{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T14:08:44Z","timestamp":1776175724840,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Incontinence\u2010associated dermatitis (IAD) is a common problem among critically ill patients with faecal incontinence (FI). However, there are few studies comparing the effects of different faecal collection devices impact the prevention of moderate to severe IAD in this patient population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This review aims to compare the effectiveness of various devices for collecting faecal matter in preventing moderate to severe IAD in critically ill patients suffering from FI through a network meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>We conducted a systematic search of PubMed, Embase, ProQuest, CENTRAL, CINAHL Plus with Full Text, China National Knowledge Infrastructure (CNKI), Wan fang, Wei Pu, and China Biomedicine (CBM) from their inception until May 4, 2023. The selected studies were randomized controlled trials (RCTs). Two researchers independently performed study selection and data extraction. We assessed the risk of bias using the Cochrane risk of bias tool Version 2.0. RevMan 5.4 was utilized for conventional pairwise meta\u2010analysis of direct comparisons, while Stata16.0 was employed for network meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 14 studies, involving 1345 patients, were included in the analysis. Pairwise meta\u2010analysis showed that an anal bag[odds ratio(OR): 0.07(0.03, 0.20)], a balloon catheter[(OR:0.30(0.15, 0.62)], and an anal bag connected to negative pressure and flushing [(OR: 0.09(0.01,0.68)] all reduced the incidence of moderate to severe IAD in critically ill patients compared with usual care measures, respectively. The cumulative rank probabilities indicated that moderate to severe IAD prevention was more effective when employing balloon catheters connected to negative pressure [surface under the cumulative ranking curve(SUCRA): 20.8%] and anal bags connected to negative pressure (SUCRA: 27.0%) among critically ill patients with FI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>FI is a common problem among severely ill patients, and the reduction of moderate and severe IAD incidence is deemed essential. In this review, it is suggested that both balloon catheters connected to negative pressure and anal bags connected to negative pressure are associated with a higher effectiveness in preventing moderate and severe IAD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>The findings of this review can assist healthcare professionals in the selection of suitable stool management devices for the prevention of moderate to severe IAD in critically ill patients with FI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.13023","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T01:59:41Z","timestamp":1706666381000},"page":"1744-1750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The effectiveness of faecal collection devices in preventing moderate to severe incontinence\u2010associated dermatitis: A systematic review and network meta\u2010analysis"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0661-6973","authenticated-orcid":false,"given":"Lu","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Nursing Peking University People's Hospital  Beijing China"},{"name":"School of Nursing Peking University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanting","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing Peking University People's Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200701000-00008"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31823fe246"},{"issue":"1","key":"e_1_2_12_4_1","first-page":"3","article-title":"Interpretation of domestic and foreign expert consensuses of incontinence\u2010associated dermatitis nursing","volume":"18","author":"Wang L","year":"2018","journal-title":"Chin Nurs Manage"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1146697"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.01.014"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14594"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfie.2017.03.005"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.02.012"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2004.40105.x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e318215f798"},{"key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1111\/ddg.14388","article-title":"Moisture\u2010associated skin damage (MASD): a best practice recommendation from Wund\u2010D.A.CH","volume":"19","author":"Dissemond J","year":"2021","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.04986.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2010.08.001"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2020.04.152"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2385"},{"key":"e_1_2_12_17_1","first-page":"366:I4898","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials. 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