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Prognostic factors ...
Prognostic factors for the development of incontinence-associated dermatitis (IAD) : A systematic review
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- Deprez, Julie, 1996- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Swedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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- Ohde, Nils (author)
- Institute of Clinical Nursing Science, Charité Universitätsmedizin, Berlin, Germany
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- Eilegård Wallin, Alexandra, 1975- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Swedish Centre for Skin and Wound Research (SCENTR)
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- Bååth, Carina, 1959- (author)
- Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; Faculty of Health, Welfare and Organisation, Østfold University College, Halden, Norway
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- Hommel, Ami (author)
- Malmö universitet,Institutionen för vårdvetenskap (VV),Department of Care Science, Malmö University, Malmö, Sweden
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- Hultin, Lisa (author)
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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- Josefson, Anna, 1965- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Dermatology, Örebro University Hospital, Örebro, Sweden
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- Kottner, Jan (author)
- Institute of Clinical Nursing Science, Charité Universitätsmedizin, Berlin, Germany
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- Beeckman, Dimitri, Professor, 1982- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Swedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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(creator_code:org_t)
- John Wiley & Sons, 2024
- 2024
- English.
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In: International Wound Journal. - : John Wiley & Sons. - 1742-4801 .- 1742-481X. ; 21:7
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Abstract
Subject headings
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- Incontinence-associated dermatitis (IAD) is an irritant contact dermatitis from prolonged contact with urine or faeces, which can significantly impact patient comfort and quality of life. The identification of prognostic factors for the development of IAD has the potential to enhance management, support preventive measures and guide future research. The objective of this systematic review was to summarize the empirical evidence of prognostic factors for the development of IAD. This study included prospective and retrospective observational studies or clinical trials that described prognostic factors associated with IAD. There were no restrictions on setting, time, language, participants or geographical regions. Exclusion criteria included reviews, editorials, commentaries, methodological articles, letters to the editor, cross-sectional and case–control studies, and case reports. Searches were conducted from inception to April 2024 on MEDLINE, CINAHL, EMBASE and the Cochrane Library. The studies were assessed by two independent reviewers using the QUIPS and the CHARMS-PF for data extraction. A narrative synthesis approach was employed due to study heterogeneity and using the ‘vote counting based on direction’ method and the sign test. The overall certainty of evidence was assessed using adapted GRADE criteria. The review included 12 studies and identified 15 potential predictors. Moderate-quality evidence suggests that increased stool frequency, limited mobility and friction/shear problems are risk factors for IAD development. Female sex, older age, vasopressor use and loose/liquid stool are risk factors supported by low-quality evidence. Increased stool frequency, limited mobility and friction/shear problems seem to be risk factors for the development of IAD. There is insufficient evidence to support the predictive validity of female sex, older age, loose/liquid stool and vasopressor use. There is substantial methodological variability across studies, making it challenging to make comparisons. Large-scale cohort studies in different settings that incorporate our review findings should be conducted in the future.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- Adult
- Aged
- Aged
- 80 and over
- Dermatitis
- Irritant
- Fecal Incontinence
- Female
- Humans
- Male
- Middle Aged
- Prognosis
- Quality of Life
- Risk Factors
- Urinary Incontinence
- antibiotic agent
- ceftriaxone
- hypertensive factor
- sedative agent
- artificial ventilation
- body temperature
- clinical decision making
- Cochrane Library
- contact dermatitis
- dermatitis
- diabetes mellitus
- employment status
- feces incontinence
- hazard ratio
- human
- incontinence
- incontinence-associated dermatitis
- inflammation
- intensive care unit
- irritant contact dermatitis
- liquid feces
- loose feces
- moisture
- odds ratio
- outcome assessment
- predictive value
- prognosis
- quality control
- quality of life
- Review
- risk factor
- skin defect
- statistical analysis
- systematic review
- urine incontinence
- adult
- aged
- complication
- etiology
- feces incontinence
- female
- male
- middle aged
- prognosis
- therapy
- urine incontinence
- very elderly
- Nursing Science
- Omvårdnad
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Deprez, Julie, 1 ...
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Ohde, Nils
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Eilegård Wallin, ...
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Bååth, Carina, 1 ...
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Hommel, Ami
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Hultin, Lisa
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Josefson, Anna, ...
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Kottner, Jan
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Beeckman, Dimitr ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
- Articles in the publication
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International Wo ...
- By the university
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Karlstad University
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Malmö University
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Örebro University