Skin Tears

Holmes, Regina F.; Davidson, Martha W.; Thompson, Bonnie; Kelechi, Teresa J.

doi:10.1097/nhh.0b013e31827f458a

Cited by 29 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nutritional status of patients has been postulated to influence the risk for MARSI and we found that patients who developed MARSI were more likely to require TPN for nutritional support 18,19. In addition to these factors, the choice of medical adhesive device, duration of its use, and techniques for applying and removing tapes influence the likelihood of MARSI 2,3,20–25. We therefore recommend education for clinicians focused on the application and removal of medical adhesives 26.…”

Section: Discussionmentioning

confidence: 83%

“…18,19 In addition to these factors, the choice of medical adhesive device, duration of its use, and techniques for applying and removing tapes influence the likelihood of MARSI. 2,3,[20][21][22][23][24][25] We therefore recommend education for clinicians focused on the application and removal of medical adhesives. 26 With regard to different medical materials, our study shows that the choice of the type of venous device is closely related to the occurrence of MARSI.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence and Predictive Model of Medical Adhesive–Related Skin Injury in Cancer Patients Managed With Central Venous Access Devices

Hao

Han

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

PURPOSE:The purpose of this study was to determine the prevalence of medical adhesive-related skin injury (MARSI) at the site of central venous access device (CVAD) implantation in patients with cancer, identify risk factors associated with MARSI in patients with cancer, and create a nomogram for predicting risk of MARSI. DESIGN: Retrospective, single-center study. SUBJECTS AND SETTING:The sample comprised 1172 consecutive patients who underwent CVAD implantation between February 2018 and February 2019; their mean age was 55.7 years (SD: 13.9). Data were collected at the First Affiliated Hospital of Xi'an Jiaotong University, located in Xi'an, China. METHODS: Demographic and pertinent clinical data were collected from patient records. Routine dressing changes were performed every 7 days for peripherally inserted central venous catheters (PICCs) or 28 days for ports except in patients with existing skin injuries. Skin injuries related to use of medical adhesives and persisting for more than for 30 minutes were classified MARSI. Data were used to develop a nomogram for predicting MARSI. The accuracy of the nomogram was verified by calculating the concordance index (C-index) and drawing a calibration curve. RESULTS: Among the 1172 patients, 330 (28.2%) had undergone PICC implantation, and 282 (24.1%) experienced 1 or more MARSIs representing an incidence rate of 1.7 events per 1000 CVAD days. Statistical analysis identified previous MARSI history, the need for total parenteral nutrition support, other catheter-related complications, a history of allergy, and PICC implantation as associated with a higher likelihood of developing for MARSI. Based on these factors, we established a nomogram for predicting the risk of developing MARSI in patients with cancer who underwent CVAD implantation. The C-index of the nomogram was 0.96, and the calibration curve of the nomogram showed that the predictive ability of the nomogram was strong. CONCLUSIONS: We evaluated patients with cancer who were undergoing CVAD and identified that previous MARSI history, patients needing total parenteral nutrition support, other catheter-related complications, allergic history, and PICC implantation (compared with ports) were associated with a higher likelihood for developing MARSI. The nomogram we developed showed a good ability for predicting the risk of developing MARSI and may assist nurses to predict MARSI in this population.

show abstract

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Incidence and Predictive Model of Medical Adhesive–Related Skin Injury in Cancer Patients Managed With Central Venous Access Devices

Hao

Han

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

show abstract

“…The researchers also searched for articles on best practice guidelines for skin tear care published since 2011, resulting in a total of seven additional articles. Publishers included wound care journals, 20,21 Wounds International, 22,23 the Canadian Association of Wound Care, 18 and the ISTAP. 10 The articles focused on skin tear risk factors, prevention, classification, and treatment (Table 4).…”

Section: Literature Reviewmentioning

confidence: 99%

Skin Tear Management: A Multidisciplinary Education Project

Ott,

Brinton,

Yogaparan

et al. 2024

Adv Skin Wound Care

View full text Add to dashboard Cite

OBJECTIVE To identify the number of skin tears present at the authors’ facility and evaluate a multidisciplinary educational intervention to support treatment of skin tears. METHODS The authors determined the prevalence of skin tears from an analysis of a wound audit dataset at Baycrest Health Sciences and compared it with the literature to inform the aims of the educational intervention. They developed an educational module and presented it to physicians and students at separate in-person sessions and to clinical care staff at a virtual session. Participants completed an evaluation survey after the education sessions to assess their knowledge and confidence with skin tear management and obtain their feedback about the session. RESULTS The prevalence of skin tears at Baycrest hospital was 5.6%, which was low compared with the values reported in the literature. For the 10 studies reviewed, the median prevalence was 8.8% (range, 3.0%-22.1%). A total of 7 physicians, 12 students, and 7 clinical care staff completed the evaluation survey. All of the physicians (100%), 43% of students, and 57% of clinical care staff could classify an image of a skin tear; 86% of physicians, 33% of students, and 43% of clinical care staff identified the correct skin tear complications; and 71% of physicians, 0% of the students, and 29% of clinical care staff selected the appropriate dressing. Participants reported moderate to considerable increases in knowledge and confidence in skin tear management. CONCLUSIONS This method of multidisciplinary teaching on skin tears was well received and useful in enhancing knowledge and confidence in identifying and treating skin tears.

show abstract

“…As regiões do corpo mais acometidas são as extremidades dos membros superiores, as nádegas, costas e os membros inferiores. Assim, é imprescindível estar atento a essas localidades para evitar o surgimento, até mesmo a reincidência das lesões (Holmes, Davidson, Thompson & Kelechi, 2013).…”

Section: Prevalência E Fatores De Risco Para As Skin Tearsunclassified

“…Nesse contexto, é função da equipe de enfermagem estabelecer protocolos de cuidados gerais com a pele, fundamentado em evidências científicas, visando promover essa reparação tecidual e, consequentemente, propiciar um bem-estar ao paciente (Holmes et al, 2013).…”

Section: Importância Da Prevenção E Manejo Das Skin Tearsunclassified

Caracterização da produção científica acerca das lesões por fricção: revisão integrativa

Barreto

Soares

Nascimento

et al. 2021

RSD

View full text Add to dashboard Cite

Objetivo: identificar na literatura as produções científicas sobre lesões do tipo Skin Tears. Metodologia: revisão integrativa, cuja busca ocorreu entre abril e junho de 2020, nas bases de dados LILACS, PubMed, SCOPUS, SciELO, Web of Science e Cochrane para responder à questão norteadora: “Quais as características da produção científica sobre lesões do tipo Skin Tears?”. Foram incluídos artigos de pesquisa originais que atendiam ao objetivo da pesquisa. Excluíram-se estudos da literatura cinzenta (relatos de caso, reflexão, recomendações), artigos de revisão e estudos que focavam outras temáticas. Resultados: as buscas nas bases de dados pesquisadas capturaram 371 referências. Após as exclusões, selecionaram-se 13 estudos para serem lidos na íntegra, onde destes, 07 artigos foram selecionados para compor esta revisão, agrupados empiricamente, conforme suas similaridades, em três categorias: “Prevalência e fatores de risco para as Skin Tears”, “Importância da prevenção, e manejo das Skin Tears” e “Fragilidades de protocolos institucionais que padronizem o cuidado das Skin Tears”. Conclusão: a abordagem teórica sobre as lesões por fricção é primordial para prestar uma assistência efetiva, visando minimizar o desconforto e as complicações em pacientes acometidos por estas. Entretanto, constatou-se escassez de estudos que possibilitem fundamentar uma discussão de qualidade, dado que é imprescindível a promoção de uma assistência integral que garanta melhor qualidade de vida.

show abstract

Skin Tears

Cited by 29 publications

References 16 publications

Incidence and Predictive Model of Medical Adhesive–Related Skin Injury in Cancer Patients Managed With Central Venous Access Devices

Incidence and Predictive Model of Medical Adhesive–Related Skin Injury in Cancer Patients Managed With Central Venous Access Devices

Skin Tear Management: A Multidisciplinary Education Project

Caracterização da produção científica acerca das lesões por fricção: revisão integrativa

Contact Info

Product

Resources

About