Evidence map›Paper›PMID 38899615›Full record

ArticleInternational wound journal2024

Impact of an evidence-based bundle on incontinence-associated dermatitis prevalence in hospital patients: A quasi-experimental translational study.

Michelle Barakat-Johnson, John Stephenson, Michelle Lai, Shifa Basjarahil, Jayne Campbell, Michelle Cunich, Gary Disher, Samara Geering, Natalie Ko, Catherine Leahy and 6 more

Abstract readMulticenter Study
In one paragraph

Article in International wound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

16 authors.

Michelle Barakat-JohnsonExecutive Nursing and Midwifery Services, Sydney Local Health District, Sydney, Australia.ORCID https://orcid.org/0000-0001-7764-4515
John StephensonSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
Michelle LaiExecutive Nursing and Midwifery Services, Sydney Local Health District, Sydney, Australia.ORCID https://orcid.org/0000-0002-3651-4797
Shifa BasjarahilThe Sutherland Hospital, Nursing and Midwifery Services, South Eastern Sydney Local Health District, Sydney, Australia.
Jayne CampbellNursing and Midwifery Services, Hunter New England Local Health District, Newcastle, Australia.
Michelle CunichCharles Perkins Centre, Sydney School of Medicine (Central Clinical School), Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Gary DisherStrategic Reform and Planning Branch, New South Wales Ministry of Health, Sydney, Australia.
Samara GeeringNursing and Midwifery Services Research Alliance, South Western Sydney Local Health District, Sydney, Australia.
Natalie KoNursing and Midwifery Services, Concord Repatriation General Hospital, Sydney Local Health District, Sydney, Australia.
Catherine LeahyQuality, Clinical Safety and Nursing, Western New South Wales Local Health District, Orange, Australia.
Thomas LeongNursing and Midwifery Services, Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, Australia.
Eve McClureAged and Chronic Care and Rehabilitation Services, Sydney Local Health District, Sydney, Australia.
Melissa O'GradyNursing and Midwifery Services, Concord Repatriation General Hospital, Sydney Local Health District, Sydney, Australia.
Joan WalshThe Sutherland Hospital, Nursing and Midwifery Services, South Eastern Sydney Local Health District, Sydney, Australia.
Kate WhiteExecutive Nursing and Midwifery Services, Sydney Local Health District, Sydney, Australia.
Fiona CoyerSchool of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia.

Funding

New South Wales Ministry of Health Translational Research Grant Scheme H19/53776
6 · The paper itself

Abstract

The study aimed to evaluate the effect of an intervention on the prevalence and severity of incontinence-associated dermatitis (IAD) in six hospitals in one state in Australia. This quasi-experimental pre-and post-study, conducted in 18 wards, was part of a larger implementation science study on incontinence-associated dermatitis. Skin and incontinence assessments were conducted on patients during February and March 2020 (pre-intervention) and July and August 2021 (post-intervention). The intervention comprised continence assessment and management, an education brochure for patients, family and caregivers on IAD, the Ghent Global IAD Categorisation Tool (GLOBIAD) and a skin care regime with patient skin protection measures (three-in-one barrier cream cloths, minimisation of bed protection layers, use of appropriate continence aid). A total of 1897 patients were assessed (pre-intervention = 964, post-intervention = 933). A total of 343 (35.6%) pre-intervention patients and 351 (37.6%) post-intervention patients had incontinence. The prevalence of hospital-acquired IAD was 6.71% in the pre-intervention group and 4.27% in the post-intervention group; a reduction of 36.3% (p = 0.159) despite higher patient acuity, prevalence of double incontinence and the COVID-19 pandemic in the post-intervention group compared with the pre-intervention group. Our multisite best practice IAD prevention and treatment intervention was able to reduce the prevalence and severity of hospital-acquired IAD, suggesting enduring effectiveness of the intervention.

Indexed as

DermatitisFecal IncontinenceUrinary IncontinenceAgedAged, 80 and overAustraliaFemaleHumansMaleMiddle AgedPatient Care BundlesPrevalenceSkin CareTranslational Research, Biomedicalfaecal incontinenceirritant dermatitispressure ulcerprevalenceurinary incontinence

Identifiers

PMID38899615
PMCPMC11187733

What OpenQuestion holds

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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.