ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Cardiology
Volume 13 - 2025 | doi: 10.3389/fped.2025.1618405
Risk-Stratified Optimization of Skin Care Protocols for Children with Cardiac Monitors: A Data-Driven Clinical Framework
Provisionally accepted
- Shandong Provincial Hospital, Jinan, Shandong Province, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Objective: To develop a risk-stratified nursing protocol reducing electrode-related skin injuries (MARSI) in pediatric cardiac monitoring.: Using logistic regression, we analyzed risk factors (allergy history, eosinophil indices, wear duration) in 229 control-group children (June to August 2023) receiving standard care. Derived protocol integrated risk thresholds. Validation involved 183 intervention-group children (September to December 2023).Results: Skin injury correlated negatively with age/weight/height/BMI (p<0.05) and positively with allergy history/wear time/eosinophils (p<0.05). The intervention group showed significantly lower MARSI incidence (15.8% vs. 40.6%, p<0.001), with reduced redness (4.2% vs. 32.8%) and rashes (2.1% vs. 9.2%) (p<0.05).This risk-stratified nursing protocol reduces pediatric MARSI incidence, supporting clinical implementation.
Keywords: Cardiac monitoring, Children, Medical adhesive-related skin injury, Risk factors, Nursing Care
Received: 26 Apr 2025; Accepted: 13 Aug 2025.
Copyright: © 2025 Zhang, Yuan and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Hui Yuan, Shandong Provincial Hospital, Jinan, 250021, Shandong Province, China
Ning Chen, Shandong Provincial Hospital, Jinan, 250021, Shandong Province, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.