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Independent 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

Nele Van Damme (UGent), Karen Van den Bussche (UGent), Dorien De Meyer (UGent), Ann Van Hecke (UGent), Sofie Verhaeghe (UGent) and Dimitri Beeckman (UGent)
(2017) INTERNATIONAL WOUND JOURNAL. 14(5). p.801-810
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Abstract
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 1month 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 300%, and 6% of the participants developed skin damage (IAD category 2). Residents who developed IAD category 2 were less mobile [odds ratio (OR) 272, 95% confidence interval (CI) 106-694], had more friction and shear issues (OR 254; 95% CI 102-633) and had more erythema due to incontinence (OR 302; 95% CI 104-873) 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.
Keywords
Elderly, Incontinence-associated dermatitis, Nursing home, Prevention, Risk factors, CARE LEFT UNDONE, INTERNATIONAL PREVALENCE MEASUREMENT, QUALITY-OF-CARE, CLASSIFICATION-SYSTEM, PRESSURE ULCERS, HOSPITALS, MULTICENTER, VALIDATION, PREVENTION, SHIFTS

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Chicago
Van Damme, Nele, Karen Van den Bussche, Dorien De Meyer, Ann Van Hecke, Sofie Verhaeghe, and Dimitri Beeckman. 2017. “Independent 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.” International Wound Journal 14 (5): 801–810.
APA
Van Damme, Nele, Van den Bussche, K., De Meyer, D., Van Hecke, A., Verhaeghe, S., & Beeckman, D. (2017). Independent 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. INTERNATIONAL WOUND JOURNAL, 14(5), 801–810.
Vancouver
1.
Van Damme N, Van den Bussche K, De Meyer D, Van Hecke A, Verhaeghe S, Beeckman D. Independent 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. INTERNATIONAL WOUND JOURNAL. 2017;14(5):801–10.
MLA
Van Damme, Nele, Karen Van den Bussche, Dorien De Meyer, et al. “Independent 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.” INTERNATIONAL WOUND JOURNAL 14.5 (2017): 801–810. Print.
@article{8500819,
  abstract     = {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 1month 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 300\%, and 6\% of the participants developed skin damage (IAD category 2). Residents who developed IAD category 2 were less mobile [odds ratio (OR) 272, 95\% confidence interval (CI) 106-694], had more friction and shear issues (OR 254; 95\% CI 102-633) and had more erythema due to incontinence (OR 302; 95\% CI 104-873) 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.},
  author       = {Van Damme, Nele and Van den Bussche, Karen and De Meyer, Dorien and Van Hecke, Ann and Verhaeghe, Sofie and Beeckman, Dimitri},
  issn         = {1742-4801},
  journal      = {INTERNATIONAL WOUND JOURNAL},
  keyword      = {Elderly,Incontinence-associated dermatitis,Nursing home,Prevention,Risk factors,CARE LEFT UNDONE,INTERNATIONAL PREVALENCE MEASUREMENT,QUALITY-OF-CARE,CLASSIFICATION-SYSTEM,PRESSURE ULCERS,HOSPITALS,MULTICENTER,VALIDATION,PREVENTION,SHIFTS},
  language     = {eng},
  number       = {5},
  pages        = {801--810},
  title        = {Independent 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},
  url          = {http://dx.doi.org/10.1111/iwj.12699},
  volume       = {14},
  year         = {2017},
}

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