title: 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.
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.
authors.affiliation: University Centre for Nursing and Midwifery - Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Nele
authors.identifier: http://orcid.org/0000-0003-3882-6222
authors.initials: N
authors.lastname: Van Damme
authors.affiliation: University Centre for Nursing and Midwifery - Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Karen
authors.initials: K
authors.lastname: Van den Bussche
authors.affiliation: University Centre for Nursing and Midwifery - Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Dorien
authors.initials: D
authors.lastname: De Meyer
authors.affiliation: University Centre for Nursing and Midwifery - Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Ann
authors.initials: A
authors.lastname: Van Hecke
authors.affiliation: University Centre for Nursing and Midwifery - Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Sofie
authors.initials: S
authors.lastname: Verhaeghe
authors.affiliation: University Centre for Nursing and Midwifery - Department of Public Health, Ghent University, Ghent, Belgium.
authors.forename: Dimitri
authors.initials: D
authors.lastname: Beeckman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003872:Dermatitis / Q000209:etiology* / Q000628:therapy*; D005242:Fecal Incontinence / Q000150:complications*; D005260:Female; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009735:Nursing Homes / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012307:Risk Factors; D017592:Skin Care / Q000379:methods*; D014549:Urinary Incontinence / Q000150:complications*
keywords: Elderly; Incontinence-associated dermatitis; Nursing home; Prevention; Risk factors