Status quo and risk factors of medical viscose-related skin injury in severe patients: a meta-analysis

Objective To analyze status quo and the risk factors of medical viscose-related skin injury (MARSI) in critical patients.

Methods Related articles about independent risk factors of MARSI critical patients were searched in databases of PubMed, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), Wanfang, etc. RevMan 5.3 software was used for meta-analysis of the literature.

Results Twelve literatures were included after screening of all relevant literature, and the number of patients with MARSI was 2 799 and 10 kinds of risk factors were included. The results of meta-analysis showed that skin edema (OR=4.09, 95%CI, 2.97 to 5.63, I²=0%, P=0.49), older or younger age (OR=2.05, 95%CI, 1.50 to 2.78, I²=0%, P=0.49), dry skin (OR=3.12, 95%CI, 1.92 to 5.07, I²=26%, P=0.26), history of MARSI (OR=10.31, 95%CI, 8.06 to 13.19, I²=0%, P=0.62), blood disease (OR=2.44, 95%CI, 1.80 to 3.31, I²=0%, P=1.00), infection (OR=1.25, 95%CI, 1.15 to 1.36, I²=41%, P=0.19), receiving surgery (OR=1.27, 95%CI, 1.18 to 1.36, I²=8%, P=0.34), blue light therapy (OR=4.15, 95%CI, 2.70 to 6.38, I²=0%, P=0.62), length of Intensive Care Unit (ICU) stay >5 days (OR=1.06, 95%CI, 0.91 to 1.24, I²=0%, P=0.46), immune diseases (OR=5.07, 95%CI, 2.11 to 12.22, I²=0%, P=0.46) were risk factors of MARSI (P < 0.05).

Conclusion Medical staff should make a comprehensive assessment for MARSI high-risk patients according to risk factors, and make corresponding nursing prevention and intervention measures for them so as to reduce the incidence of MARSI.