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

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCRESPO, Jeiel Carlos Lamonica
dc.contributor.authorAMARAL, Daniela Reuter do
dc.contributor.authorCAMPANILI, Ticiane Carolina Goncalves Faustino
dc.contributor.authorCUNHA, Ligia Cristina Camara
dc.contributor.authorFERREIRA, Fatima Gil
dc.contributor.authorGALLAS, Filomena Regina Gomes
dc.contributor.authorPALOMO, Jurema da Silva Herbas
dc.contributor.authorFERRETTI-REBUSTINI, Renata Eloah de Lucena
dc.date.accessioned2022-04-19T12:54:26Z
dc.date.available2022-04-19T12:54:26Z
dc.date.issued2022
dc.description.abstractPURPOSE: 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 chi(2) 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.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING, v.49, n.2, p.137-142, 2022
dc.identifier.doi10.1097/WON.0000000000000855
dc.identifier.eissn1528-3976
dc.identifier.issn1071-5754
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/45799
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINSeng
dc.relation.ispartofJournal of Wound Ostomy and Continence Nursing
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINSeng
dc.subjectAdhesiveseng
dc.subjectCritical care nursingeng
dc.subjectDressingseng
dc.subjectIntensive care unitseng
dc.subjectPediatriceng
dc.subjectRisk factorseng
dc.subjectSkin careeng
dc.subjectSkin injurieseng
dc.subjectSkin tearseng
dc.subject.othercapillary leak syndromeeng
dc.subject.othercardiopulmonary bypasseng
dc.subject.otherriskeng
dc.subject.wosNursingeng
dc.titleIncidence of Medical Adhesive-Related Skin Injuries and Associated Factors After Pediatric Congenital Heart Surgery A Prospective Cohort Studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalAMARAL, Daniela Reuter do:Univ Sao Paulo, Postgrad Cardiac & Pulm Care, Inst Heart, Sao Paulo, SP, Brazil
hcfmusp.author.externalFERRETTI-REBUSTINI, Renata Eloah de Lucena:Univ Sao Paulo, Sch Nursing, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcJEIEL CARLOS LAMONICA CRESPO
hcfmusp.contributor.author-fmusphcTICIANE CAROLINA GONCALVES FAUSTINO CAMPANILI
hcfmusp.contributor.author-fmusphcLIGIA CRISTINA CAMARA CUNHA
hcfmusp.contributor.author-fmusphcFATIMA GIL FERREIRA
hcfmusp.contributor.author-fmusphcFILOMENA REGINA BARBOSA GOMES GALAS
hcfmusp.contributor.author-fmusphcJUREMA DA SILVA HERBAS PALOMO
hcfmusp.description.beginpage137
hcfmusp.description.endpage142
hcfmusp.description.issue2
hcfmusp.description.volume49
hcfmusp.origemWOS
hcfmusp.origem.pubmed35255064
hcfmusp.origem.scopus2-s2.0-85125972029
hcfmusp.origem.wosWOS:000765489000009
hcfmusp.publisher.cityPHILADELPHIAeng
hcfmusp.publisher.countryUSAeng
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hcfmusp.scopus.lastupdate2024-06-16
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