Prognostic factors for the development of incontinence‐associated dermatitis (<scp>IAD</scp>): A systematic review-Reference-Cited by-同舟云学术

Prognostic factors for the development of incontinence‐associated dermatitis (IAD): A systematic review

Published:2024-07 Issue:7 Volume:21 Page:
ISSN:1742-4801
Container-title:International Wound Journal
language:en
Short-container-title:International Wound Journal

Author:

Deprez Julie¹²^ORCID,Ohde Nils³^ORCID,Eilegård Wallin Alexandra¹^ORCID,Bååth Carina⁴⁵^ORCID,Hommel Ami⁶^ORCID,Hultin Lisa⁷^ORCID,Josefson Anna⁸⁹^ORCID,Kottner Jan³^ORCID,Beeckman Dimitri¹²^ORCID

Affiliation:

1. Swedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health Örebro University Örebro Sweden

2. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences Ghent University Ghent Belgium

3. Institute of Clinical Nursing Science Charité Universitätsmedizin Berlin Germany

4. Department of Health Sciences Faculty of Health, Science and Technology, Karlstad University Karlstad Sweden

5. Faculty of Health, Welfare and Organisation Østfold University College Halden Norway

6. Department of Care Science Malmö University Malmö Sweden

7. Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden

8. School of Medical Sciences, Faculty of Medicine and Health Örebro University Örebro Sweden

9. Department of Dermatology Örebro University Hospital Örebro Sweden

Abstract

AbstractIncontinence‐associated dermatitis (IAD) is an irritant contact dermatitis from prolonged contact with urine or faeces, which can significantly impact patient comfort and quality of life. The identification of prognostic factors for the development of IAD has the potential to enhance management, support preventive measures and guide future research. The objective of this systematic review was to summarize the empirical evidence of prognostic factors for the development of IAD. This study included prospective and retrospective observational studies or clinical trials that described prognostic factors associated with IAD. There were no restrictions on setting, time, language, participants or geographical regions. Exclusion criteria included reviews, editorials, commentaries, methodological articles, letters to the editor, cross‐sectional and case–control studies, and case reports. Searches were conducted from inception to April 2024 on MEDLINE, CINAHL, EMBASE and the Cochrane Library. The studies were assessed by two independent reviewers using the QUIPS and the CHARMS‐PF for data extraction. A narrative synthesis approach was employed due to study heterogeneity and using the ‘vote counting based on direction’ method and the sign test. The overall certainty of evidence was assessed using adapted GRADE criteria. The review included 12 studies and identified 15 potential predictors. Moderate‐quality evidence suggests that increased stool frequency, limited mobility and friction/shear problems are risk factors for IAD development. Female sex, older age, vasopressor use and loose/liquid stool are risk factors supported by low‐quality evidence. Increased stool frequency, limited mobility and friction/shear problems seem to be risk factors for the development of IAD. There is insufficient evidence to support the predictive validity of female sex, older age, loose/liquid stool and vasopressor use. There is substantial methodological variability across studies, making it challenging to make comparisons. Large‐scale cohort studies in different settings that incorporate our review findings should be conducted in the future.

Funder

Vetenskapsrådet

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/iwj.14962

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