Open AccessProspective study on Incontinence‐Associated Dermatitis and its Severity instrument for verifying its ability to predict the development of pressure ulcers in patients with fecal incontinence
Author(s) -
Park Kyung Hee,
Choi Heejung
Publication year - 2016
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.12549
Subject(s) - medicine , fecal incontinence , confidence interval , odds ratio , receiver operating characteristic , prospective cohort study , area under the curve , feces , intensive care unit , surgery , paleontology , biology
Abstract Fecal incontinence with loose stools is a risk factor for skin damage that may develop into a pressure ulcer ( PU ). The aim of this study was to determine the feasibility of applying the Incontinence‐Associated Dermatitis and its Severity ( IADS ) instrument to patients with fecal incontinence as a tool to predict PU development. This prospective study enrolled 120 intensive care unit patients with bowel incontinence of Bristol Stool type 5, 6, and 7. Trained nurses evaluated IADS scores and the occurrence of PUs daily for 7 days. Patients with higher IADS scores were significantly more likely to develop a PU (odds ratio = 1·22, 95% confidence interval = 1·12–1·33). The receiver operating characteristic curve analysis revealed the area under curve to be 0·790, suggesting that higher IADS scores are associated with an increased likelihood of developing a PU (sensitivity 72·5%, specificity 71·2%, using a cut‐off value of 8/9). Our results suggest that the IADS instrument can serve as a tool for predicting the occurrence of PUs in patients with fecal incontinence. Patients with IADS scores that exceed eight points should be classified as being at risk of developing a PU , and placed under intensive care as a proactive measure to prevent PU development.