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Incontinence-associated dermatitis in elderly patients: prevalence and risk factors

2020; Associação Brasileira de Enfermagem; Volume: 73; Issue: suppl 3 Linguagem: Inglês

10.1590/0034-7167-2018-0475

1984-0446

Mariana Cândido Ferreira, Luciana Patrícia Fernandes Abbade, Sílvia Cristina Mangini Bocchi, Hélio Amante Miot, Paulo José Fortes Villas Bôas, Heloísa Cristina Quatrini Carvalho Passos Guimarães,

Skin Protection and Aging

ABSTRACT Objective: To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly. Method: Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05. Results: 138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]). Conclusion: The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.