A Systematic Review and Meta-Analysis of Incontinence-Associated Dermatitis, Incontinence, and Moisture as Risk Factors for Pressure Ulcer Development

Authors

  • Dimitri Beeckman,

    Corresponding author
    1. University Centre for Nursing and Midwifery, Department of Public Health Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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  • Aurélie Van Lancker,

    1. University Centre for Nursing and Midwifery, Department of Public Health Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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  • Ann Van Hecke,

    1. University Centre for Nursing and Midwifery, Department of Public Health Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium, and Ghent University Hospital, Ghent, Belgium
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  • Sofie Verhaeghe

    1. University Centre for Nursing and Midwifery, Department of Public Health Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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Abstract

The aim of this analysis was to identify the association between incontinence-associated dermatitis (IAD), its most important etiologic factors (incontinence and moisture), and pressure ulcers (PUs). A systematic review and meta-analysis were performed. We searched Medline, Embase, CINAHL, Web of Science, and the Cochrane Library for relevant papers dating through March 15, 2013. Fifty-eight studies were included. Measures of relative effect at the univariate level were meta-analyzed. In most studies (86%), a significant association between variables of interest was found, with pooled odds ratios of PUs in univariate models between 1.92 (95% CI 1.54–2.38) for urinary incontinence and 4.99 (95% CI 2.62–9.50) for double incontinence (p < .05). This evidence indicates an association between IAD, its most important etiological factors, and PUs. Methodological issues should be considered when interpreting the results of this review. © 2014 Wiley Periodicals, Inc.

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