Operation and Practice of the Scott-Munro Model: Risk Assessment of Intraoperatively Acquired Pressure Injuries.

IF 1.7 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI:10.1097/ASW.0000000000000281

Yanjun Wu, Yuting Chen, Weina Kong, Caiqin He, Dongxue Li

{"title":"Operation and Practice of the Scott-Munro Model: Risk Assessment of Intraoperatively Acquired Pressure Injuries.","authors":"Yanjun Wu, Yuting Chen, Weina Kong, Caiqin He, Dongxue Li","doi":"10.1097/ASW.0000000000000281","DOIUrl":null,"url":null,"abstract":"Abstract: Objective: To evaluate the feasibility and effectiveness of the Scott-Munro (S-M) model in the dynamic assessment of intraoperatively acquired pressure injuries (IAPIs) in adults.Methods: This study included 8,254 patients who underwent surgery between October 2022 and September 2023. The S-M model was applied for the dynamic risk assessment of IAPIs. The first cycle was set as the baseline from October 1, 2022, to December 31, 2022, and cycles were set every 3 months thereafter. Each cycle was compared with the first cycle and the previous cycle, in terms of IAPI incidence, actual assessment rate of IAPIs in high-risk patients, and accuracy of IAPI assessment in high-risk patients.Results: The incidences of IAPIs in the four cycles were 0.52%, 0.27%, 0.09%, and 0.13%, respectively. The third and fourth cycles both differed significantly from the first cycle (P < .05). The actual assessment rates of IAPIs in high-risk patients in the four cycles were 13.01%, 47.20%, 90.96%, and 95.67%, respectively (P < .05). Similarly, the accuracy of the assessment of IAPIs in high-risk patients was 38.04%, 67.37%, 89.93%, and 86.58%, respectively, in the four cycles (P < .05).Conclusions: The S-M model can reduce the incidence of IAPIs, dynamically and effectively evaluate IAPIs, and provide a basis for the management and prevention of IAPIs.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"90-95"},"PeriodicalIF":1.7000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Skin & Wound Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ASW.0000000000000281","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Abstract:

Objective: To evaluate the feasibility and effectiveness of the Scott-Munro (S-M) model in the dynamic assessment of intraoperatively acquired pressure injuries (IAPIs) in adults.

Methods: This study included 8,254 patients who underwent surgery between October 2022 and September 2023. The S-M model was applied for the dynamic risk assessment of IAPIs. The first cycle was set as the baseline from October 1, 2022, to December 31, 2022, and cycles were set every 3 months thereafter. Each cycle was compared with the first cycle and the previous cycle, in terms of IAPI incidence, actual assessment rate of IAPIs in high-risk patients, and accuracy of IAPI assessment in high-risk patients.

Results: The incidences of IAPIs in the four cycles were 0.52%, 0.27%, 0.09%, and 0.13%, respectively. The third and fourth cycles both differed significantly from the first cycle (P < .05). The actual assessment rates of IAPIs in high-risk patients in the four cycles were 13.01%, 47.20%, 90.96%, and 95.67%, respectively (P < .05). Similarly, the accuracy of the assessment of IAPIs in high-risk patients was 38.04%, 67.37%, 89.93%, and 86.58%, respectively, in the four cycles (P < .05).

Conclusions: The S-M model can reduce the incidence of IAPIs, dynamically and effectively evaluate IAPIs, and provide a basis for the management and prevention of IAPIs.

查看原文本刊更多论文

斯科特-芒罗模型的操作与实践：术中压伤的风险评估。

摘要：目的：评价Scott-Munro （S-M）模型在成人术中获得性压力损伤（IAPIs）动态评估中的可行性和有效性。方法：该研究包括8,254名在2022年10月至2023年9月期间接受手术的患者。采用S-M模型对iapi进行动态风险评估。第一个周期从2022年10月1日至2022年12月31日为基准，此后每3个月设置一个周期。从IAPI发生率、高危患者IAPI实际评估率、高危患者IAPI评估的准确性等方面比较每个周期与第一个周期和前一个周期。结果：4个周期内iapi的发生率分别为0.52%、0.27%、0.09%和0.13%。第3、4个周期与第1个周期比较差异均有统计学意义（P < 0.05）。4个周期内高危患者iapi的实际评估率分别为13.01%、47.20%、90.96%、95.67% （P < 0.05）。4个周期中高危患者iapi的评估准确率分别为38.04%、67.37%、89.93%和86.58% （P < 0.05）。结论：S-M模型可降低iapi的发生率，动态有效地评价iapi，为iapi的管理和预防提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.