Li Y, Peng H, Li X, Li YX, Huang X, Guo X, Yang R, Shi Z, Luo B, Hu YL, Huang Y, et al.
Journal of tissue viability. Date of publication 2025 Nov 1;volume 34(4):100966.
1. J Tissue Viability. 2025 Nov;34(4):100966. doi: 10.1016/j.jtv.2025.100966.
Epub 2025 Oct 28.
The incidence, prevalence, and risk factors of medical device-related pressure
injuries in paediatric inpatients: A systematic review and meta-analysis.
Li Y(1), Peng H(1), Li X(1), Li YX(1), Huang X(1), Guo X(1), Yang R(1), Shi
Z(1), Luo B(2), Hu YL(1), Huang Y(3).
Author information:
(1)Department of Nursing, West China Second University Hospital/West China
School of Nursing, Sichuan University, Chengdu, China; Key Laboratory of Birth
Defects and Related Diseases of Women and Children (Sichuan University),
Ministry of Education, Chengdu, China; Department of Neonatology, West China
Second University Hospital, Sichuan University, Chengdu, China.
(2)Department of Nursing, West China Second University Hospital/West China
School of Nursing, Sichuan University, Chengdu, China; Key Laboratory of Birth
Defects and Related Diseases of Women and Children (Sichuan University),
Ministry of Education, Chengdu, China.
(3)Department of Nursing, West China Second University Hospital/West China
School of Nursing, Sichuan University, Chengdu, China; Key Laboratory of Birth
Defects and Related Diseases of Women and Children (Sichuan University),
Ministry of Education, Chengdu, China. Electronic address:
huangyan_hx@scu.edu.cn.
BACKGROUND: Medical device-related pressure injuries (MDRPIs) represent an
increasing safety concern for paediatric inpatients, yet evidence regarding
their epidemiology remains inconsistent. This study aimed to systematically
review and meta-analyse the incidence, prevalence, and risk factors for MDRPIs
in hospitalised children, and to identify the most common medical devices
implicated.
METHODS: Databases including PubMed, Medline, Embase, Web of Science, Scopus,
and CINAHL were searched from inception to December 18, 2024, with an update on
April 1, 2025. Two reviewers independently screened studies, extracted data, and
assessed bias using Joanna Briggs Institute (JBI) tools. Pooled incidence and
prevalence were estimated using random-effects meta-analysis. Heterogeneity was
assessed; and for outcomes with ≥10 studies, subgroup, publication bias, and
sensitivity analyses (including Bayesian meta-analysis) were performed. Commonly
implicated medical devices were categorized and their reporting frequencies
summarized.
RESULTS: Eighteen studies, involving 15,991 paediatric patients across nine
countries, were included. The pooled MDRPI incidence was 11.0 % (95 % CI:
5.2 %-22.0 %), and prevalence was 12.6 % (95 % CI: 1.1 %-65.8 %), both with
substantial heterogeneity. Neonatal and Paediatric Intensive Care Units
(NICUs/PICUs) exhibited the highest incidence (15.3 %/12.9 %). Key risk factors
included younger age, low birth weight, immobility, multiple devices, and
prolonged hospitalization. Respiratory support devices, monitoring equipment,
and vascular access lines were frequently implicated.
CONCLUSIONS: MDRPIs pose a considerable burden on paediatric inpatients,
especially in intensive care. This review provides updated epidemiological
estimates, delineates key risk factors, and identifies common causative devices,
highlighting the need for targeted preventive nursing strategies to improve
patient safety.
Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.
DOI: 10.1016/j.jtv.2025.100966
PMID: 41202419 [Indexed for MEDLINE]
Conflict of interest statement: Declaration of competing interests The authors
declare that they have no known competing financial interests or personal
relationships that could have appeared to influence the work reported in this
paper.
