Chunhua Gao1,2,3,4,5, Chao Yu1,2,3,4,5, Xiuxi Lin1,2,3,4,5, Hui Wang1,2,3,4,5, Yunyun Sheng1,2,3,4,5. 1. Chunhua Gao, MN, RN, Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China. 2. Chao Yu, RN, Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China. 3. Xiuxi Lin, RN, Department of Nursing, Huzhou Teachers College, Huzhou, Zhejiang, PR China. 4. Hui Wang, RN, Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China. 5. Yunyun Sheng, RN, Department of Nursing, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, PR China.
Abstract
PURPOSE: We explored the incidence of medical adhesive-related skin injuries (MARSIs) that developed in an intensive care unit (ICU) and identified the relevant risk factors associated with these skin injuries. DESIGN: Cross-sectional. SUBJECTS AND SETTING: A 29-bed adult general ICU of a tertiary teaching hospital affiliated with Zhejiang University in southeast China. METHODS: Data regarding MARSIs, skin assessments, and related nursing procedures were collected between January 2018 and May 2018. The incidence of MARSIs was calculated, and the associated risk factors were analyzed using a logistic regression model. RESULTS: During the study period, 430 patients were evaluated, of which 55 experienced MARSIs (4 prior to hospitalization in our ICU). The overall MARSI incidence rate was 11.86% (51/430); mechanical damage including epidermal stripping (72.7%; 40/55) and skin tears (14.5%; 8/55) was the most common MARSI. Moderate-to-severe edema, hyperthermia, and the use of certain medicines such as immunosuppressants and anticoagulants were independent risk factors for MARSIs. CONCLUSIONS: Critically ill patients are at a high risk of MARSIs in China. Preventive measures and good clinical nursing practice are needed to ensure patient safety.
PURPOSE: We explored the incidence of medical adhesive-related skin injuries (MARSIs) that developed in an intensive care unit (ICU) and identified the relevant risk factors associated with these skin injuries. DESIGN: Cross-sectional. SUBJECTS AND SETTING: A 29-bed adult general ICU of a tertiary teaching hospital affiliated with Zhejiang University in southeast China. METHODS: Data regarding MARSIs, skin assessments, and related nursing procedures were collected between January 2018 and May 2018. The incidence of MARSIs was calculated, and the associated risk factors were analyzed using a logistic regression model. RESULTS: During the study period, 430 patients were evaluated, of which 55 experienced MARSIs (4 prior to hospitalization in our ICU). The overall MARSI incidence rate was 11.86% (51/430); mechanical damage including epidermal stripping (72.7%; 40/55) and skin tears (14.5%; 8/55) was the most common MARSI. Moderate-to-severe edema, hyperthermia, and the use of certain medicines such as immunosuppressants and anticoagulants were independent risk factors for MARSIs. CONCLUSIONS:Critically illpatients are at a high risk of MARSIs in China. Preventive measures and good clinical nursing practice are needed to ensure patient safety.
Authors: Shawn Swanson; Rahaf Bashmail; Christopher R Fellin; Vivian Luu; Nicholas Shires; Phillip A Cox; Alshakim Nelson; Devin MacKenzie; Ann-Marie Taroc; Leonard Y Nelson; Eric J Seibel Journal: Int J Mol Sci Date: 2022-06-28 Impact factor: 6.208