Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis
ObjectivesIncontinence-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.MethodsWeb of Science, Pu...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1146697/full |
| _version_ | 1797849250365702144 |
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| author | Hongzhan Jiang Jiali Shen Huihui Lin Qiuqin Xu Yuanchan Li Lijuan Chen |
| author_facet | Hongzhan Jiang Jiali Shen Huihui Lin Qiuqin Xu Yuanchan Li Lijuan Chen |
| author_sort | Hongzhan Jiang |
| collection | DOAJ |
| description | ObjectivesIncontinence-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.MethodsWeb 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 I2 test was used to estimate the heterogeneity of studies, and Egger's test was used to assess the potential publication bias.ResultsA 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.ConclusionsMany 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. |
| first_indexed | 2024-04-09T18:41:56Z |
| format | Article |
| id | doaj.art-9574d8d0b3f64b75843df94701720d82 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-09T18:41:56Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-9574d8d0b3f64b75843df94701720d822023-04-11T04:32:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-04-011010.3389/fmed.2023.11466971146697Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysisHongzhan Jiang0Jiali Shen1Huihui Lin2Qiuqin Xu3Yuanchan Li4Lijuan Chen5Nursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaNursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaNursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaNursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaNursing College, Fujian University of Traditional Chinese Medicine, Fuzhou, ChinaDepartment of General Surgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen, ChinaObjectivesIncontinence-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.MethodsWeb 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 I2 test was used to estimate the heterogeneity of studies, and Egger's test was used to assess the potential publication bias.ResultsA 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.ConclusionsMany 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.https://www.frontiersin.org/articles/10.3389/fmed.2023.1146697/fullincontinence-associated dermatitiscritical carerisk factorssystematic reviewmeta-analysis |
| spellingShingle | Hongzhan Jiang Jiali Shen Huihui Lin Qiuqin Xu Yuanchan Li Lijuan Chen Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis Frontiers in Medicine incontinence-associated dermatitis critical care risk factors systematic review 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 | incontinence-associated dermatitis critical care risk factors systematic review meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1146697/full |
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