Pires-Júnior JF, Chianca TCM, Borges EL, Azevedo C, Simino GPR. Medical adhesive-related skin injury in cancer patients: A prospective cohort study.
Rev Lat Am Enfermagem 2021;
29:e3500. [PMID:
34755780 PMCID:
PMC8584878 DOI:
10.1590/1518-8345.5227.3500]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 08/06/2021] [Indexed: 11/22/2022] Open
Abstract
Objective:
to estimate the incidence of medical adhesive-related skin injury in the
peripheral venous catheter fixation region in critical cancer patients, to
identify risk factors, and to establish a risk prediction model for its
development.
Method:
a prospective cohort study with a sample of 100 adult and aged patients
hospitalized in an intensive care unit. The data were analyzed using
descriptive, bivariate and multivariate statistics with Cox regression.
Results:
the incidence of medical adhesive-related skin injury was 31.0% and the
incidence density was 3.4 cases per 100 people-days. The
risk factors were as follows: alcoholism, smoking habit, hospitalization due
to deep vein thrombosis, acute respiratory failure, immediate postoperative
period, heart disease, dyslipidemia, use of antiarrhythmics, blood
transfusion, friction injury, pressure injury, turgor, edema, hematoma,
petechiae, low values in the Braden scale, clinical severity of the patient,
elasticity, moisture, texture and color. The predictive model consisted in
the following: decreased skin turgor, presence of hematoma and edema.
Conclusion:
medical adhesive-related skin injury at the peripheral venous catheter
insertion site has a high incidence in critical cancer patients and is
associated with decreased turgor, presence of hematoma and edema, evidence
that can support the clinical practice.
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