AUTHOR=Zhang Kun , Chen Ning , Yuan Hui 

TITLE=Risk-stratified optimization of skin care protocols for children with cardiac monitors: a data-driven clinical framework

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 13 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2025.1618405

DOI=10.3389/fped.2025.1618405

ISSN=2296-2360

ABSTRACT=ObjectiveTo develop a risk-stratified nursing protocol reducing electrode-related skin injuries (MARSI) in pediatric cardiac monitoring.MethodsUsing 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).ResultsSkin 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).ConclusionThis risk-stratified nursing protocol reduces pediatric MARSI incidence, supporting clinical implementation.