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Incontinence-associated dermatitis in elderly patients: prevalence and risk factors.
Mariana Ferreira1, Luciana Abbade1, Silvia Cristina Mangini Bocchi1
1Universidade Júlio Mesquita Filho, Botucatu, São Paulo, Brazil.
Revista Brasileira De Enfermagem
|July 23, 2020
Summary
Incontinence-associated dermatitis is common in the elderly, affecting 36.2% of patients. Key risk factors include longer hospital stays, obesity, high dependence, and pressure injury risk.
Area of Science:
- Gerontology
- Dermatology
- Public Health
Background:
- Incontinence-associated dermatitis (IAD) is a prevalent issue in elderly populations, often leading to discomfort and secondary infections.
- Understanding the specific risk factors is crucial for developing targeted prevention strategies in healthcare settings.
Purpose of the Study:
- To investigate the prevalence of incontinence-associated dermatitis among elderly individuals.
- To identify significant risk factors associated with the development of IAD in this demographic.
Main Methods:
- A cross-sectional exploratory study was conducted in public hospitals.
- Prevalence and associations were determined using ratio calculations and odds ratios (OR) with 95% confidence intervals (CI).
Main Results:
- The study included 138 elderly individuals (average age 77.2 years).
- A prevalence of 36.2% for IAD was observed, with 50% of participants experiencing both fecal and urinary incontinence.
- Identified risk factors included longer hospital stay (OR=5.8), obesity (OR=3.6), high dependence (OR=2.4), and high pressure injury risk (OR=6.1).
Conclusions:
- Incontinence-associated dermatitis presents a significant health concern in the elderly population.
- Early identification of risk factors like prolonged hospitalization and obesity is essential for implementing effective preventive measures against IAD.
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