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 w...

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Published in:Revista Brasileira de Enfermagem 2020-01, Vol.73 (suppl 3), p.1-6
Main Authors: Ferreira, Mariana, Abbade, Luciana, Bocchi, Silvia Cristina Mangini, Miot, Hélio Amante, Boas, Paulo Villas, Guimaraes, Heloísa Quatrini Carvalho Passos
Format: Article
Language:English
Subjects:
Aged
Body mass index
Data collection
Dermatitis
Diaper Rashes
Fecal incontinence
Feces
Hospitalization
Medical records
NURSING
Older people
Prevalence
Risk Factors
Skin
Urinary incontinence
Values
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container_title Revista Brasileira de Enfermagem
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creator Ferreira, Mariana
Abbade, Luciana
Bocchi, Silvia Cristina Mangini
Miot, Hélio Amante
Boas, Paulo Villas
Guimaraes, Heloísa Quatrini Carvalho Passos
description 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
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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 &lt;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. RESUMO Objetivo: Determinar prevalência e fatores de risco para dermatite associada à incontinência em idosos. Método: Estudo transversal exploratório realizado em hospitais públicos. Obtevese prevalência da dermatite e associações pelo cálculo da razão. A dimensão do efeito foi estimada pela razão de chances com intervalo de confiança de 95% e significância estatística p &lt; 0,05. Resultados: Incluíram-se 138 idosos, média de idade 77,2 anos (± 9,3); 69 (50%) com incontinência fecal e urinária combinadas. A prevalência de dermatite foi 36,2% (50); 28% (14) apresentavam lesão por pressão; 14% (7), candidose. Foram fatores de risco: maior tempo de internação (Odds Ratio = 5,8 [2,6-12,9]), obesidade (Odds Ratio = 3,6 [1,2-10,4]), alto nível de dependência (Odds Ratio = 2,4 [1,1-5,0]) e alto risco para lesão por pressão (Odds Ratio = 6,1 [1,4-26,9]). Conclusão: Houve alta prevalência de dermatite associada à incontinência. O reconhecimento precoce dos fatores de risco favorece ações preventivas efetivas. RESUMEN Objetivo: Determinar prevalencia y factores de riesgo para dermatitis relacionada a la incontinencia y sus relaciones en ancianos. Método: Estudio transversal exploratorio con ancianos incontinentes en hospitales públicos. Se obtuvo la prevalencia de la dermatitis y relaciones por el cálculo de la razón, y la dimensión del efecto ha sido estimada por la razón de oportunidades con intervalo de confianza de 95% y significación estadística p &lt; 0,05. Resultados: Se incluyeron 138 ancianos, la edad promedio de 77,2 años (± 9,3); 69 (50%) de ellos, con incontinencia fecal y urinaria combinadas. La prevalencia de dermatitis ha sido 36,2% (50); 28% (14) presentaban lesión por presión; y 14% (7), candidosis. Han sido factores de riesgo para la dermatitis: mayor tiempo de internación (OR = 5,8 [2,6-12,9]), obesidad (OR = 3,6 [1,2-10,4]), alto nivel de dependencia (OR = 2,4 [1,1-5,0]) y alto riesgo para lesión por presión (OR = 6,1 [1,4-26,9]). Conclusiones: Hubo alta prevalencia de dermatitis relacionada a la incontinencia, y el reconocimiento precoz de los factores de riesgo pode favorecer acciones preventivas efectivas.</description><identifier>ISSN: 0034-7167</identifier><identifier>ISSN: 1984-0446</identifier><identifier>EISSN: 1984-0446</identifier><identifier>DOI: 10.1590/0034-7167-2018-0475</identifier><language>eng</language><publisher>Brasília: Associação Brasileira de Enfermagem</publisher><subject>Aged ; Body mass index ; Data collection ; Dermatitis ; Diaper Rashes ; Fecal incontinence ; Feces ; Hospitalization ; Medical records ; NURSING ; Older people ; Prevalence ; Risk Factors ; Skin ; Urinary incontinence ; Values</subject><ispartof>Revista Brasileira de Enfermagem, 2020-01, Vol.73 (suppl 3), p.1-6</ispartof><rights>2020. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c460t-ce22934612d1758d2cf93f38de3613787085b4fa9ad42965ea9a4facdce523d83</citedby><cites>FETCH-LOGICAL-c460t-ce22934612d1758d2cf93f38de3613787085b4fa9ad42965ea9a4facdce523d83</cites><orcidid>0000-0002-2634-5985 ; 0000-0002-0334-2079 ; 0000-0002-2596-9294 ; 0000-0002-2188-009X ; 0000-0001-9876-3222 ; 0000-0001-9062-114X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2434396948/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2434396948?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,24129,25731,27901,27902,36989,44566,75096</link.rule.ids></links><search><creatorcontrib>Ferreira, Mariana</creatorcontrib><creatorcontrib>Abbade, Luciana</creatorcontrib><creatorcontrib>Bocchi, Silvia Cristina Mangini</creatorcontrib><creatorcontrib>Miot, Hélio Amante</creatorcontrib><creatorcontrib>Boas, Paulo Villas</creatorcontrib><creatorcontrib>Guimaraes, Heloísa Quatrini Carvalho Passos</creatorcontrib><title>Incontinence-associated dermatitis in elderly patients: prevalence and risk factors</title><title>Revista Brasileira de Enfermagem</title><addtitle>Rev. Bras. Enferm</addtitle><description>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 &lt;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. RESUMO Objetivo: Determinar prevalência e fatores de risco para dermatite associada à incontinência em idosos. Método: Estudo transversal exploratório realizado em hospitais públicos. Obtevese prevalência da dermatite e associações pelo cálculo da razão. A dimensão do efeito foi estimada pela razão de chances com intervalo de confiança de 95% e significância estatística p &lt; 0,05. Resultados: Incluíram-se 138 idosos, média de idade 77,2 anos (± 9,3); 69 (50%) com incontinência fecal e urinária combinadas. A prevalência de dermatite foi 36,2% (50); 28% (14) apresentavam lesão por pressão; 14% (7), candidose. Foram fatores de risco: maior tempo de internação (Odds Ratio = 5,8 [2,6-12,9]), obesidade (Odds Ratio = 3,6 [1,2-10,4]), alto nível de dependência (Odds Ratio = 2,4 [1,1-5,0]) e alto risco para lesão por pressão (Odds Ratio = 6,1 [1,4-26,9]). Conclusão: Houve alta prevalência de dermatite associada à incontinência. O reconhecimento precoce dos fatores de risco favorece ações preventivas efetivas. RESUMEN Objetivo: Determinar prevalencia y factores de riesgo para dermatitis relacionada a la incontinencia y sus relaciones en ancianos. Método: Estudio transversal exploratorio con ancianos incontinentes en hospitales públicos. Se obtuvo la prevalencia de la dermatitis y relaciones por el cálculo de la razón, y la dimensión del efecto ha sido estimada por la razón de oportunidades con intervalo de confianza de 95% y significación estadística p &lt; 0,05. Resultados: Se incluyeron 138 ancianos, la edad promedio de 77,2 años (± 9,3); 69 (50%) de ellos, con incontinencia fecal y urinaria combinadas. La prevalencia de dermatitis ha sido 36,2% (50); 28% (14) presentaban lesión por presión; y 14% (7), candidosis. Han sido factores de riesgo para la dermatitis: mayor tiempo de internación (OR = 5,8 [2,6-12,9]), obesidad (OR = 3,6 [1,2-10,4]), alto nivel de dependencia (OR = 2,4 [1,1-5,0]) y alto riesgo para lesión por presión (OR = 6,1 [1,4-26,9]). 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Bras. Enferm</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>73</volume><issue>suppl 3</issue><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>0034-7167</issn><issn>1984-0446</issn><eissn>1984-0446</eissn><abstract>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 &lt;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. RESUMO Objetivo: Determinar prevalência e fatores de risco para dermatite associada à incontinência em idosos. Método: Estudo transversal exploratório realizado em hospitais públicos. Obtevese prevalência da dermatite e associações pelo cálculo da razão. A dimensão do efeito foi estimada pela razão de chances com intervalo de confiança de 95% e significância estatística p &lt; 0,05. Resultados: Incluíram-se 138 idosos, média de idade 77,2 anos (± 9,3); 69 (50%) com incontinência fecal e urinária combinadas. A prevalência de dermatite foi 36,2% (50); 28% (14) apresentavam lesão por pressão; 14% (7), candidose. Foram fatores de risco: maior tempo de internação (Odds Ratio = 5,8 [2,6-12,9]), obesidade (Odds Ratio = 3,6 [1,2-10,4]), alto nível de dependência (Odds Ratio = 2,4 [1,1-5,0]) e alto risco para lesão por pressão (Odds Ratio = 6,1 [1,4-26,9]). Conclusão: Houve alta prevalência de dermatite associada à incontinência. O reconhecimento precoce dos fatores de risco favorece ações preventivas efetivas. RESUMEN Objetivo: Determinar prevalencia y factores de riesgo para dermatitis relacionada a la incontinencia y sus relaciones en ancianos. Método: Estudio transversal exploratorio con ancianos incontinentes en hospitales públicos. Se obtuvo la prevalencia de la dermatitis y relaciones por el cálculo de la razón, y la dimensión del efecto ha sido estimada por la razón de oportunidades con intervalo de confianza de 95% y significación estadística p &lt; 0,05. Resultados: Se incluyeron 138 ancianos, la edad promedio de 77,2 años (± 9,3); 69 (50%) de ellos, con incontinencia fecal y urinaria combinadas. La prevalencia de dermatitis ha sido 36,2% (50); 28% (14) presentaban lesión por presión; y 14% (7), candidosis. Han sido factores de riesgo para la dermatitis: mayor tiempo de internación (OR = 5,8 [2,6-12,9]), obesidad (OR = 3,6 [1,2-10,4]), alto nivel de dependencia (OR = 2,4 [1,1-5,0]) y alto riesgo para lesión por presión (OR = 6,1 [1,4-26,9]). Conclusiones: Hubo alta prevalencia de dermatitis relacionada a la incontinencia, y el reconocimiento precoz de los factores de riesgo pode favorecer acciones preventivas efectivas.</abstract><cop>Brasília</cop><pub>Associação Brasileira de Enfermagem</pub><doi>10.1590/0034-7167-2018-0475</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2634-5985</orcidid><orcidid>https://orcid.org/0000-0002-0334-2079</orcidid><orcidid>https://orcid.org/0000-0002-2596-9294</orcidid><orcidid>https://orcid.org/0000-0002-2188-009X</orcidid><orcidid>https://orcid.org/0000-0001-9876-3222</orcidid><orcidid>https://orcid.org/0000-0001-9062-114X</orcidid><oa>free_for_read</oa></addata></record>
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source Publicly Available Content (ProQuest); SciELO
subjects Aged
Body mass index
Data collection
Dermatitis
Diaper Rashes
Fecal incontinence
Feces
Hospitalization
Medical records
NURSING
Older people
Prevalence
Risk Factors
Skin
Urinary incontinence
Values
title Incontinence-associated dermatitis in elderly patients: prevalence and risk factors
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-22T12%3A13%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Incontinence-associated%20dermatitis%20in%20elderly%20patients:%20prevalence%20and%20risk%20factors&rft.jtitle=Revista%20Brasileira%20de%20Enfermagem&rft.au=Ferreira,%20Mariana&rft.date=2020-01-01&rft.volume=73&rft.issue=suppl%203&rft.spage=1&rft.epage=6&rft.pages=1-6&rft.issn=0034-7167&rft.eissn=1984-0446&rft_id=info:doi/10.1590/0034-7167-2018-0475&rft_dat=%3Cproquest_doaj_%3E2434396948%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c460t-ce22934612d1758d2cf93f38de3613787085b4fa9ad42965ea9a4facdce523d83%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2434396948&rft_id=info:pmid/&rft_scielo_id=S0034_71672020001500157&rfr_iscdi=true