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The prevalence of skin lesions and associated factors in hospitalised adult patients with cancer. | LitMetric

AI Article Synopsis

  • - The study aimed to evaluate how common skin lesions are among hospitalized cancer patients and what clinical and sociodemographic factors are linked to them.
  • - Out of 341 patients examined, 80 had skin lesions, resulting in a prevalence of 23.5%, with significant types including pressure injuries and dermatitis; certain factors like age and use of disposable nappies were strongly associated with these lesions.
  • - The findings highlight the need for preventative measures in managing skin health for hospitalized cancer patients, based on the identified factors related to skin lesion prevalence.

Article Abstract

Objective: To assess the prevalence of skin lesions and evaluate the clinical and sociodemographic factors associated with their presence in hospitalised patients.

Method: This descriptive, cross-sectional, correlational study was performed in inpatient units and intensive care units of a cancer hospital in São Paulo, Brazil, after approval by the Institutional Research Ethics Committee. Data from hospitalised adult patients with cancer were collected during physical examinations and from medical records. A Chi-squared test, univariate analysis, a logistic regression model with results expressed as odds ratio (OR) and 95% confidence intervals (CI), and Classification and Regression Tree (CART) analysis were used to evaluate the data.

Results: Of 341 patients, 80 had skin lesions, equating to an overall prevalence of 23.5%. The skin lesions included pressure injuries (10%), incontinence-associated dermatitis (6.7%), skin tears (6.5%), malignant wounds (3.8%) and complicated surgical wounds (3.2%). The factors associated with skin lesions in cancer patients were the use of disposable nappies (OR: 4.436) and age (59.1±15.1 years), according to the CART analysis, and the wearing of nappies (OR: 4.466, p<0.001), presence of ecchymosis (OR: 2.532, p<0.001) and infection (OR: 6.449, p=0.040), according to multiple regression analysis.

Conclusion: This study contributed to knowledge about prevalence and associated factors of skin lesions in hospitalised patients with cancer, allowing the implementation of preventive measures.

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Source
http://dx.doi.org/10.12968/jowc.2022.31.8.660DOI Listing

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