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. 2017 Oct;14(5):801-810.
doi: 10.1111/iwj.12699. Epub 2016 Dec 9.

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  1 , Karen Van den Bussche  1 , Dorien De Meyer  1 , Ann Van Hecke  1 , Sofie Verhaeghe  1 , Dimitri Beeckman  1
Affiliations

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 et al. Int Wound J. 2017 Oct.

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 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.

Keywords: Elderly; Incontinence-associated dermatitis; Nursing home; Prevention; Risk factors.

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Figures

Figure 1
Figure 1
IAD Severity Categorisation Tool 5.
See this image and copyright information in PMC

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