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

OBJECTIVES: Incontinence-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. METHODS: Web of Scienc...

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Autores principales: Jiang, Hongzhan, Shen, Jiali, Lin, Huihui, Xu, Qiuqin, Li, Yuanchan, Chen, Lijuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126239/
https://www.ncbi.nlm.nih.gov/pubmed/37113614
http://dx.doi.org/10.3389/fmed.2023.1146697
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author Jiang, Hongzhan
Shen, Jiali
Lin, Huihui
Xu, Qiuqin
Li, Yuanchan
Chen, Lijuan
author_facet Jiang, Hongzhan
Shen, Jiali
Lin, Huihui
Xu, Qiuqin
Li, Yuanchan
Chen, Lijuan
author_sort Jiang, Hongzhan
collection PubMed
description OBJECTIVES: Incontinence-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. METHODS: Web 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 I(2) test was used to estimate the heterogeneity of studies, and Egger's test was used to assess the potential publication bias. RESULTS: A 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. CONCLUSIONS: Many 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.
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spelling pubmed-101262392023-04-26 Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis Jiang, Hongzhan Shen, Jiali Lin, Huihui Xu, Qiuqin Li, Yuanchan Chen, Lijuan Front Med (Lausanne) Medicine OBJECTIVES: Incontinence-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. METHODS: Web 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 I(2) test was used to estimate the heterogeneity of studies, and Egger's test was used to assess the potential publication bias. RESULTS: A 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. CONCLUSIONS: Many 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. Frontiers Media S.A. 2023-04-11 /pmc/articles/PMC10126239/ /pubmed/37113614 http://dx.doi.org/10.3389/fmed.2023.1146697 Text en Copyright © 2023 Jiang, Shen, Lin, Xu, Li and Chen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Jiang, Hongzhan
Shen, Jiali
Lin, Huihui
Xu, Qiuqin
Li, Yuanchan
Chen, Lijuan
Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
title Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
title_full Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
title_fullStr Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
title_full_unstemmed Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
title_short Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
title_sort risk factors of incontinence-associated dermatitis among critically ill patients: a systematic review and meta-analysis
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126239/
https://www.ncbi.nlm.nih.gov/pubmed/37113614
http://dx.doi.org/10.3389/fmed.2023.1146697
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