Journal of tissue viability最新文献

{"title":"Cognitive gaps and educational needs in foot self-care among patients with diabetic foot from a health literacy perspective: A qualitative study","authors":"Xiaodan Lin ,&nbsp;Xianghao Chen ,&nbsp;Yuantian Li ,&nbsp;Shumin He ,&nbsp;Haidan Xie ,&nbsp;Xiaozhou Zhou","doi":"10.1016/j.jtv.2025.100960","DOIUrl":"10.1016/j.jtv.2025.100960","url":null,"abstract":"<div><h3>Objective</h3><div>From both the healthcare provider and patient perspectives, this study explores the specific cognitive gaps and educational needs related to health literacy in the self-care behaviors of patients with Wagner grade 0 diabetic foot (DF), to provide a basis for optimizing intervention strategies.</div></div><div><h3>Method</h3><div>This study adopted a descriptive phenomenological qualitative research design. Based on the International Working Group on the Diabetic Foot (IWGDF) guidelines for foot ulcer prevention, we constructed a guideline for proper foot self-care behaviors. We conducted semi-structured interviews based on this guideline with 13 healthcare professionals with varying levels of clinical experience and 6 patients with Wagner grade 0 diabetic foot (DF). The data were analyzed using Colaizzi's 7-step method to extract the core themes.</div></div><div><h3>Results</h3><div>We extracted three core themes: (1) Deficits in Knowledge and Risk Perception (fragmented understanding of foot pathology, impaired causal reasoning); (2) Limitations in Self-care Ability and Social Support (physical limitations, inadequate social support); (3) Failures in the Communication and Information Environment (lack of terminology comprehension, unmet needs and inaccessible resources, spread of misinformation and desensitization to risks).</div></div><div><h3>Conclusion</h3><div>The self-care difficulties of Wagner stage 0 DF patients stem from a multi-dimensional deficit in health literacy: a disconnect between risk perception and the understanding of the behavioral cause-and-effect chain at the cognitive level, behavioral capabilities restricted by both physical and social factors, a communication gap due to a lack of terminology and resource discontinuity, and the vicious cycle of misinformation and risk insensitivity. This study moves beyond the previous focus solely on 'knowledge deficiency,' proposing the key roles of 'causal health literacy deficiency' and 'systemic ecological dysfunction.' It calls for a paradigm shift in health literacy education from imparting 'fragmented knowledge' to fostering 'causal internalization,' and from emphasizing 'individual responsibility' to enabling 'systemic empowerment,' providing a basis for the precise design of educational strategies centered on 'causal logic and system support.'</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100960"},"PeriodicalIF":2.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145218968","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":"Risk factors and predictive model for pressure injuries in ICU patients with a Braden score ≤9 based on initial serum biomarkers at admission.","authors":"Jiang Yifan, Li Juan, Tai Rui, Wang Li, Sheng Yi, Yang Lina, Ma Rong, Xu Jianlei, Xu Jianwen, Fei Kaihong, Wang Wenjie","doi":"10.1016/j.jtv.2025.100955","DOIUrl":"https://doi.org/10.1016/j.jtv.2025.100955","url":null,"abstract":"<p><strong>Objective: </strong>To explore the association between initial serum biomarkers at admission and the development of pressure injuries (PIs) in intensive care unit (ICU) patients with a Braden score ≤9, and to construct a predictive model for PI risk. The goal is to support early identification and personalized nursing interventions for high-risk individuals.</p><p><strong>Methods: </strong>A retrospective study of 290 ICU patients with a Braden score ≤9 admitted to six tertiary hospitals in Shanghai between January 2020 and January 2024. Patients were divided into a PI group (n = 115) and a non-PI group (n = 175) based on whether they developed a pressure injury. Demographic characteristics, clinical interventions, and laboratory data on the day of admission were collected. Univariate and multivariate logistic regression analyses were used to identify independent risk factors and to build a predictive model, with model performance evaluated via receiver operating characteristic (ROC) analysis.We developed a bedside-applicable logistic prediction model using admission-day variables and, after model estimation, derived risk thresholds from the ROC coordinate table to enable three-tier risk stratification.</p><p><strong>Results: </strong>Independent risk factors for pressure injury included older age, lower serum sodium and calcium levels, elevated white blood cell count, increased glutamate and alanine levels, positive intestinal pathogen colonization, use of mechanical ventilation, and application of physical restraints (all P < 0.05). The final logistic regression model showed good fit (Hosmer-Lemeshow test, P = 0.807) and strong discrimination (AUC = 0.910, 95 % CI: 0.877-0.943), with a sensitivity of 81.7 % and specificity of 86.9 %.The model showed excellent discrimination (AUC 0.910) and was operationalized into low (P < 0.3426), intermediate (0.3426≤P < 0.5720), and high risk (P ≥ 0.5720), each mapped to specific bedside actions.</p><p><strong>Conclusion: </strong>Among ICU patients with a Braden score ≤9, initial serum biomarkers combined with key clinical features can effectively identify individuals at high risk of pressure injuries. The predictive model developed in this study demonstrates strong clinical applicability and discriminative power, providing scientific support for precision nursing interventions.This study provides a clear, clinically actionable risk-to-action protocol for ICU patients with Braden scores ≤9.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"100955"},"PeriodicalIF":2.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239052","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":"Wound education opportunities for rural and regional health care sectors of Australia. A scoping review","authors":"Helen Donovan ,&nbsp;Ut T. Bui ,&nbsp;Kim Kaim ,&nbsp;Kathleen Finlayson ,&nbsp;Adelina Martinez ,&nbsp;Austin Dunlop ,&nbsp;Christina N. Parker","doi":"10.1016/j.jtv.2025.100959","DOIUrl":"10.1016/j.jtv.2025.100959","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this review was to examine the existing literature describing wound care education opportunities for healthcare professionals working in rural and regional areas of Australia.</div></div><div><h3>Design</h3><div>A scoping literature review was undertaken in December 2023, aligned with PRISMA-ScR guidelines, and searched academic databases and grey literature with no publication date limitations.</div></div><div><h3>Findings</h3><div>This scoping review identified limited wound care education programs tailored for rural and regional Australia. Most were delivered by nurses online or via video conferencing as an educational program to improve clinicians’ access to evidence-based knowledge. One program offered ongoing mentorship. Consistent positive outcomes included increased confidence among health professionals and improved quality patient care. None of the seven studies reviewed focused specifically on wound care for Indigenous populations.</div></div><div><h3>Discussion</h3><div>While there are wound care education opportunities, when reviewed against the National Rural and Remote Generalist Framework (2023), the specific needs of health care professionals managing the diversity of presenting wounds in rural and regional health care sectors has not been well described in the literature.</div></div><div><h3>Conclusion</h3><div>Despite a paucity of literature, anecdotally, there is a clear need for healthcare professional wound care education to be tailored to the specific issues in rural/regional areas.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100959"},"PeriodicalIF":2.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199889","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":"Silver dressings for treating diabetic foot ulcers: a systematic review and meta-analysis","authors":"Qinci Xie ,&nbsp;Jinying Wang ,&nbsp;Gaofeng Huang ,&nbsp;Jiezhi Dai","doi":"10.1016/j.jtv.2025.100956","DOIUrl":"10.1016/j.jtv.2025.100956","url":null,"abstract":"<div><h3>Background</h3><div>We performed this meta-analysis to evaluate the effects of effectiveness of silver-based dressings for the treatment of diabetic foot ulcer (DFU).</div></div><div><h3>Methods</h3><div>In the study, we searched electronic databases including PubMed, EMBASE, BIOSIS, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and Google Scholar internet. The study was carried out from inception to Sep 30, 2024, with English-language papers only being considered. We assessed eligible studies that comparing the effects of silver dressings with other dressings on wound healing in DFU. The primary outcomes included complete ulcer healing rate and healing time. The standard mean differences (SMDs) or the odds ratios (ORs) was calculated for continuous or dichotomous data, respectively.</div></div><div><h3>Results</h3><div>In our study, twelve trials with 808 patients and 857 ulcers were included. The meta-analysis showed a high ulcer healing rate in the silver dressing group compared with the control group (OR = 1.92, 95 % CI 1.36 to 2.72, P = 0.06), and the ulcer healing time in the silver dressing group was significantly shorter than that in the control group (SMD = -2.08, 95 % CI -2.92 to −1.25 P &lt; 0.00001, I² = 91 %).</div></div><div><h3>Conclusion</h3><div>silver dressing is effective in enhancing complete healing rate and shortening ulcer healing time in DFU, suggesting its potential as a superior adjunct in treatment of DFU. More high-quality and well-designed research is required in the future.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100956"},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149718","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 survey of society of tissue viability members in response to the pressure ulcer categorisation recommendations made by the national wound care strategy programme","authors":"Clare Greenwood ,&nbsp;Peter Worsley","doi":"10.1016/j.jtv.2025.100961","DOIUrl":"10.1016/j.jtv.2025.100961","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100961"},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149697","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":"Spinal cord stimulation in patients with diabetic foot: Determining prognosis using infrared thermography","authors":"Min Bao ,&nbsp;Hongyu Qu ,&nbsp;Mingjie Zhang","doi":"10.1016/j.jtv.2025.100957","DOIUrl":"10.1016/j.jtv.2025.100957","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to determine whether perioperative infrared thermography (IRT) could be used as an index of success in the treatment of spinal cord stimulation (SCS) in patients with diabetic foot (DF) and in selecting suitable candidates for long-term SCS.</div></div><div><h3>Methods</h3><div>Thirty-three DF patients who met the inclusion criteria underwent permanent SCS implantation at Shengjing Hospital from January 2021 to August 2023. Patients were grouped by preoperative Wagner grading, and peripheral sensory neuropathy was tested with a 10-g monofilament. Preoperative and 1-week postoperative IRT was performed to record lower limb skin temperature. Patients were divided into success (no amputation) and failure (amputation) groups based on limb salvage status. Receiver operating characteristic curve and logistic regression analysis were used for evaluation.</div></div><div><h3>Results</h3><div>All patients completed 6-month follow-up with pain relief (preoperative VAS: 6.82 ± 1.32; postoperative VAS: 5.48 ± 1.18; P &lt; 0.001), and 52 limbs were salvaged (success rate: 78.8 %). No significant difference in success rate was found among different Wagner grades (P = 0.293). The success group had increased postoperative IRT (△IRT: 0.65 °C), while the failure group had decreased IRT (△IRT: 0.70 °C). The success rate was lower in patients with large-fiber neuropathy (59.1 % vs 88.6 %, P = 0.007). The diagnostic threshold of △IRT was −0.12 °C (AUC = 0.79, P &lt; 0.001). Logistic regression showed large-fiber neuropathy (P = 0.025) and △IRT (P = 0.001) were related to prognosis.</div></div><div><h3>Conclusion</h3><div>SCS treatment effectively relieved lower limb pain. Patients with DF and large-fiber neuropathy had a lower surgical success rate. IRT was significantly higher in the treatment success group. Perioperative IRT changes of &lt; –0.12 °C and combined large-fiber neuropathy were identified as warning signs, and patients with these signs should be treated with caution when receiving long-term SCS therapy. IRT can be used as a diagnostic index for the prognosis of patients with DF receiving SCS and to select suitable long-term SCS treatment candidates.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100957"},"PeriodicalIF":2.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145154774","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":"An exploration of barriers to and enablers of offering treatments to prevent recurrence of venous leg ulcers","authors":"Abeer Muflih Alkahtani ,&nbsp;Jo C. Dumville ,&nbsp;Lily Mott ,&nbsp;Christopher J. Armitage","doi":"10.1016/j.jtv.2025.100954","DOIUrl":"10.1016/j.jtv.2025.100954","url":null,"abstract":"<div><h3>Aim</h3><div>To: (1) explore the factors influencing the offering of venous leg ulcer (VLU) recurrence preventative treatments from the perspective of NHS nurses, and (2) recommend potential intervention strategies to ameliorate inhibitors to offering those preventative treatments.</div></div><div><h3>Methods</h3><div>This qualitative study used semi-structured online interviews with seventeen NHS nurses who provide wound care. The interviews were guided by the Capabilities, Opportunities and Motivation model of Behaviour change (COM-B). Framework Analysis, incorporating inductive coding to capture emergent themes and deductive coding informed by the Theoretical Domains Framework (TDF) was conducted. NVivo software aided data management, and coding was conducted collaboratively by an interdisciplinary team.</div></div><div><h3>Results</h3><div>Data were mapped to six relevant TDF domains. Three of these domains were found to influence offering of both preventative treatments. While nurses understood the importance of VLU care post-healing, there was a perception of limited provision of prophylactic treatments in NHS organisations (environmental context and resources), which can be reflected in the lack of embedding national guidelines into local pathways (memory, attention and decision processes). Nevertheless, some nurses acknowledged the significance of their role in offering those prophylaxis with their patients (social/professional role and identity).</div><div>In addition to the primary three domains, two more domains were identified influencing offering of prophylactic compression. While some nurses lacked confidence in offering the strongest tolerated compression (beliefs about capability), working within an experienced team was perceived to enhance their confidence and support optimal prescription of prophylactic compression. Furthermore, with the primary three domains, one additional domain was identified influencing referrals to vascular services. Nurses interviewed were largely unaware of endo-venous ablation surgery as a prophylactic treatment option for people with healed VLUs (knowledge). Five intervention functions (environmental restructuring, enablement, education, modelling and persuasion), and nine behaviours change technique groupings (goals and planning, antecedents, associations, self-belief, comparison of behaviour, repetition and substitution, comparison of outcomes, social support and shaping knowledge) were identified.</div></div><div><h3>Conclusions</h3><div>The identified intervention functions and the behaviour change techniques can inform the design of future intervention. Key targets for change include service-focused elements on VLU care after healing and the integration of national guidelines with local resources to aid decision-making and boost opportunities to offer evidence-based approaches to reduce or prevent recurrence of VLUs.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100954"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095144","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":"Assessment of reducing the humidity of the incubator to improve the skin of premature infants with surgical wound","authors":"Dan Li ,&nbsp;Ruming Ye ,&nbsp;Nanxi Zhu ,&nbsp;Cuimin Su ,&nbsp;Deyi Zhuang ,&nbsp;Xianghui Huang","doi":"10.1016/j.jtv.2025.100953","DOIUrl":"10.1016/j.jtv.2025.100953","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Due to the fragile skin of preterm infants, the risk of postoperative incision infection is higher. Too high humidity in the incubator can affect the postoperative wound healing of premature infants. To explore the effect of reducing the environmental humidity in the incubator on the postoperative wound healing of premature infants, so as to provide more scientific and effective nursing strategies for premature infants.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;From January 2023 to March 2024, premature infants admitted to the SICU of Xiamen Children's Hospital in China after abdominal surgery were selected. According to the random number generated by the computer, all patients were randomly divided into the experimental group and the control group. The humidity of the incubator was set according to the gestational age and weight of the infants in the control group, and the humidity was reduced by 10 % on this basis in the experimental group. The number of colonies on the surface of incubator rubber ring, door handle and mattress were compared between the two groups before operation, 24 h and 7 days after operation. The scores of NSCS on the day before surgery, the 3rd and 8th day after operation, the number of colonies in the tip of nose, neck, umbilical region and perianal region, skin infection, skin healing were also compared. Body weight on the 1st and 2 nd week after operation, and urine volume on the 1st, 3rd and 7th day after operation were compared between the two groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;NSCS of the experimental group and the control group on the 8th day after operation were statistically different (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). NSCS in experimental group on the 8th day after operation was smaller than that on the 1st day before operation, and the difference was statistically significant (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). There were 2 cases of incision infection in the experimental group and 4 cases in the control group, all of which were limited to incision infection and did not involve deep tissues. The incision healing time of the experimental group was significantly shorter than that of the control group (&lt;em&gt;P&lt;/em&gt; &lt; 0.001). There was a significant difference in perianal bacterial load between the two groups on the third day after surgery (&lt;em&gt;P&lt;/em&gt; = 0.001). No bacteria were detected in the three parts of the incubator in the experimental group and the control group before operation. The number of bacterial colonies measured in the rubber ring of the experimental group was higher than that of the control group at 24h after operation, but the rest of the total number of bacterial colonies was lower than that of the control group, and the difference between the two groups at three different sites was especially significant at 7d after operation. The weight of children in both groups increased significantly within the first and second postoperative weeks, with statistically significant intra-group differ","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100953"},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206800","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":"Factors influencing wound complication risk in maxillofacial injury patients: Insights from a cross-sectional debridement and suturing study","authors":"Yongle Shi ,&nbsp;Chenxin Huang ,&nbsp;Yanjun Diao ,&nbsp;Hanghang Liu ,&nbsp;Xiaohui Zhang ,&nbsp;Xian Liu","doi":"10.1016/j.jtv.2025.100951","DOIUrl":"10.1016/j.jtv.2025.100951","url":null,"abstract":"<div><h3>Aim</h3><div>This study focuses on wound complications after debridement and suture of maxillofacial injuries, aiming to accurately identify the risk factors and construct an effective prediction model.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in the emergency department of a tertiary dental hospital in southwest China from January to May 2024. Clinical data were obtained from patients who underwent debridement and suturing procedures for maxillofacial injuries under local anesthesia. Lasso regression was employed to identify risk factors, and binary logistic regression was utilized to construct the prediction model. The performance of the model was assessed based on accuracy, sensitivity, specificity, the receiver operating characteristic (ROC) curve, and the area under the curve (AUC).</div></div><div><h3>Results</h3><div>The incidence of postoperative wound complications was 25 % (196/783). Following Lasso regression analysis, 14 risk factors were identified. Subsequent binary logistic regression analysis, which included variables selected by the Lasso regression, revealed that wound complications were influenced by interval time between injury and visit (hours), endocrine disorder, accompanying caregiver, penetrating injury, tissue defect, duration of surgery (hours), anesthesia, and intraoperative cooperation of patients (p &lt; 0.05). The calibration curve of the predictive model demonstrated high consistency between predicted and actual probabilities, with an AUC of 0.73.(95 % CI: 0.682–0.763).</div></div><div><h3>Conclusions</h3><div>This study developed a predictive model for postoperative complications in maxillofacial trauma by incorporating key risk factors including injury-to-visit interval, endocrine disorder, penetrating injury status, and tissue defects. The model enables precise perioperative risk stratification and personalized clinical decision-making, providing essential evidence-based guidance for trauma management.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100951"},"PeriodicalIF":2.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044033","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":"Prognostic factors for incontinence-associated dermatitis (IAD): Results of an international expert survey","authors":"Julie Deprez ,&nbsp;Jan Kottner ,&nbsp;Alexandra Eilegård Wallin ,&nbsp;Carina Bååth ,&nbsp;Ami Hommel ,&nbsp;Lisa Hultin ,&nbsp;Anna Josefson ,&nbsp;Dimitri Beeckman","doi":"10.1016/j.jtv.2025.100952","DOIUrl":"10.1016/j.jtv.2025.100952","url":null,"abstract":"<div><h3>Background</h3><div>Incontinence-associated dermatitis (IAD) is a prevalent and distressing form of irritant contact dermatitis caused by prolonged exposure to urine and/or faeces. Not all incontinent individuals develop IAD, suggesting that additional prognostic factors contribute to its onset. The quality of empirical evidence supporting risk factors for IAD development is moderate to very low. Therefore, it is necessary to systematically compile and analyse expert knowledge on this topic.</div></div><div><h3>Aim</h3><div>This study aimed to identify and prioritise key prognostic factors for IAD development through an international expert consultation.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional expert survey was conducted among international experts using an electronic survey platform. Participants rated the importance of 26 pre-identified prognostic factors, ranked relevant factors and suggested additional factors. Data were analysed to determine expert consensus and factor rankings.</div></div><div><h3>Results</h3><div>A total of 45 experts participated, with a response rate of 39 %. The highest-ranked prognostic factors included double incontinence, faecal incontinence, loose stools, stool frequency, urinary incontinence, and impaired mobility. Other important factors were advanced age, friction and shear forces, cognitive impairment, and poor nutrition. In addition, experts highlighted systemic factors such as caregiver knowledge gaps and staff shortages as potential contributors to IAD risk.</div></div><div><h3>Conclusion</h3><div>Study results support established risk factors for IAD development such as stool frequency and limited mobility. Experts also identified factors, such as higher age and the presence of loose or liquid stool, that are considered relevant by experts but are not yet fully supported by empirical evidence. Findings will inform a future large-scale cohort study.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100952"},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003666","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}