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.
Highlights
An incorrect decision regarding the type of medical adhesive and its inadequate application or removal are factors that can cause harms to the superficial layers of the skin
When the skin layers are removed along with the device, there is a skin injury related to medical adhesive, internationally known as Medical Adhesive–Related Skin Injury (MARSI)(1-4)
This study aimed at estimating 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
Summary
An incorrect decision regarding the type of medical adhesive and its inadequate application or removal are factors that can cause harms to the superficial layers of the skin. It is suspected that critically-ill patients, especially cancer patients, may be at greater risk for the development of MARSIs as they present alterations in their immune, circulatory and respiratory systems which cause changes in the skin structure[10,11,12,13,14,15]. These are patients who frequently have their skin exposed to medical adhesives, especially those used for the fixation of central and peripheral access venous catheters
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