Incidence of Medical Adhesive-Related Skin Injuries and Associated Factors After Pediatric Congenital Heart Surgery: A Prospective Cohort Study.

Autor:	Crespo JCL; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Reuter do Amaral D; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Campanili TCGF; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Cunha LCC; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Ferreira FG; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Gallas FRG; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Palomo JDSH; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil., Ferretti-Rebustini REL; Jeiel Carlos Lamônica Crespo, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Daniela Reuter do Amaral, Postgraduate in Cardiac and Pulmonary Care, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ticiane Carolina Gonçalves Faustino Campanili, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Ligia Cristina Camara Cunha, Doctor of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Fatima Gil Ferreira, Master of Science, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Filomena Regina Gomes Gallas, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Jurema da Silva Herbas Palomo, PhD, Heart Institute, University of Sao Paulo, Sao Paulo, SP, Brazil.; Renata Eloah de Lucena Ferretti-Rebustini, PhD, School of Nursing, University of Sao Paulo, Sao Paulo, SP, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society [J Wound Ostomy Continence Nurs] 2022 Mar-Apr 01; Vol. 49 (2), pp. 137-142.
DOI:	10.1097/WON.0000000000000855
Abstrakt:	Purpose: The aim of this study was to identify the incidence, characteristics, and factors associated with medical adhesive-related skin injuries (MARSI). Design: Prospective cohort study. Subjects and Settings: The sample comprised 136 children in the postoperative period after congenital heart surgery. The study setting was in a 31-bed pediatric surgical intensive care unit (ICU) of a university hospital in Sao Paulo, Brazil. Methods: Patients were followed from admission, with daily skin assessments, until the onset of MARSI or ICU discharge. Outcomes were compared by Fisher's exact test, Pearson's χ2 test, Mann-Whitney test, Brunner-Munzel test, and Welch 2-sample t test. Results: The incidence of MARSI was 60.3%, with 85 injuries in 82 patients. The highest occurrence was on postoperative day 2 (27 wounds; 31.8%). The most frequent medical adhesive associated with MARSI was transparent film dressing (n = 74; 86.6%). Factors associated with MARSI were age (P = .000), number of devices inserted (P = .000), Braden Q Scale score (P = .005), duration of surgery (P = .021), cardiopulmonary bypass duration (P = .000), duration of mechanical ventilation (P = .000), and length of ICU stay (P = .000). Children who developed MARSI received more blood components (P = .039), vasopressors (P = .000), and corticosteroids (P = 0.000); required longer sedation (P = .000); and had more edema (P = .001). Conclusion: This high incidence indicates the need for greater awareness and prompt action in response to MARSI. Polyurethane transparent film without concurrent use of a skin barrier product should be avoided. Competing Interests: All authors declare no conflicts of interest. (Copyright © 2022 by the Wound, Ostomy and Continence Nurses Society.)
Databáze:	MEDLINE
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