Development and validation of medical adhesive-related skin injury risk assessment scale at peripherally inserted central catheter insertion site in oncology patients.
Yuling Li, Huijiao Zhang, Shuqing Zhang and 2 others
PMID 37092291WHAT IT FOUND
A new scale for PICC insertion-site skin injury in oncology patients flagged patients likely to develop adhesive skin injury with moderate accuracy.
It has not been tested to reduce injuries.
Key findings
01Two nurses assessing the same 30 patients produced highly consistent risk scores.
02Among 195 oncology patients with PICCs, 35 developed medical adhesive-related skin injury, most often contact dermatitis.
03The scale predicted injury with an area under the ROC curve of 0.757; at a cut-off score of 15.5, sensitivity was 80.0% and specificity was 65.6%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The patients were from one hospital in Shanxi, China, so the results may not apply to other hospitals or countries. The scale has not been tested to see whether using it reduces skin injury or changes patient outcomes. Experts were all women and all from Chinese tertiary hospitals, which may limit generalisability of the item selection. Some items rely on nurse judgement, such as dry skin, wet skin, and oedema, although the paper says criteria were used. The scale does not include dressing type, disinfectant, or fixation device, so it cannot guide those choices directly.
Declared interests
No funding was received. The authors declared no competing interests.
The easy way to misread this
Do not read this as proof that using the scale prevents skin injury. It showed moderate prediction in one hospital and did not test preventive care based on the score.