Evidence map›Paper›PMID 34729012›Full record

ReviewJournal of multidisciplinary healthcare2021

Prevention and Care for Incontinence-Associated Dermatitis Among Older Adults: A Systematic Review.

Samoraphop Banharak, Ladawan Panpanit, Suttinan Subindee, Patcharawan Narongsanoi, Panisara Sanun-Aur, Walaiporn Kulwong, Pachareeporn Songtin, Wanida Khemphimai

Open access · goldAbstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
14.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 54 citations in OpenAlex.

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  17. Silicone dressing combined with topical oxygen therapy alleviates incontinence-associated dermatitis via NF-κB p65/STAT1 signaling pathway.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Samoraphop BanharakDepartment of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0001-8315-0263
Ladawan PanpanitDepartment of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand.
Suttinan SubindeeDepartment of Gerontological Nursing, Faculty of Nursing, Khon Kaen University, Khon Kaen, Thailand.
Patcharawan NarongsanoiNursing Department, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand.
Panisara Sanun-AurNursing Department, Bungkla Hospital, Buengkan, Thailand.
Walaiporn KulwongNursing Department, Banmuang Hospital, Sakon Nakhon, Thailand.
Pachareeporn SongtinNursing Department, Nong Han Hospital, Udon Thani, Thailand.
Wanida KhemphimaiNursing Department, Phimai Hospital, Nakhon Ratchasima, Thailand.
Khon Kaen University · THMaharat Nakhon Ratchasima Hospital · THUdon Thani Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalent rate of incontinence-associated dermatitis (IAD) trends upward in older populations. Skin breakdown from IAD impacts the quality of life of older adults and reflects the quality of care in hospitals and long-term care facilities. Specific and appropriate interventions for prevention and care are needed. This systematic review aims to review optimal strategies for prevention and care for older adults with IAD.

methodsPubMed, CINAHL, SCOPUS, Medline, ProQuest, ThaiLIS, ThaiJo, and E-Thesis were searched for articles published between January 2010 and December 2020. Only articles focusing on older adults were included for the review.

resultsEleven articles met the inclusion/exclusion criteria. Interventions for the prevention and care of IAD among older adults were categorized as assessment, incontinence management/causative factors management, cleansing, application of medical products for both skin moisturizing and skin barrier, body positioning, nutrition promotion, health education and training, and outcome evaluation. Specific prevention and care strategies for older adults with IAD included using specific assessment tools, applying skin cleansing pH from 4.0 to 6.8, body positioning, and promoting food with high protein. Other strategies were similar to those reported for adult patients.

conclusionThe systematic review extracted current and specific prevention and care strategies for IAD in older adults. The prevention and care strategies from this systematic review should be applied in clinical practice. However, more rigorous research methodology is recommended in future studies, especially in examining intervention outcomes. Nurses and other health professionals should be educated and trained to understand the causes of IAD in older adults and the specific prevention and care strategies for this population. Because older adults are prone to skin damage, and this type of skin breakdown differs from pressure ulcers, the tools for assessment and evaluation, and the strategies for prevention and care require special attention. PROSPERO REGISTRATION NUMBER: CRD42021251711.

Indexed as

incontinence-associated dermatitismoisture-associated skin damageolder adultsskin barrier functionskin breakdownsystematic review

Identifiers

PMID34729012
PMCPMC8556723
OpenAlexW3211146669

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.