2026-04-18T03:21:32Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/138202025-10-24T10:23:49Zcom_2072_378070com_2072_378040col_2072_378092

Prevalence and risk factors of dependence-related skin lesions in neonatal units: A multicentre study across Spanish hospitals Balaguer, Evelin MORA MORILLO, ISABEL M Rodríguez Dolz, María Carmen Pla Marzo, Laura García-Molina, Pablo Buck Sainz-Rozas, Pablo Pell - Malalties - Factors de risc Medicina intensiva neonatal ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk Factors HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care Units::Intensive Care Units, Pediatric::Intensive Care Units, Neonatal ANATOMY::Integumentary System::Skin Other subheadings::Other subheadings::/injuries ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Morbidity::Prevalence TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::estadística como asunto::probabilidad::riesgo::factores de riesgo ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos::unidades de cuidados intensivos pediátricos::unidades de cuidados intensivos neonatales ANATOMÍA::integumento común::piel Otros calificadores::Otros calificadores::/lesiones TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::estadísticas vitales::morbilidad::prevalencia Newborn; Pressure injuries; Risk factors Nounat; Lesions per pressió; Factors de risc Neonato; Úlceras por presión; Factores de riesgo Aim This study aimed to obtain updated epidemiological indicators of dependence-related skin lesions (DRSLs) in neonatal units of Spanish hospitals and to analyze preventive interventions and risk factors associated with DRSL development. Materials and methods A multicentre, observational, cross-sectional prevalence study was conducted across three data collection phases in 12 Spanish hospitals with neonatal units, and included 398 hospitalised neonates. Data collection was based on direct observation, clinical record review, and caregiver interviews. The Neonatal Skin Risk Assessment Scale (e-NSRAS) was used to assess DRSL risk. Demographic variables, risk factors, and preventive measures were also analyzed. Results DRSL prevalence was 29.4 %. Moisture-related lesions (18.6 %) were the most common, especially in intermediate care, followed by pressure injuries (13.07 %), more prevalent in intensive care, and friction-related lesions (3.02 %). Non-invasive mechanical ventilation and urinary catheterisation were significantly associated with DRSL occurrence. Additionally, 34 % of neonates were classified as at risk of pressure injuries. Discussion A high DRSL prevalence was observed among hospitalised neonates, exceeding rates reported in other national and international studies. The e-NSRAS appears unsuitable for assessing all DRSL types. The use of multiple medical devices was associated with higher DRSL rates, and preventive measures were often applied late or inadequately. Study limitations include those typical of cross-sectional studies, such as representativeness, confounding factors, and sample size. Conclusion DRSLs are a prevalent issue in Spanish neonatal units. The development and implementation of targeted preventive measures, along with the adaptation of assessment tools, are critical for enhancing the quality of neonatal care. The translation and publication of this article were funded by the Spanish Society of Neonatal Nursing (SEEN). 2025-10-24T10:23:49Z 2025-10-24T10:23:49Z 2025-10-24T10:23:49Z 2025-10-09T10:48:17Z 2025-10-09T10:48:17Z 2025-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/11351/13820 Journal of Tissue Viability;34(4) https://doi.org/10.1016/j.jtv.2025.100945 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Elsevier Scientia