Risk Factors and Occurrence of Medical Adhesive-related Skin Injuries and Medical Device-related Pressure Ulcers With Fixing Endotracheal Tubes With Medical Adhesive Tape

BACKGROUND: Although securing an endotracheal tube with medical adhesive tape has been shown to be associated with medical adhesive-related skin injury (MARSI) and medical device-related pressure injuries (MDRPIs), their incidence has been studied separately. OBJECTIVES: To compare the incidence of MARSI and MDRPI after endotracheal tube fixation using medical adhesive tape. In addition, the risk factors for occurrence were identified. METHODS: Data collection started when the endotracheal tube was secured with medical adhesive tape and was followed until extubation or change to another fixation method. The incidence of MARSI and MDRPI was calculated, and the risk factors were examined using a generalized estimating equation. RESULTS: During the study period, 20 of 153 patients had MARSI or MDRPI, with an incidence of 13%. Eleven patients had MARSI with an incidence rate of 7.2%, and 9 patients had MDRPI with an incidence rate of 5.9%. The factors associated with the occurrence of MARSI were fixation time with medical adhesive tape (P=0.003), analgesics (P=0.015), and fraction of inspired oxygen (P=0.038). The factors associated with the occurrence of MDRPI were fixation time with medical adhesive tape (P<0.001) and analgesics (P=0.017). CONCLUSION: The incidence of MDRPI was higher than that of MARSI when the endotracheal tube was secured with medical adhesive tape. The results showed that there are common factors in the association between MARSI and MDRPI, suggesting the importance of a prevention strategy that considers both factors as a single entity.