Evaluating Real-Time Pressure-Sensing Monitoring Added to Standard Intraoperative Pressure Injury Prevention in High-Risk Surgical Patients: A Prospective Non-Randomised Comparative Study

IF 2.5 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2026-10-08 DOI:10.1111/ijn.70185

Heng Yan, Xue Zhang, Juan Liu, Xiaofeng Chen, Ting Chen, Meijuan Zhen, Binbin Luo, Qiaofang He

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引用次数: 0

Abstract

Background

Patients undergoing prolonged complex surgery are vulnerable to perioperative pressure injuries. The clinical value of adjunctive pressure-mapping systems in this setting remains uncertain.

Aims

This study aimed to evaluate whether real-time intraoperative pressure-sensing monitoring, used in addition to standard pressure injury prevention care, was associated with differences in perioperative pressure injury incidence and related outcomes among adults undergoing prolonged high-risk surgery.

Methods

A total of 250 adults undergoing prolonged cardiac, hepatobiliary, neurosurgical, or orthopaedic procedures were enrolled. Participants received either standard institutional pressure injury prevention care alone or standard care plus real-time pressure-sensing monitoring, with group allocation determined by device availability and operating-room scheduling logistics. The primary outcome was newly identified perioperative pressure injury through postoperative day 7. Secondary clinical outcomes were time from surgery to injury onset and hospital length of stay.

Results

Pressure injuries occurred more frequently in the monitoring group than in the standard-care group (68.0% vs. 53.6%, p = 0.02), whereas injury severity and anatomical distribution were comparable. Time to documented injury was shorter, and postoperative pain scores and hospital stay were lower and shorter in the monitoring group. Interface-pressure data were available for the monitoring group only and are reported descriptively.

Conclusions

Real-time pressure-sensing monitoring, when added to standard preventive care, was associated with improved selected secondary outcomes but did not reduce pressure injury incidence and was associated with a higher injury frequency in this cohort. These findings should be interpreted cautiously given the non-randomised design and baseline differences between groups.

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评估实时压力传感监测加入标准术中压力损伤预防高危手术患者：一项前瞻性非随机比较研究。

背景：长期复杂手术患者易发生围术期压力损伤。在这种情况下，辅助压力测量系统的临床价值仍然不确定。目的：本研究旨在评估在标准的压力损伤预防护理之外使用的实时术中压力传感监测是否与接受长期高风险手术的成人围术期压力损伤发生率和相关结局的差异有关。方法：共纳入250名接受长期心脏、肝胆、神经外科或骨科手术的成年人。参与者接受标准的机构压力损伤预防护理或标准护理加实时压力传感监测，分组分配由设备可用性和手术室调度后勤决定。主要结果是术后第7天新发现的围手术期压力损伤。次要临床结果为从手术到受伤的时间和住院时间。结果：压力损伤在监测组的发生率高于标准护理组（68.0%比53.6%,p = 0.02），而损伤的严重程度和解剖分布具有可比性。记录损伤的时间更短，监测组的术后疼痛评分和住院时间更低、更短。接口压力数据仅对监测组可用，并以描述性方式报告。结论：在该队列中，实时压力传感监测与标准预防护理相结合，可改善选定的次要结局，但不能降低压力损伤发生率，并与更高的损伤频率相关。考虑到非随机设计和组间基线差异，这些发现应谨慎解释。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.