Medical Adhesive-Related Skin Injury Associated with Surgical Wound Dressing among Spinal Surgery Patients: A Cross-Sectional Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Participants
2.2. Variables and Measurement
2.3. Data Collection and Procedure
2.4. Data Analysis
3. Results
3.1. Patient Characteristics
3.2. Comparison of Patient Characteristics According to MARSI Features
3.3. Incidence and Characteristics of MARSI
3.4. Factors Affecting MARSI
4. Discussion
5. Limitation and Strengths
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | Categories | Total (n = 143) | MARSI (n = 52) | Non-MARSI (n = 91) | χ2 or t | p |
---|---|---|---|---|---|---|
n (%) or M ± SD | n (%) or M ± SD | n (%) or M ± SD | ||||
Sex | Male | 66 (46.2) | 21 (40.4) | 45 (49.5) | 1.09 | 0.383 |
Female | 77 (53.8) | 31 (59.6) | 46 (50.5) | |||
Age (year) | 63.7 ± 12.1 | 63.2 ± 12.7 | 64.0 ± 11.8 | 0.42 | 0.674 | |
BMI | 24.9 ± 4.9 | 24.9 ± 3.8 | 25.0 ± 5.4 | 0.06 | 0.955 | |
Alcohol use | Yes | 39 (27.3) | 12 (23.1) | 27 (29.7) | 0.73 | 0.440 |
Smoking | Yes | 24 (16.8) | 6 (11.5) | 18 (19.8) | 1.61 | 0.250 |
Comorbidity | Cardiovascular | 57 (39.9) | 25 (48.1) | 32 (35.2) | 2.30 | 0.156 |
Endocrinology | 25 (17.5) | 10 (19.2) | 15 (16.5) | 0.17 | 0.819 | |
Cerebrovascular | 8 (5.6) | 4 (7.8) | 4 (4.3) | 0.76 | 0.304 | |
Chronic disease * | 23 (16.1) | 5 (9.8) | 18 (19.6) | 2.32 | 0.097 | |
Steroid use Hx | Yes | 6 (4.2) | 2 (3.9) | 4 (4.3) | 0.02 | 0.635 |
Contact dermatitis Hx | Yes | 24 (16.8) | 19 (36.5) | 5 (5.5) | 22.83 | <0.001 |
Spine operation Hx | Yes | 47 (32.9) | 22 (42.3) | 25 (27.5) | 3.30 | 0.095 |
Anticoagulation drug Hx | Yes | 32 (22.4) | 15 (28.8) | 17 (18.7) | 1.97 | 0.211 |
Diagnosis | HNP | 10 (7.0) | 3 (5.9) | 7 (7.6) | 5.98 | 0.309 |
Stenosis | 97 (67.8) | 38 (74.5) | 59 (64.1) | |||
Benign cord tumor | 16(11.2) | 3 (5.9) | 13 (14.1) | |||
Spine metastsis | 8 (5.6) | 1 (2.0) | 7 (7.6) | |||
Fracture | 5 (3.5) | 3 (5.9) | 2 (2.2) | |||
Others | 7 (4.9) | 3 (5.9) | 4 (4.3) | |||
Posture during surgery | Supine | 20 (14.0) | 6 (11.8) | 14 (15.2) | 0.33 | 0.382 |
Prone | 123 (86.0) | 45 (88.2) | 78 (84.8) | |||
Surgical site | Anterior cervical | 16 (11.2) | 4 (7.8) | 12 (13.0) | 3.74 | 0.442 |
Posterior cervical | 14 (9.8) | 7 (7.6) | 7 (7.6) | |||
Posterior thoracic | 24 (16.8) | 6 (11.8) | 18 (19.6) | |||
Posterior lumbar | 85 (59.4) | 32 (62.7) | 53 (57.6) | |||
Others | 4 (2.8) | 2 (3.9) | 2 (2.2) | |||
Extent of surgery | 1 level | 69 (48.3) | 20 (39.2) | 49 (53.3) | 3.49 | 0.175 |
2 level | 52 (36.4) | 20 (39.2) | 32 (34.8) | |||
3 level or more | 22 (15.4) | 11 (21.6) | 11 (12.0) | |||
Duration of operation (min) | 291.37 ± 103.97 | 312.17 ± 109.41 | 279.48 ± 99.39 | −1.82 | 0.070 | |
Time to the first ambulation after the surgery (hours) | 22.59 ± 9.27 | 25.10 ± 10.83 | 21.16 ± 7.97 | −2.29 | 0.025 | |
Time to the first surgical wound dressing (hours) | 21.13 ± 5.44 | 22.17 ± 6.40 | 20.53 ± 4.74 | −1.75 | 0.082 | |
Preop clinical data | Protein (g/dL) | 6.99 ± 0.53 | 6.95 ± 0.58 | 7.01 ± 0.50 | 0.610 | 0.547 |
Albumin (g/dL) | 3.87 ± 0.38 | 3.86 ± 0.43 | 3.88 ± 0.35 | 0.36 | 0.721 | |
Hemoglobin (g/dL) | 13.39 ± 1.73 | 13.27 ± 1.74 | 13.45 ± 1.73 | 0.58 | 0.562 | |
WBC (×102/μL) | 6.56 ± 1.82 | 6.31 ± 1.41 | 6.70 ± 2.00 | 1.33 | 0.185 | |
Postop clinical data | Protein (g/dL) | 5.63 ± 0.69 | 5.44 ± 0.76 | 5.74 ± 0.62 | 2.55 | 0.012 |
Albumin (g/dL) | 3.11 ± 0.45 | 3.00 ± 0.49 | 3.17 ± 0.41 | 2.28 | 0.024 | |
Hemoglobin (g/dL) | 11.45 ± 2.20 | 11.04 ± 2.38 | 11.69 ± 2.06 | 1.69 | 0.092 | |
WBC (×102/μL) | 8.81 ± 3.65 | 8.60 ± 3.62 | 8.92 ± 3.68 | 0.51 | 0.610 |
Variables | Categories | n (%) |
---|---|---|
Incidence of MARSI | Rate per 100 patients | 52 (36.4) |
Rate per 100 medical adhesives | 9.83% | |
MARSI type (n = 52) | Skin-stripping | 12 (23.1) |
Skin tear | 15 (28.8) | |
Tension injury or blister | 7 (13.5) | |
Contact dermatitis | 18 (34.6) | |
Time to the occurrence of MARSI (days) (n = 52) | Postoperative day 1 | 27 (51.9) |
Postoperative day 2 | 25 (48.1) |
Variables | B | SE | Wald Statistic | OR | 95% CI | p |
---|---|---|---|---|---|---|
Contact dermatitis history | 2.353 | 0.555 | 17.943 | 10.517 | 3.540–31.241 | <0.001 |
Duration of operation (min) | 0.001 | 0.002 | 0.334 | 1.001 | 0.991–1.006 | 0.563 |
Time to the first ambulation (h) | 0.052 | 0.020 | 6.651 | 1.053 | 1.012–1.095 | 0.010 |
Post OP protein (g/dL) | −0.417 | 0.457 | 0.834 | 0.659 | 0.269–1.613 | 0.361 |
Post OP albumin (g/dL) | 0.112 | 0.708 | 0.025 | 1.119 | 0.279–4.484 | 0.874 |
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Kim, J.; Shin, Y. Medical Adhesive-Related Skin Injury Associated with Surgical Wound Dressing among Spinal Surgery Patients: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2021, 18, 9150. https://doi.org/10.3390/ijerph18179150
Kim J, Shin Y. Medical Adhesive-Related Skin Injury Associated with Surgical Wound Dressing among Spinal Surgery Patients: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2021; 18(17):9150. https://doi.org/10.3390/ijerph18179150
Chicago/Turabian StyleKim, Jeounghee, and Yongsoon Shin. 2021. "Medical Adhesive-Related Skin Injury Associated with Surgical Wound Dressing among Spinal Surgery Patients: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 18, no. 17: 9150. https://doi.org/10.3390/ijerph18179150