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Application of Skin Barrier Monitoring Technology in the Early Prediction of Incontinence-Associated Dermatitis: A
Lulu Lin1,2, Yuxin Wang1,3, Jijie Jin1
1College of Nursing, Wenzhou Medical University, Wenzhou, China.
Introduction:
Assessing the risk of incontinence-associated dermatitis (IAD) in clinical settings can be subjective, which makes early detection difficult. We aim to verify the ability of skin barrier monitoring technology (SBMT) in predicting IAD.
Methods:
This was a cohort study. Using a convenience sampling method, 282 patients who were admitted to adult intensive care units were included in the study and were monitored for 7 days or until the day of IAD (less than 7 days). The risk of IAD was assessed with the perineal assessment tool (PAT), and skin barrier indicators of the perianal area were measured with a skin barrier instrument once a day.
Results:
SBMT was better at predicting early IAD than the perineal assessment tool. Relative transepidermal water loss (R-TEWL) was positively correlated with the risk of IAD. Based on the optimal cutoff value for R-TEWL (47.5 g/m2h), the Kaplan-Meier survival curve showed that the incidence of IAD in the high-risk group was 9.701-fold higher than that in the low-risk group (hazard ratio: 9.701, 95% confidence interval: 4.560-20.640; p < 0.001).
Conclusion:
SBMT can objectively and accurately predict IAD.
