Zhang H, Ma Y, Wang Q, Zhang X, Han L, et al.
Journal of tissue viability. Date of publication 2022 Feb 1;volume 31(1):142-151.
1. J Tissue Viability. 2022 Feb;31(1):142-151. doi: 10.1016/j.jtv.2021.07.003.
Epub 2021 Jul 19.
Incidence and prevalence of pressure injuries in children patients: A systematic
review and meta-analysis.
Zhang H(1), Ma Y(2), Wang Q(3), Zhang X(4), Han L(5).
Author information:
(1)Department of Nursing, Gansu Provincial Hospital, Lanzhou City, Gansu
Province, China. Electronic address: zhanghy200604@163.com.
(2)Evidence-based Nursing Center, School of Nursing, Lanzhou University, Lanzhou
City, Gansu Province, China. Electronic address: mayuxia@lzu.edu.cn.
(3)Evidence-based Nursing Center, School of Nursing, Lanzhou University, Lanzhou
City, Gansu Province, China. Electronic address: wangqing@lzu.edu.cn.
(4)Department of Respiratory, Gansu Provincial Hospital, Lanzhou City, Gansu
Province, China. Electronic address: 1318172971@qq.com.
(5)Department of Nursing, Gansu Provincial Hospital, Lanzhou City, Gansu
Province, China. Electronic address: lzu-hanlin@hotmail.com.
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 I2 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.
DOI: 10.1016/j.jtv.2021.07.003
PMID: 34312030 [Indexed for MEDLINE]
