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Incontinence-associated dermatitis: a cohort study in critically ill patients

ABSTRACT

Objectives

Estimate incidence, determine risk factors and propose a prediction model for the development of incontinence- associated dermatitis critically ill adult patients.

Method

Concurrent cohort study with 157 critically ill patients. Data collection was daily performed between February and July 2015, at a public teaching hospital of Belo Horizonte, Minas Gerais. Data was entered in a database and subjected to descriptive, survival and multivariate analysis.

Results

An overall incidence of 20.4% was obtained. Nineteen (19) risk factors significantly associated with the disorder were found. The variables identified in the risk prediction model were male, trauma, use of hypnotics/sedatives, lactulose, nutritional support, loose stools and complaints of burning.

Conclusion

The results showed that dermatitis is a common clinical finding in critically ill adult patients and requires special attention from the nursing staff.

Diaper rash; Intensive care units; Nursing; Nursing diagnosis

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