa Lohrmann3, Ruud Halfens4. 1. Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany. Electronic address: jan.kottner@charite.de. 2. Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany. 3. Department of Nursing Science, Medical University of Graz, Graz, Austria. 4. School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Abstract
BACKGROUND: Incontinent patients are at risk for incontinence-associated dermatitis. Prolonged exposures of the skin to urine and/or stool are causal factors but the exact aetiology and pathophysiology are not fully understood. OBJECTIVES: The aim of the current investigation was to identify person and health-related variables most strongly associated with incontinence-associated dermatitis development. DESIGN: Secondary data analysis of a multicentre-prevalence study in 2012. SETTINGS: Hospitals, nursing homes, home care in Austria and the Netherlands. PARTICIPANTS: Nursing home residents, hospital patients, home care clients who completed an incontinence assessment and who were incontinent (n = 3713). Mean age 81.2 (SD 11.2) years. METHODS: Demographic, functional and physiological parameters were compared between subjects with incontinence-associated dermatitis and without. A logistic regression model predicting incontinence-associated dermatitis was build. RESULTS: Subjects with incontinence-associated dermatitis were statistically significantly more often male, had more often diabetes mellitus, had a higher BMI, were less often affected by urinary but more often by faecal incontinence and showed higher degrees of functional and psychical impairments. Being faecal incontinent (OR 1.70; 95% CI 1.14-2.55), having diabetes mellitus (OR 1.46; 95% CI 1.03-2.06) and having "friction and shear" problems (OR 0.65; 95% CI 0.51-0.81) according to the Braden scale item were the strongest covariates for the presence of incontinence-associated dermatitis. CONCLUSIONS: It is recommended to target special preventive skin care interventions especially to persons who are faecal incontinent and who have moist perineal skin, who have higher BMIs, who are diabetics, and who need increased assistance in moving.
BACKGROUND: Incontinent patients are at risk for incontinence-associated dermatitis. Prolonged exposures of the skin to urine and/or stool are causal factors but the exact aetiology and pathophysiology are not fully understood. OBJECTIVES: The aim of the current investigation was to identify person and health-related variables most strongly associated with incontinence-associated dermatitis development. DESIGN: Secondary data analysis of a multicentre-prevalence study in 2012. SETTINGS: Hospitals, nursing homes, home care in Austria and the Netherlands. PARTICIPANTS: Nursing home residents, hospital patients, home care clients who completed an incontinence assessment and who were incontinent (n = 3713). Mean age 81.2 (SD 11.2) years. METHODS: Demographic, functional and physiological parameters were compared between subjects with incontinence-associated dermatitis and without. A logistic regression model predicting incontinence-associated dermatitis was build. RESULTS: Subjects with incontinence-associated dermatitis were statistically significantly more often male, had more often diabetes mellitus, had a higher BMI, were less often affected by urinary but more often by faecal incontinence and showed higher degrees of functional and psychical impairments. Being faecal incontinent (OR 1.70; 95% CI 1.14-2.55), having diabetes mellitus (OR 1.46; 95% CI 1.03-2.06) and having "friction and shear" problems (OR 0.65; 95% CI 0.51-0.81) according to the Braden scale item were the strongest covariates for the presence of incontinence-associated dermatitis. CONCLUSIONS: It is recommended to target special preventive skin care interventions especially to persons who are faecal incontinent and who have moist perineal skin, who have higher BMIs, who are diabetics, and who need increased assistance in moving.
Authors: Nele Van Damme; Karen Van den Bussche; Dorien De Meyer; Ann Van Hecke; Sofie Verhaeghe; Dimitri Beeckman Journal: Int Wound J Date: 2016-12-09 Impact factor: 3.315
Authors: Dimitri Beeckman; Nele Van Damme; Lisette Schoonhoven; Aurélie Van Lancker; Jan Kottner; Hilde Beele; Mikel Gray; Sue Woodward; Mandy Fader; Karen Van den Bussche; Ann Van Hecke; Dorien De Meyer; Sofie Verhaeghe Journal: Cochrane Database Syst Rev Date: 2016-11-10