Journal of tissue viability最新文献

Development of an evidence-based protocol for the prevention of perioperative pressure injuries in pediatric cardiac surgery: A Delphi study 儿童心脏外科围手术期压力损伤预防循证方案的发展：德尔菲研究

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-23 DOI: 10.1016/j.jtv.2025.100948

Xiangai Ma , Jialu Fan , Jiehui Wang , He Lin

{"title":"Development of an evidence-based protocol for the prevention of perioperative pressure injuries in pediatric cardiac surgery: A Delphi study","authors":"Xiangai Ma , Jialu Fan , Jiehui Wang , He Lin","doi":"10.1016/j.jtv.2025.100948","DOIUrl":"10.1016/j.jtv.2025.100948","url":null,"abstract":"<div><h3>Aim</h3><div>Pediatric patients undergoing cardiac surgery are at high risk for perioperative pressure injuries (PPIs). This study aimed to develop an evidence-based protocol for the prevention of PPIs in pediatric cardiac surgery.</div></div><div><h3>Methods</h3><div>A literature review was conducted to identify and summarize the existing evidence on PPI prevention in pediatric cardiac surgery to construct an initial protocol. Two rounds of Delphi surveys were then performed to refine the protocol. The expert panel consisted of 20 multidisciplinary professionals from five tertiary hospitals, including nurses, surgeons, and anesthesiologists, 85 % of whom possess more than 20 years of clinical experience. The mean values of importance and feasibility of each indicator were calculated. Reliability of the Delphi method assessed by valid response rate, authority coefficient (Cr), coefficient of variation (CV) and Kendall’ W coefficient (Kendall’ W).</div></div><div><h3>Results</h3><div>Consensus was reached on 4 first-level items, 15 s-level items, and 27 third-level items for the PPI prevention protocol. The valid response rates for the two Delphi rounds were 83.3 % and 100 %, respectively, with Cr of 0.905 and 0.901, CV of less than 0.25, and Kendall’ W of 0.172 and 0.142 (<em>P</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>The developed PPI prevention protocol for pediatric cardiac surgery is both scientific and feasible, providing a reference for perioperative nurses to implement systematic and standardized PPI prevention care.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100948"},"PeriodicalIF":2.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721656","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}

引用次数: 0

Improving concordance with long-term compression therapy amongst people with venous hypertension and lower leg ulceration: A Delphi study- patient cohort 改善静脉高压和下肢溃疡患者长期压迫治疗的一致性：一项德尔福研究-患者队列

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-23 DOI: 10.1016/j.jtv.2025.100947

Chloe Jansz , William McGuiness , Sonja Cleary

{"title":"Improving concordance with long-term compression therapy amongst people with venous hypertension and lower leg ulceration: A Delphi study- patient cohort","authors":"Chloe Jansz , William McGuiness , Sonja Cleary","doi":"10.1016/j.jtv.2025.100947","DOIUrl":"10.1016/j.jtv.2025.100947","url":null,"abstract":"<div><div>Concordance rates for compression therapy (CT) among patients with venous leg ulcers (VLU) have consistently been suboptimal, despite efforts to understand influencing factors [2–4]. VLUs arise as a complication of chronic venous insufficiency (CVI), where venous incompetence or stenosis causes increased capillary permeability, fluid retention, and eventual ulceration [1].</div><div>CT is the established gold standard for managing CVI and preventing VLUs. CT works by enhancing venous return, reducing venous pressure, and minimising stasis. However, ensuring patient concordance to CT remains a challenge.</div><div>A Delphi study explored factors affecting CT concordance among VLU patients. The study identified 16 facilitators and 18 barriers, offering insights into the complexities of patient concordance. The study's analysis using the Kendall W Coefficient showed moderate consensus among participants regarding these influencing factors [9].</div><div>Efforts to improve CT concordance may benefit from addressing the identified barriers while leveraging facilitators, with a focus on personalised care approaches to enhance outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100947"},"PeriodicalIF":2.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721655","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}

引用次数: 0

Evaluation of surgery-related pressure injury with infrared thermal camera in the postoperative intensive care unit 术后重症监护病房用红外热像仪评价手术相关压力损伤

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-22 DOI: 10.1016/j.jtv.2025.100944

Onur Çor , Arzu Özcan İlçe , Yavuz Demiraran

{"title":"Evaluation of surgery-related pressure injury with infrared thermal camera in the postoperative intensive care unit","authors":"Onur Çor , Arzu Özcan İlçe , Yavuz Demiraran","doi":"10.1016/j.jtv.2025.100944","DOIUrl":"10.1016/j.jtv.2025.100944","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to monitor skin temperature in pressure-prone areas of post-surgical patients in the intensive care unit using an infrared thermal camera and to examine the factors influencing the development of pressure injuries.</div></div><div><h3>Methods</h3><div>This prospective descriptive study was conducted on patients admitted to the intensive care unit following surgery lasting more than two hours. Skin temperature differences between the sacrum, right and left gluteal regions, and right and left heels, compared to reference regions, were measured using an infrared thermal camera. Measurements were taken immediately upon admission to the intensive care unit. The correlation between patients' clinical conditions and observed temperature differences was analyzed.</div></div><div><h3>Results</h3><div>The study included 59 patients and involved 590 thermographic evaluations. Temperature differences were identified between the reference areas and the right heel (−3.61 °C), left heel (−3.34 °C), left gluteal region (−2.9 °C), right gluteal region (−2.89 °C), and sacrum (−2.47 °C). A statistically significant correlation (p < 0.05) was found between patient age, albumin and hemoglobin levels, and temperature differences.</div></div><div><h3>Conclusions</h3><div>Temperature differences between the high-risk body parts of patients at risk of pressure injury after long-term surgery were measured using an infrared thermal camera. It is observed that, hypoalbuminemia, and low hemoglobin levels affect the temperature difference in the sacrum, gluteal region, and heels in a statistically significant way especially in advanced age. The infrared thermal camera proved to be more effective than the Braden Risk Assessment Scale in assessing skin for pressure injury risk. Further studies with larger sample sizes are recommended to confirm these findings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100944"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702831","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}

引用次数: 0

Development of a predictive formula for arterial complete occlusion pressure in upper and lower limbs during blood flow restriction 血流受限时上肢和下肢动脉完全闭塞压预测公式的建立

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-22 DOI: 10.1016/j.jtv.2025.100946

María García-Arrabé, Ángel González-de-la-Flor, Federico Salniccia, Javier López-Ruiz, Guillermo García-Pérez-de-Sevilla

{"title":"Development of a predictive formula for arterial complete occlusion pressure in upper and lower limbs during blood flow restriction","authors":"María García-Arrabé, Ángel González-de-la-Flor, Federico Salniccia, Javier López-Ruiz, Guillermo García-Pérez-de-Sevilla","doi":"10.1016/j.jtv.2025.100946","DOIUrl":"10.1016/j.jtv.2025.100946","url":null,"abstract":"<div><div>Blood flow restriction (BFR) is an innovative technique widely utilized in sports and rehabilitation for enhancing muscle strength and hypertrophy with low-load exercises. A critical factor for its efficacy and safety is determining the appropriate limb occlusion pressure (LOP). This study aimed to develop predictive formulas for estimating LOP in the upper and lower limbs based on anthropometric and hemodynamic variables, enabling a standardized and personalized approach to BFR application.</div><div>A cross-sectional observational study was conducted with 39 healthy participants aged 18–40 years. Variables such as systolic and diastolic blood pressure, limb circumferences, and BMI were analyzed. LOP was measured by two independent raters using Doppler ultrasound, and multiple linear regression models were developed for each limb. Results showed that systolic blood pressure and limb circumferences were key predictors for LOP in both upper and lower limbs, explaining 39.5 % and 40.9 % of the variance, respectively. BMI was not a significant predictor in either model.</div><div>High intra- and inter-rater reliability of LOP measurements was demonstrated, with intraclass correlation coefficients (ICC) of 0.99 for intra-rater and 0.98 for inter-rater reliability, indicating excellent agreement. The standard error of measurement (SEM), ranged from 1.08 to 4.10 mmHg across measures, while the minimum detectable change (MDC), ranged from 2.99 to 11.37 mmHg.</div><div>The findings provide a reliable framework for personalizing BFR protocols, improving safety and efficacy while reducing variability in clinical and sports settings. Future research should validate these formulas in diverse populations and explore their application during exercise.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100946"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695463","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}

引用次数: 0

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IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-21 DOI: 10.1016/S0965-206X(25)00089-0

引用次数: 0

Role understanding of the interprofessional team in promoting movement for pressure ulcer prevention: An ethnographic study 跨专业团队在促进压疮预防运动中的角色理解：一项民族志研究

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-05 DOI: 10.1016/j.jtv.2025.100936

Johanna Dreier , Sandra Staudacher-Preite , Hannah Bosshart , Sabine Hübsch , Peter Suter , Eva-Maria Panfil

{"title":"Role understanding of the interprofessional team in promoting movement for pressure ulcer prevention: An ethnographic study","authors":"Johanna Dreier , Sandra Staudacher-Preite , Hannah Bosshart , Sabine Hübsch , Peter Suter , Eva-Maria Panfil","doi":"10.1016/j.jtv.2025.100936","DOIUrl":"10.1016/j.jtv.2025.100936","url":null,"abstract":"<div><h3>Background</h3><div>Interprofessional movement promotion is a key measure for preventing pressure ulcers. Although international guidelines emphasize the importance of interprofessional collaboration, it remains unclear what specific roles different professional groups assume in movement promotion and how they collaborate in clinical practice. Therefore, this study aimed to investigate the implementation of interprofessional movement promotion as well as the understanding, roles, and expectations of the involved healthcare professionals.</div></div><div><h3>Methods</h3><div>As part of qualitative rapid ethnography, we observed the clinical practice of pressure ulcer prevention in an acute care hospital by using an observation guide, informal interviews, field notes, and memos. Using purposive sampling, we included patients at risk of pressure ulcers and the health professionals caring for them, including nurses, physiotherapists, and physicians. The data analysis was based on interpretive description.</div></div><div><h3>Results</h3><div>We observed 8 patients at risk of decubitus ulcers with relatives and 52 professionals from nursing, physiotherapy, and the medical profession during 30 observation sequences and a total of 80 h. We found uncertainties in the understanding of roles, responsibility for managing and controlling the process of movement promotion, and the involvement of patients and relatives. The involved professionals are convinced of the importance of interprofessional collaboration, but we did not observe corresponding implementation in practice.</div></div><div><h3>Conclusion</h3><div>The implementation of interprofessional movement promotion for pressure ulcer prevention in acute-care hospitals requires a binding, cross-hospital concept that defines the team composition, roles, and suitable communication channels to promote exchange.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100936"},"PeriodicalIF":2.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656700","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}

引用次数: 0

The effect of core exercises on shoulder rotator strength, core endurance and suprasipinatus structure in tennis players with rotator cuff injuries 核心训练对肩袖损伤的网球运动员肩旋转肌力量、核心耐力和斜上肌结构的影响

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-04 DOI: 10.1016/j.jtv.2025.100934

Emine Merve Ersever , Bayram Goktas

{"title":"The effect of core exercises on shoulder rotator strength, core endurance and suprasipinatus structure in tennis players with rotator cuff injuries","authors":"Emine Merve Ersever , Bayram Goktas","doi":"10.1016/j.jtv.2025.100934","DOIUrl":"10.1016/j.jtv.2025.100934","url":null,"abstract":"<div><h3>Objective</h3><div>— Tennis is a demanding sport that requires proper physical conditioning to prevent injuries in players with rotator cuff issues. This study aims to evaluate the effects of an eight-week core exercise training program on pain, core endurance, rotator strength, and muscle architecture in rotator cuff tennis players.</div></div><div><h3>Materials and methods</h3><div>— The study group consisted of 41 subjects (22 women, 19 men) with a mean age of 42.06 ± 8.17. The core exercise group trained with core exercises in addition to routine training 3 times a week for 8 weeks; The control group only performed routine training 3 times a week for the same duration. Assessments of pain, muscle endurance, strength, and architecture were conducted before and after the 8-week intervention.</div></div><div><h3>Results</h3><div>— Data analysis revealed a significant improvement in the experimental group compared to the control group. This indicates a large effect size (p < 0.05) in pain, muscle strength, endurance, and muscle architecture length (excluding pennation angle).</div></div><div><h3>Conclusions</h3><div>—The results of this study demonstrate that core exercise training is an effective method for reducing pain and improving functional outcomes in tennis players with rotator cuff lesions. Furthermore, the findings highlight the importance of targeted and comprehensive core stability training in minimizing the risk of re-injury.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100934"},"PeriodicalIF":2.4,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581139","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}

引用次数: 0

Mapping the evidence to determine the influence of stress, anxiety, and depression on wound healing in patients with diabetes-related foot ulcers: A scoping review 绘制证据以确定压力、焦虑和抑郁对糖尿病相关足溃疡患者伤口愈合的影响：一项范围综述

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-07-03 DOI: 10.1016/j.jtv.2025.100935

Lujain Alasfour , Ali Alboloushi , Ellen Kirwan , Caroline McIntosh , Claire MacGilchrist , Joanne E. Hurst

{"title":"Mapping the evidence to determine the influence of stress, anxiety, and depression on wound healing in patients with diabetes-related foot ulcers: A scoping review","authors":"Lujain Alasfour , Ali Alboloushi , Ellen Kirwan , Caroline McIntosh , Claire MacGilchrist , Joanne E. Hurst","doi":"10.1016/j.jtv.2025.100935","DOIUrl":"10.1016/j.jtv.2025.100935","url":null,"abstract":"<div><h3>Introduction</h3><div>Diabetes-related foot ulcers (DFUs) are a severe complication of diabetes, affecting an estimated 6.3 % of individuals globally and significantly increasing healthcare burdens. Psychological factors such as stress, anxiety, and depression are common in DFU patients and are believed to impact wound healing through immune system disruptions and decreased self-care.</div></div><div><h3>Objective</h3><div>This scoping review evaluates current evidence on the influence of psychological distress on DFU healing, identifies research gaps, and underscores the importance of integrating mental health support in DFU management.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute guidelines and PRISMA-ScR reporting standards, a comprehensive literature search was conducted in MEDLINE, CINAHL, and PubMed. Studies with adult DFU patients reporting stress, anxiety, or depression and measurable wound outcomes were included.</div></div><div><h3>Results</h3><div>Ten studies were included, consistently demonstrating that psychological distress impairs DFU healing. Chronic stress was found to extend inflammation and weaken immune function, while anxiety and depression were associated with reduced self-care and directly impaired wound healing, further hindering recovery. These findings highlight the significant impact of psychological factors on the DFU healing process.</div></div><div><h3>Conclusion</h3><div>psychological distress, including stress, anxiety, and depression, may impair the healing process of diabetes-related foot ulcers (DFUs). However, the evidence is very low quality, making it difficult to draw definitive conclusions. This highlights the need for further high-quality research to clarify the role of mental health in DFU management.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100935"},"PeriodicalIF":2.4,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556916","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}

引用次数: 0

Dynamic microcirculation characteristics of plantar skin in response to life-like pressure in diabetes patients 糖尿病患者足部皮肤动态微循环特征对生活压力的响应

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-06-26 DOI: 10.1016/j.jtv.2025.100933

Zhenming Zhang , Xiaoyu Tang , Xiaoming Zhu , Zhaolin Teng , Wen-Ming Chen , Jian Yu , Xin Sun , Qiaoli Cui , Xiang Geng , Xin Ma

{"title":"Dynamic microcirculation characteristics of plantar skin in response to life-like pressure in diabetes patients","authors":"Zhenming Zhang , Xiaoyu Tang , Xiaoming Zhu , Zhaolin Teng , Wen-Ming Chen , Jian Yu , Xin Sun , Qiaoli Cui , Xiang Geng , Xin Ma","doi":"10.1016/j.jtv.2025.100933","DOIUrl":"10.1016/j.jtv.2025.100933","url":null,"abstract":"<div><div>Diabetic foot ulcer (DFU) is a severe complication of diabetes associated with high mortality. Elevated plantar pressure and impaired microcirculation are considered as primary contributions to DFU. The International Working Group of Diabetic Foot (IWGDF) has recommended an increase in the level of walking‐related weight‐bearing daily activity by an extra 1000 steps/day, but has not provided specific exercise prescription due to limited data on the relationship between pressure and plantar microcirculation. In this study, we aimed to figure out the influence of cyclic life-like pressure on plantar DFU formation from microcirculation perspective. 20 healthy young subjects, 20 healthy middle-aged and elderly subjects, and 20 diabetes patients were recruited. A novel technique was developed to measure real-time skin blood flow (SBF) under cyclic life-like plantar pressure stimulus at plantar 1st metatarsal head. The exerted plantar force was adjusted from 10N (127.3 kPa) to 40N (509.3 kPa), increasing in an increment of 5N (63.7 kPa). Post-load SBF was measured for comparison after each level of pressure. We found all levels of cyclic pressure significantly increased plantar immediate-load and post-load SBF. Furthermore, a pressure threshold emerged at which the increasing magnitude of immediate-load SBF began to diminish. This altered microcirculatory response may serve as a valuable marker for identifying DFU risk and inform precise exercise prescriptions for patients with diabetes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100933"},"PeriodicalIF":2.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632641","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}

引用次数: 0

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 一项随机对照临床试验：袖带压力和保护性填充物选择对预防上肢手术中气动止血带应用相关皮肤并发症的影响

IF 2.4 3区医学

Journal of tissue viability Pub Date : 2025-06-14 DOI: 10.1016/j.jtv.2025.100931

Sevgi Vermisli Ciftci , Zeki Gunsoy , Fatma Demir Korkmaz

{"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 , Zeki Gunsoy , 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}

引用次数: 0