Incidence and prevalence of pressure injuries in children patients: A systematic review and meta-analysis.

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  • Author(s): Zhang H;Zhang H; Ma Y; Ma Y; Wang Q; Wang Q; Zhang X; Zhang X; Han L; Han L
  • Source:
    Journal of tissue viability [J Tissue Viability] 2022 Feb; Vol. 31 (1), pp. 142-151. Date of Electronic Publication: 2021 Jul 19.
  • Publication Type:
    Journal Article; Meta-Analysis; Systematic Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Tissue Viability Society Country of Publication: England NLM ID: 9306822 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0965-206X (Print) Linking ISSN: 0965206X NLM ISO Abbreviation: J Tissue Viability
    • Publication Information:
      Original Publication: Salisbury : Tissue Viability Society,
    • Subject Terms:
      Incidence* ; Pressure Ulcer*; Adult ; Child ; Humans ; China ; Prevalence ; Risk Factors
    • Abstract:
      Background: Pressure injuries presently has been a serious healthcare problem all over the world. Children were recognized as the high-risk population of pressure injuries in the latest prevention and treatment of pressure injuries clinical practice guideline. However, the estimates of incidence, and prevalence of pressure injuries in hospitalized children patients vary considerable in relevant published studies.
      Objective: To systematically quantify the incidence and prevalence of pressure injuries (PIs) in hospitalized children and the most affected PIs sites.
      Methods: A systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Electronic databases searches of the Cochrane Library, Pubmed, Web of Science, Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, China Knowledge Resource Integrated Database (CNKI), Wanfang Database, Chinese Biomedical Database (CBM), and Weipu Database (VIP), and hand-search through references were conducted to find relevant articles. Studies were evaluated independently by two researchers and audited by a third researcher. The data were extracted and presented in tables. The risk of bias was assessed using Hoy's tool. The I 2 statistic and random-effects model were used to assess the heterogeneity. Meta-regression analysis and subgroup analysis were conducted to examine between-study heterogeneity.
      Results: A total of 6, 672 articles were screened, and 30 studies with 251, 501 participants were ultimately included in this review. The pooled incidence of PIs for 3, 205 children was 13.5% (95% CI: 10.5-16.5); and the pooled prevalence of PIs for 4, 639 children was 12.2% (95% CI: 8.0-16.3). The most affected body sites were occiput, ears, and nose. Meta-regression and subgroup analysis showed that the inpatient ward, and region were the sources of heterogeneity.
      Conclusions: The incidence and prevalence of PIs was significantly higher than the adults. Our discoveries recommended that healthcare givers ought to pay more consideration to diminish the happens of PIs. Additionally, more research may be needed to improve our understanding of the characteristics of PIs among children and to identify PIs risk factors to prevent and treat it in children effectively.
      (Copyright © 2021. Published by Elsevier Ltd.)
    • Contributed Indexing:
      Keywords: Children; Incidence; Meta-analysis; Pressure injuries; Prevalence; Systematic review
    • Publication Date:
      Date Created: 20210727 Date Completed: 20230201 Latest Revision: 20230201
    • Publication Date:
      20240105
    • Accession Number:
      10.1016/j.jtv.2021.07.003
    • Accession Number:
      34312030