Journal of tissue viability最新文献

{"title":"Effect of cuff pressure and protective padding material selection on the prevention of skin complications associated with pneumatic tourniquet application in upper extremity surgery: A randomized controlled clinical trial","authors":"Sevgi Vermisli Ciftci ,&nbsp;Zeki Gunsoy ,&nbsp;Fatma Demir Korkmaz","doi":"10.1016/j.jtv.2025.100931","DOIUrl":"10.1016/j.jtv.2025.100931","url":null,"abstract":"<div><h3>Purpose</h3><div>This study investigated the effect of cuff pressure and the selection of protective padding material (PPM) on the prevention of skin complications associated with pneumatic tourniquet (PT) application in upper extremity surgery.</div></div><div><h3>Methods</h3><div>This randomized controlled trial was conducted between October 2022 and September 2023 at the Hand Surgery Clinic of Bursa City Hospital. Standard tourniquet pressure (STP) or limb occlusion pressure (LOP) was applied as PT cuff pressure. Cotton pad (CP) or elastic stockinette (ES) was used for PPM under the cuff. Patients were categorized into four groups; (i) STP with a CP; (ii) STP with an ES; (iii) LOP with a CP; and (iv) LOP with an ES. Total of 200 patients were included in the study, with 50 patients in each group. Skin complications were evaluated postoperatively at 0, 30, and 180 min.</div></div><div><h3>Results</h3><div>Four different skin complications were observed: redness, tourniquet scar, petechiae, and bullae. Redness was higher at 0 min in the group with STP using a CP and at 30 min in the group with LOP using an ES. Tourniquet scar was less in the LOP using an ES at 0 and 30 min. Petechiae was more in the STP group with the CP than in the LOP group at 180 min. Bullae were more in the group with STP using a CP at 0, 30, and 180 min.</div></div><div><h3>Conclusion</h3><div>LOP for the purposes of cuff pressure and the use of an ES as a PPM are recommended to reduce skin complications associated with PT application.</div></div><div><h3>The CTRN</h3><div>2022–12/5(ClinicalTrials.gov).</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100931"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of topical insulin therapy on diabetic foot ulcers: A systematic review and meta-analysis","authors":"Shibei Hu ,&nbsp;Yan Gong ,&nbsp;Huiqi Zhang ,&nbsp;Xiujing Guo ,&nbsp;Peiyan Li","doi":"10.1016/j.jtv.2025.100932","DOIUrl":"10.1016/j.jtv.2025.100932","url":null,"abstract":"<div><h3>Aims</h3><div>To systematically analyze the effect of topical insulin therapy on diabetic foot ulcers and to offer guidance for clinical practice.</div></div><div><h3>Methods</h3><div>We conducted a quantitative systematic review of the study in 9 representative databases for the effect of topical insulin therapy on diabetic foot ulcers. Meta-analysis was performed with Review-Manager. 5.4. This study has been registered on the official Prospero website, and the registration code is CRD42024581466.</div></div><div><h3>Results</h3><div>Twelve studies involving 731 patients were included. The meta-analysis results showed that compared with conventional treatment, topical insulin therapy can reduce wound healing time (<em>P</em> &lt; 0.001), and wound area (<em>P</em> &lt; 0.001), inflammatory factors (serum interleukin-1, interleukin-6, tumor necrosis factor-α(<em>P</em> &lt; 0.001), advanced glycation end products (<em>P</em> &lt; 0.001). Additionally, it improved the degree of granulation tissue regeneration (<em>P</em> &lt; 0.001), microvascular density (<em>P</em> &lt; 0.001), vascular endothelial growth factor (<em>P</em> &lt; 0.001), and the expression of β-catenin in wound tissue (<em>P</em> &lt; 0.001). However, there was no statistically significant difference in fasting plasma glucose (<em>P</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Topical insulin therapy is effective in promoting wound healing and reducing inflammation in DFU patients, but its impact on blood glucose control remains uncertain. Further, high-quality RCTs are needed to confirm these findings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100932"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A health economic analysis of ‘A novel implementation of best evidence practice for incontinence-associated dermatitis’ (IMBED)","authors":"Michelle Cunich ,&nbsp;Michelle Barakat-Johnson ,&nbsp;Sheena Arora ,&nbsp;Jody Church ,&nbsp;Michelle Lai ,&nbsp;John Stephenson ,&nbsp;Shifa Basjarahil ,&nbsp;Jayne L. Campbell ,&nbsp;Gary Disher ,&nbsp;Samara Geering ,&nbsp;Natalie Ko ,&nbsp;Catherine Leahy ,&nbsp;Thomas Leong ,&nbsp;Eve McClure ,&nbsp;Melissa O'Grady ,&nbsp;Joan Walsh ,&nbsp;Kate White ,&nbsp;Fiona Coyer","doi":"10.1016/j.jtv.2025.100930","DOIUrl":"10.1016/j.jtv.2025.100930","url":null,"abstract":"<div><h3>Aim</h3><div>To assess resource usage and other outcomes of implementing a bundle of evidence-based, clinician-led incontinence-associated dermatitis interventions, ‘IMBED’ intervention.</div></div><div><h3>Methods</h3><div>Patients with incontinence recruited from 6 public hospitals in Australia in pre-intervention (1 February-31 March 2020) and post-intervention periods (1 May-30 June 2021). For the health economic study, nurses/research officers recorded resource usage for a random sample of incontinence care episodes each week.</div></div><div><h3>Results</h3><div>799 patients with incontinence (9645 incontinence care episodes). There were significant differences in the proportion of incontinence care episodes using specific product-types between the pre- and post-intervention groups, with the greatest increase for treatment/prevention products (55.2 % versus 82.8 %; p &lt; 0.001) and decrease for underpads/bed pads (28.5 % versus 12.9 %; p &lt; 0.001). There was a significant decrease in mean total product cost per incontinence care episode between these groups (AU$2.64 versus AU$2.35; p &lt; 0.001). There was a significant increase in mean staff cost per incontinence care episode between these groups (AU$9.65 versus AU$10.09; p = 0.001), driven by increases in the mean number of staff and time spent per episode. There was an increase in mean total cost per incontinence care episode (AU$0.15) between these groups but not significant (p = 0.344).</div></div><div><h3>Conclusion</h3><div>There was a significant decrease in mean total product cost per incontinence care episode in the intervention group. There was no significant change in mean total incontinence care cost per episode associated with the intervention, suggesting hospitals adopted IMBED with minimal extra expenses. There was streamlined resource usage and reductions in products not supported by evidence-based guidelines.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100930"},"PeriodicalIF":2.4,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of digital health interventions in chronic ulcer management: a systematic review","authors":"Elise Stevenson ,&nbsp;Andrea Coda ,&nbsp;Ginger Chu ,&nbsp;Michael Bourke","doi":"10.1016/j.jtv.2025.100928","DOIUrl":"10.1016/j.jtv.2025.100928","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100928"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of systemic sclerosis on foot skin hydration: A case-control study","authors":"Alba Gracia-Sánchez ,&nbsp;Laura Cano-García ,&nbsp;Laura Ramos-Petersen ,&nbsp;Gabriel Gijón-Nogueron ,&nbsp;Sara Zúnica-García ,&nbsp;Esther Chicharro-Luna","doi":"10.1016/j.jtv.2025.100929","DOIUrl":"10.1016/j.jtv.2025.100929","url":null,"abstract":"<div><h3>Introduction</h3><div>Systemic sclerosis (SSc), or scleroderma, is a connective tissue disease characterized by excessive collagen production, leading to microvascular damage, fibrosis, and dysfunction of the skin and internal organs. The skin of the foot, due to its weight-bearing function and exposure to mechanical forces, may undergo alterations, contributing to the development of ulcers and other podiatric complications. However, little is known about foot skin hydration in patients with SSc. This study aims to assess the hydration level of the stratum corneum in the foot skin of patients with SSc.</div></div><div><h3>Materials and methods</h3><div>A case-control study was conducted at the Clinical Rheumatology Unit of the Regional University Hospital of Málaga (Spain). Participants included 47 patients diagnosed with SSc and 52 age- and sex-matched controls. Hydration measurements were performed at ten points on the foot using the Corneometer 825® device. Sociodemographic and clinical data, including smoking habits, were also collected.</div></div><div><h3>Results</h3><div>No significant differences were found in total foot hydration between the SSc and control groups (p = 0.254 for the right foot, p = 0.835 for the left foot), although a trend towards lower hydration was observed in the feet of affected patients. Differences were identified in specific areas of the foot, with lower hydration levels in the arch and the medial and lateral heel regions. In the medial arch of the right foot, the SSc group showed significantly lower hydration (p = 0.006). No significant associations were found with age, body mass index (BMI), physical activity, or water intake, but an association with smoking habits was observed in SSc patients; non-smokers had higher foot hydration levels compared to former and current smokers (p = 0.06).</div></div><div><h3>Conclusion</h3><div>Patients with systemic sclerosis present reduced hydration in specific areas of the foot, particularly in the medial arch. Smoking may negatively influence foot skin hydration. Further research is needed to explore these findings and their implications for podiatric care in patients with SSc.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100929"},"PeriodicalIF":2.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Exploring physiological differences in injury response by skin tone: A scoping Review\" [J Tissue Viabil (2025) 100871].","authors":"Pinar Avsar, Zena Moore, Declan Patton, Tom O'Connor, Lone Skoubo Bertelsen, Desmond J Tobin, Giulio Brunetti, Keryln Carville, Vignesh Iyer, Hannah Wilson","doi":"10.1016/j.jtv.2025.100896","DOIUrl":"10.1016/j.jtv.2025.100896","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"100896"},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a standardized skin care protocol in reducing incontinence-associated dermatitis among critical care patients: A clinical investigation","authors":"Shimmaa Mohamed Elsayed ,&nbsp;Mohamed Mahmoud Seweid ,&nbsp;Samah Anwar ,&nbsp;Sameer A. Alkubati ,&nbsp;Sally Mohammed Farghaly Abdelaliem PhD, MSC, BSc, RN, FHEA ,&nbsp;Nermine Mohamed Elcokany","doi":"10.1016/j.jtv.2025.100924","DOIUrl":"10.1016/j.jtv.2025.100924","url":null,"abstract":"<div><h3>Background</h3><div>Incontinence-associated dermatitis (IAD) is a common yet preventable skin condition among critically ill patients. Implementing standardized skin care protocols may help reduce its incidence and severity.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the effectiveness of implementing a standardized skin care protocol in preventing IAD among critically ill patients.</div></div><div><h3>Materials and methods</h3><div>A quasi-experimental research design adhering to the STROBE guidelines was used. The study was conducted in the intensive care units of a Governmental University Hospital, Egypt. A total of 100 adult critically ill patients were enrolled: 50 in the experimental group, who received the standardized skin care protocol, and 50 in the control group, who received routine skin care. Clinical and demographic data were collected. The study group followed the protocol for seven days. Two tools were used for data collection: Tool 1 involved demographic and clinical data, while Tool 2 included the Perineal Assessment Tool, the Incontinence-Associated Dermatitis Severity Instrument, and the Braden Scale for pressure ulcer risk assessment. Both groups were compared regarding the development of pressure ulcers, their locations, and the incidence of IAD.</div></div><div><h3>Results</h3><div>Application of the skin care protocol significantly reduced the incidence and severity of IAD in the study group compared to the control group. Significant predictors of increased risk for IAD included age, body mass index, fluid balance, and mean temperature (p ≤ 0.05). Serum albumin was not a significant predictor (p = 0.341).</div></div><div><h3>Conclusion</h3><div>Implementing a standardized skin care protocol effectively lowered the incidence and severity of IAD in critically ill patients and delayed its development. These findings highlight the importance of evidence-based skin care practices in intensive care settings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100924"},"PeriodicalIF":2.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ability of three pressure-ulcer prevention support-surfaces to maintain physiological transcutaneous gas tensions in the seated patient","authors":"Maegan Spiteri ,&nbsp;Alexandros Christou ,&nbsp;Colin Boyle ,&nbsp;Louise Savine ,&nbsp;Peter R. Worsley ,&nbsp;Spyros Masouros","doi":"10.1016/j.jtv.2025.100920","DOIUrl":"10.1016/j.jtv.2025.100920","url":null,"abstract":"<div><h3>Aims</h3><div>This study evaluates the effectiveness of three seating interventions—static foam (SF), alternating pressure (AP) cushion, and lateral pressure (LP) device—in reducing pressure ulcer (PU) risk among seated individuals by maintaining tissue perfusion levels in buttocks tissue.</div></div><div><h3>Methods</h3><div>Eight healthy participants were seated on each intervention for 30 min, followed by a 10-min standing recovery period. Transcutaneous tissue oxygen (TcPO₂) and carbon dioxide (TcPCO₂) were measured at the right ischial tuberosity to monitor tissue perfusion. Responses were recorded as a percentage change relative to each participant's unloaded baseline gas tensions and categorised into three levels of risk. Statistical analysis included paired, one-tailed t-tests to compare the impact of each seating intervention on transcutaneous gas tensions.</div></div><div><h3>Results</h3><div>Both AP and LP devices revealed a lower magnitude of ischemic carbon dioxide compared to the SF cushion, with mean TcPCO₂ increases of 13.8 % ± 12.0 % and 14.3 % ± 12.0 %, respectively, versus 96.5 % ± 106.5 % for SF. The corresponding TcPO₂ decrease was significantly less for AP (−29.2 % ± 15.7 %) and LP (−28.3 % ± 32.6 %) than for SF (−67.8 % ± 29.0 %). Participants spent significantly more time in the lowest risk category on the AP (17.5 min) and LP (18.2 min) devices than on the SF (2.2 min).</div></div><div><h3>Conclusion</h3><div>The AP and LP devices maintained favourable buttocks tissue perfusion more effectively compared to the SF, indicating their potential benefit in reducing PU risk for seated patients. These findings support the need for further research to confirm the efficacy of interventions across large sample sizes and longer durations.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100920"},"PeriodicalIF":2.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A discourse on skin tone assessment: The how, the why, and the path toward equitable pressure ulcer prevention","authors":"Pinar Avsar,&nbsp;Zena Moore,&nbsp;Declan Patton,&nbsp;Hannah Wilson","doi":"10.1016/j.jtv.2025.100897","DOIUrl":"10.1016/j.jtv.2025.100897","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100897"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ADVERTISEMENT - JTV - CONFERENCE 2026 210X280MM","authors":"","doi":"10.1016/S0965-206X(25)00071-3","DOIUrl":"10.1016/S0965-206X(25)00071-3","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100923"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}