Factors Associated with Skin Injury in Hospitalized Newborns in Intensive Care Units
DOI:
https://doi.org/10.12957/reuerj.2024.84802Keywords:
Neonatal Nursing, Infant, Newborn, Intensive Care Units, Neonatal, Skin, Wounds and InjuriesAbstract
Objective: to analyze types of skin injuries affecting newborns hospitalized in a neonatal intensive care unit and to discuss factors associated with these injuries. Methods: cross-sectional study conducted in a neonatal intensive care unit in Paraná, Brazil, over 12 months. Data obtained from electronic medical records and by injuries monitoring, following the Newborn Skin Condition Scale, analyzed using Chi-square tests, Analysis of Variance (ANOVA), and Tukey's test. Results: the incidence of skin injuries was 25.40%; the most common were perianal dermatitis (39.29%), pressure injuries, and surgical wounds (both 16.96%). These injuries were more prevalent in male newborns with a birth weight of over 2,500 grams, gestational age between 32-35 weeks and over 37 weeks, Apgar score between 7-10, and hospitalization of 30 days. Pressure injuries were frequent in premature newborns, with a mean weight of 1,517.89 grams. Conclusion: perianal dermatitis was the most commonly identified injury, associated with factors such as male sex, birth weight over 2,501 grams, Apgar score above 7, and extended hospitalization.
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