Medical adhesive-related skin injury in cancer patients: A prospective cohort study

Abstract

Objective: to estimate the incidence of medical adhesive-related skin injury in the peripheral venous catheter fixation region in critical cancer patients, to identify risk factors, and to establish a risk prediction model for its development. Method: a prospective cohort study with a sample of 100 adult and aged patients hospitalized in an intensive care unit. The data were analyzed using descriptive, bivariate and multivariate statistics with Cox regression. Results: the incidence of medical adhesive-related skin injury was 31.0% and the incidence density was 3.4 cases per 100 people-days. The risk factors were as follows: alcoholism, smoking habit, hospitalization due to deep vein thrombosis, acute respiratory failure, immediate postoperative period, heart disease, dyslipidemia, use of antiarrhythmics, blood transfusion, friction injury, pressure injury, turgor, edema, hematoma, petechiae, low values in the Braden scale, clinical severity of the patient, elasticity, moisture, texture and color. The predictive model consisted in the following: decreased skin turgor, presence of hematoma and edema. Conclusion: medical adhesive-related skin injury at the peripheral venous catheter insertion site has a high incidence in critical cancer patients and is associated with decreased turgor, presence of hematoma and edema, evidence that can support the clinical practice.

Peripherally Inserted Central Catheter-Related Skin Injury in Patients with a Chest Tumor: Characteristics and Risk Factors

“…Moreover, patients with cancer are more prone to have internal dysfunction after receiving multiple cycles of chemotherapy, resulting in weakness and sweating, 17 which increases skin irritation. 18,19 Contrary to the study by Tian et al, 5 the results of the present study indicate that catheter retention duration is a risk factor for skin injury. This difference in findings may be related to the diversity of study participants.…”

“…These patients are sensitive to external stressors and more likely to develop allergic reactions to medical adhesives, sweat, or disinfectants and are more likely to have dermatitis. Moreover, patients with cancer are more prone to have internal dysfunction after receiving multiple cycles of chemotherapy, resulting in weakness and sweating, 17 which increases skin irritation 18,19 . Contrary to the study by Tian et al, 5 the results of the present study indicate that catheter retention duration is a risk factor for skin injury.…”

Nurses' knowledge, attitude and behaviour on medical adhesive related skin injury in neonatal department: A survey

“…It can be seen that adhesive is the vector of infection transmission, which has not attracted the attention of medical staff. In actual work, clinical medical staff rarely use lotion, vaseline, and mineral oil to assist in removal, which may be due to the busy clinical work (Barton, 2021; Kim & Shin, 2021; Pires‐Junior et al, 2021). In order to improve work efficiency, medical staff did not take standardized protective measures, and secondly, the department may not provide such items for use.…”

Bundle: Prevenção De Lesões De Pele Relacionadas a Adesivos Médicos Em Terapia Intensiva Adulto

“…No Brasil, um estudo de coorte prospectivo, realizado em uma UTI, revelou uma incidência de 31,0% de MARSI em pacientes com cateter venoso periférico 6 . Outro estudo identificou uma prevalência de 22,7% em uma UTI cardiológica 4 .…”