Open AccessIndependent risk factors for the development of skin erosion due to incontinence (incontinence‐associated dermatitis category 2) in nursing home residents: results from a multivariate binary regression analysis
Author(s) -
Van Damme Nele,
Van den Bussche Karen,
De Meyer Dorien,
Van Hecke Ann,
Verhaeghe Sofie,
Beeckman Dimitri
Publication year - 2017
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.12699
Subject(s) - medicine , odds ratio , incidence (geometry) , confidence interval , multivariate analysis , skin care , nursing , physics , optics
The aim of this study was to identify characteristics independently associated with a higher risk of developing skin damage because of incontinence [incontinence‐associated dermatitis ( IAD ) category 2] in nursing home residents. As part of a larger randomised controlled trial, IAD incidence was monitored for 1 month in a sample of 381 incontinent residents using a validated IAD Severity Categorisation Tool. Data on demographical, physical, functional and psychological characteristics were collected. The overall IAD incidence (category 1–2) was 30·0%, and 6% of the participants developed skin damage ( IAD category 2). Residents who developed IAD category 2 were less mobile [odds ratio ( OR ) 2·72, 95% confidence interval ( CI ) 1·06–6·94], had more friction and shear issues ( OR 2·54; 95% CI 1·02–6·33) and had more erythema due to incontinence ( OR 3·02; 95% CI 1·04–8·73) before IAD category 2 occurrence. Care providers should give full attention to risk factors to both detect residents at risk for IAD development and to start prevention in time.