Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2020 Oct;33(10):1-7.
doi: 10.1097/01.ASW.0000695764.47424.aa.

The Prevalence of Incontinence-Associated Dermatitis in Hospitalized Patients in China: A Systematic Review and Meta-Analysis

Min Wei  1 , Dongliang Yang, Ling Wu, Wenyue Chen, Yan Chen, Qiaomei Fu
Affiliations
Meta-Analysis

The Prevalence of Incontinence-Associated Dermatitis in Hospitalized Patients in China: A Systematic Review and Meta-Analysis

Min Wei et al. Adv Skin Wound Care. 2020 Oct.

Abstract

Objective: To determine the prevalence and characteristics of incontinence-associated dermatitis (IAD) among hospitalized Chinese patients.

Data sources: Authors searched Chinese (China National Knowledge Infrastructure, Wanfang Data, VIP Data, Chinese Biomedicine) and English (PubMed, Web of Science) electronic databases for articles published from 1987 through February 2019.

Study selection: The preliminary search identified 558 studies. After removal of duplicates (n = 202), application of exclusion criteria, and screening titles and abstracts (n = 346), 10 studies met the inclusion criteria.

Data extraction: A standardized form was constructed to extract data from eligible studies, and this information was extracted by two independent authors.

Data synthesis: A pooled analysis of the 10 studies (total sample size, 40,039) showed the prevalence of IAD in hospitalized Chinese patients was 1.44% (95% confidence interval, 1.10%-1.79%). Subgroup analysis indicated no significant association between sex and IAD. Patients older than 90 years had the highest incidence of IAD (8.64%). The most common type was mild IAD (1.00%). Fecal incontinence (48.02%) led to more cases of IAD than urinary incontinence (11.35%) or both (25.78%). The most common types of IAD were perineal (0.92%) and perianal (0.90%).

Conclusions: Incontinence-associated dermatitis is a global health problem that requires more attention. Understanding the prevalence and characteristics of IAD is helpful in the formulation of IAD prevention and treatment programs in China.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Gray M, Beeckman D, Bliss DZ, et al. Incontinence-associated dermatitis: a comprehensive review and update. J Wound Ostomy Continence Nurs 2012;39:61–74.
    1. Bliss DZ, Funk T, Jacobson M, et al. Incidence and characteristics of incontinence associated dermatitis in community-living individuals with fecal incontinence. J Wound Ostomy Continence Nurs 2015;42:525–30.
    1. Long MA, Reed LA, Dunning K, Ying J. Incontinence-associated dermatitis in a long- term acute care facility. J Wound Ostomy Continence Nurs 2012;39:318–27.
    1. Beeckman D, Van DN, Schoonhoven L, et al. Interventions for preventing and treating incontinence-associated dermatitis in adults. Cochrane Database Syst Rev 2016;11(6):CD011627.
    1. Gray M, Giuliano KK. Incontinence-associated dermatitis, characteristics and relationship to pressure injury: a multisite epidemiologic analysis. J Wound Ostomy Continence Nurs 2018;45:63–7.