Evidence map›Paper›PMID 36372868›Full record

ArticleWorld journal of pediatrics : WJP2023

Global variation in skin injures and skincare practices in extremely preterm infants.

Pranav Jani, Umesh Mishra, Julia Buchmayer, Rajesh Maheshwari, Daphne D'Çruz, Karen Walker, Duygu Gözen, Krista Lowe, Audrey Wright, James Marceau and 13 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of pediatrics : WJP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Vascular device practices in extremely preterm infants: an international cross-sectional survey.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Article
  5. Skin InteGrity in extreme preterms research NETwork (SIGNET) - improving skin care for the most immature infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
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  9. Review
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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

23 authors at 13 institutions in 12 countries.

Pranav JaniFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. Pranav.Jani@sydney.edu.au.ORCID 0000-0001-9802-5983
Umesh MishraFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Julia BuchmayerComprehensive Center for Pediatrics, Department of Pediatrics and Adolescent Medicine, Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Medical University of Vienna, Vienna, Austria.
Rajesh MaheshwariFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Daphne D'ÇruzDepartment of Neonatology, Westmead Hospital, Westmead, NSW, 2145, Australia.
Karen WalkerFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Duygu GözenPediatric Nursing Department, Florence Nightingale Faculty of Nursing, İstanbul University-Cerrahpaşa, Istanbul, Turkey.
Krista LoweDepartment of Neonatology, Westmead Hospital, Westmead, NSW, 2145, Australia.
Audrey WrightDepartment of Neonatology, Westmead Hospital, Westmead, NSW, 2145, Australia.
James MarceauDepartment of Neonatology, Westmead Hospital, Westmead, NSW, 2145, Australia.
Mihaela CulcerFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Archana PriyadarshiFaculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Adrienne KirbyThe National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
James E MooreConnecticut Children's Division of Neonatal-Perinatal Medicine, Connecticut Children's Medical Center, Hartford, CT, USA.
Ju Lee OeiThe Royal Hospital for Women, Randwick, NSW, Australia.
Vibhuti ShahDepartment of Paediatrics and Institute of Health Policy, Management and Evaluation, Mount Sinai Hospital, Toronto, Canada.
Umesh VaidyaDepartment of Pediatrics, King Edward Memorial Hospital, Pune, India.
Abdelmoneim KhashanaPediatrics, Suez Canal University, Ismailia, Egypt.
Sunit GodambeDivisional Director for Clinical Governance, Women's, Children's and Clinical Support, Imperial College Healthcare NHS Trust, London, UK.
Fook Choe CheahDepartment of Pediatrics, Faculty of Medicine, Universiti Kebangsaan, Bangi, Malaysia.
Wen-Hao ZhouDepartment of Neonatology and Vice President, Children's Hospital of Fudan University, Shanghai, China.
Xiao-Jing HuVice Director of Nursing Department, Children's Hospital of Fudan University, Shanghai, China.
Muneerah SatardienDepartment of Paediatrics and Child Health, Tygerberg Hospital, Cape Town, South Africa.
The University of Sydney · AUWestmead Hospital · AUChildren's Hospital of Fudan University · CNConnecticut Children's Medical Center · USHospital Kuala Lumpur · MYImperial College Healthcare NHS Trust · GBIstanbul Florence Nightingale Hospital · TRKing Edward Memorial Hospital Research Centre · INMedical University of Vienna · ATMount Sinai Hospital · CARoyal Hospital for Women · AUStellenbosch University · ZASuez Canal University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, are skincare practices and skin injuries in extremely preterm infants comparable? This study describes skin injuries, variation in skincare practices and investigates any association between them.

methodsA web-based survey was conducted between February 2019 and August 2021. Quantifying skin injuries and describing skincare practices in extremely preterm infants were the main outcomes. The association between skin injuries and skincare practices was established using binary multivariable logistic regression adjusted for regions.

resultsResponses from 848 neonatal intensive care units, representing all geographic regions and income status groups were received. Diaper dermatitis (331/840, 39%) and medical adhesive-related skin injuries (319/838, 38%) were the most common injuries. Following a local skincare guideline reduced skin injuries [medical adhesive-related injuries: adjusted odds ratios (aOR) = 0.63, 95% confidence interval (CI) = 0.45-0.88; perineal injuries: aOR = 0.66, 95% CI = 0.45-0.96; local skin infections: OR = 0.41, 95% CI = 0.26-0.65; chemical burns: OR = 0.46, 95% CI = 0.26-0.83; thermal burns: OR = 0.51, 95% CI = 0.27-0.96]. Performing skin assessments at least every four hours reduced skin injuries (abrasion: aOR = 0.48, 95% CI = 0.33-0.67; pressure: aOR = 0.51, 95% CI = 0.34-0.78; diaper dermatitis: aOR = 0.71, 95% CI = 0.51-0.99; perineal: aOR = 0.52, 95% CI = 0.36-0.75). Regional and resource settings-based variations in skin injuries and skincare practices were observed.

conclusionsSkin injuries were common in extremely preterm infants. Consistency in practice and improved surveillance appears to reduce the occurrence of these injuries. Better evidence regarding optimal practices is needed to reduce skin injuries and minimize practice variations.

Indexed as

DermatitisInfant, Extremely PrematureHumansInfantInfant, NewbornIntensive Care Units, NeonatalLogistic ModelsSkin CareExtremely premature infantsInjuriesNeonatal intensive care unitSkin careWounds

Identifiers

PMID36372868
PMCPMC9660114
OpenAlexW4309047959

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.