Incontinence-associated dermatitis in elderly patients: prevalence and risk factors

Abstract

Objective: To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly. Method: Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05. Results: 138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]). Conclusion: The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.

Incontinence-Associated Dermatitis: Prevalence and Associated Factors in Intensive Care Unit

“…In this study, the total point prevalence of AID found in the analyzed ICUs was 9.52%, a value below other national studies that obtained prevalence values of AID between 36.2% and 56.2% 6,7,14 . International studies have shown prevalence values of IAD ranging from 1.4% to 21.3%.…”

“…Another study, carried out in clinical, surgical and long-stay inpatient units of hospitals in the interior of São Paulo, found a prevalence of IAD of 36.2%. 14 .…”

Nursing knowledge about incontinence-associated dermatitis in a teaching hospital

“…Incontinence-associated dermatitis (IAD) is defined as the onset of shiny-looking erythema and edema of the skin surface, sometimes accompanied by serous exudates, and is considered the most prevalent type within the spectrum of skin injuries associated with moisture, especially in patients with urinary and/or fecal incontinence (1) Therefore, this dermatitis has aroused the interest of the scientific community, due to the various impacts in the quality of life of the affected individuals (2) .…”

Dermatite Associada À Incontinência: Prevalência E Fatores Associados Em Unidade De Terapia Intensiva

“…Neste estudo, a prevalência pontual total de DAI encontrada nas UTIs analisadas foi de 9,52%, valor abaixo de outros estudos nacionais que obtiveram valores de prevalência de DAI entre 36,2% e 56,2% 6,7,14 . Já estudos internacionais apresentaram valores de prevalência de DAI que variaram de 1,4% a 21,3% 8,[15][16][17] .…”

“…Já estudo realizado em UTIs de um hospital privado de grande porte localizado na cidade de São Paulo, a prevalência pontual de DAI foi de 40,9% 13 . Outro estudo, executado em unidades de internação clínica, cirúrgica e de longa permanência de hospitais do interior de São Paulo, a prevalência de DAI encontrada foi de 36,2% 14 .…”