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

Rev Bras Enferm. 2020:73 Suppl 3:e20180475. doi: 10.1590/0034-7167-2018-0475. Epub 2020 Jul 13.
[Article in Portuguese, English]

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.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Dermatitis* / epidemiology
  • Dermatitis* / etiology
  • Fecal Incontinence* / complications
  • Fecal Incontinence* / epidemiology
  • Humans
  • Prevalence
  • Risk Factors