Journal of tissue viability最新文献

{"title":"Machine learning methods for determining skin age: A systematic review","authors":"Eric McMullen ,&nbsp;Rokhshid Aflaki ,&nbsp;Pranav Jignesh Khatri ,&nbsp;Dea Metko ,&nbsp;Kyle Storm ,&nbsp;Abu Bakar Butt ,&nbsp;Mahan Maazi ,&nbsp;Raghav Gupta ,&nbsp;Rajan Grewal ,&nbsp;Trevor Champagne","doi":"10.1016/j.jtv.2025.100887","DOIUrl":"10.1016/j.jtv.2025.100887","url":null,"abstract":"<div><h3>Aim</h3><div>This systematic review explores how machine learning is used in determining skin aging, aiming to evaluate accuracy, limitations, and gaps in the current literature.</div></div><div><h3>Materials and methods</h3><div>OVID Embase, OVID Medline, IEEE Xplore, and ACM Digitial Library were searched from inception to March 16, 2024.</div></div><div><h3>Results</h3><div>A total of 1467 non-duplicate articles were screened, and 27 were ultimately included in the systematic review. The machine learning models exhibited a range of accuracies from a mean absolute error of 2.30–8.16 years. The most common approach was full facial image analysis, followed by non-image-based studies utilizing biomarkers such as the methylome and the proteome. The incorporation of dynamic facial expressions in the analysis was shown to improve the accuracy of age estimation, with a mean absolute error of 3.74. Confocal microscopy demonstrated potential for accurate skin aging estimation, with some studies achieving up to 85 % accuracy. Many studies were found with high PROBAST risk of bias scores, most commonly due to small sample sizes.</div></div><div><h3>Conclusion</h3><div>Future studies should aim for greater diversity in ethnicity and variables within datasets to improve generalizability.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100887"},"PeriodicalIF":2.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation methods of pressure injury stages: A systematic review and meta-analysis","authors":"Qianwen Chao ,&nbsp;Juhong Pei ,&nbsp;Yuting Wei ,&nbsp;Zhuang Yang ,&nbsp;Xiaorui Wang ,&nbsp;Li Du ,&nbsp;Lin Han","doi":"10.1016/j.jtv.2025.100894","DOIUrl":"10.1016/j.jtv.2025.100894","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injury is prevalent in clinical settings and demands precise staging for optimal care. Subjectivity and imprecision in traditional visual assessments have sparked the creation of advanced technology-based evaluation tools.</div></div><div><h3>Aims</h3><div>To systematically assess pressure injury staging methods, analyze their evaluation results, and provide reference for clinical practice.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Data sources</h3><div>PubMed, Embase, Cochrane Library, Web of Science, CINAHL, and manual searches of academic journals and conference proceedings were utilized.</div></div><div><h3>Methods</h3><div>The study conducted a systematic search of databases in April 2024, utilizing Endnote X9 to document findings. Two reviewers independently extracted data and evaluated its quality using the QUADAS-2 tool. The meta-analysis, conducted in Meta-disc, focused on metrics such as AUC, sensitivity, and specificity. Heterogeneity among the studies was assessed using Cochran's Q and <em>I</em>^<em>2</em> tests.</div></div><div><h3>Results</h3><div>This review screened 15312 articles and ultimately included 15 studies. These studies described methods for pressure injury staging, including visual assessment, 29 machine learning models, and human-model integrated evaluation. The accuracy of traditional visual assessment was relatively low and showed significant variability. Eight studies involving 24 machine learning models were included in the meta-analysis, demonstrating significantly high accuracy, with an AUC of 0.93, and the combined sensitivity, specificity, and diagnostic odds ratio were 0.81, 0.87, and 20.48, respectively.</div></div><div><h3>Conclusion</h3><div>The review underscores the advantages of machine learning in diagnosing pressure injuries, offering higher accuracy over traditional methods. Integrating clinical expertise with machine learning enhances medical service quality and efficiency.</div></div><div><h3>Prospero registration number</h3><div>CRD42023462951.</div></div><div><h3>Prospero registration link</h3><div><span><span>crd.york.ac.uk/prospero/display_record.php?ID=CRD42023462951</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100894"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of plant and animal-based interventions in preventing and reducing pressure injuries: A systematic review and meta-analysis","authors":"Esra Özkan ,&nbsp;Burçak Şahin Köze ,&nbsp;Meryem Yavuz van Giersbergen","doi":"10.1016/j.jtv.2025.100893","DOIUrl":"10.1016/j.jtv.2025.100893","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries (PIs) are a significant concern among the elderly and bedridden patients, often resulting from prolonged pressure on the skin. Various interventions, including plant and animal-based therapies, are used to prevent and treat PIs. However, there is a lack of comprehensive understanding of the effectiveness of these natural interventions.</div></div><div><h3>Aim</h3><div>This study aims to systematically review and conduct a meta-analysis of studies using plant and animal-based interventions to prevent and treat pressure injuries.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were performed according to the PRISMA guidelines. Searches were conducted in PubMed, Web of Science, SCOPUS, and Cochrane databases using keywords related to pressure injuries and natural interventions. Studies published between 2003 and 2023 were included. The inclusion criteria were experimental, quasi-experimental, and case-control studies. Data extraction and quality assessment were performed independently by two researchers. The effect size was calculated using Hedges' g, and heterogeneity was assessed using Cochrane Q and I² tests.</div></div><div><h3>Results</h3><div>A total of 13,563 records were identified, with 20 studies meeting the inclusion criteria after screening and full-text review. The total sample size was 2541 participants. The meta-analysis revealed a significant overall effect size (g = −0.614, 95 % CI: −0.890 to −0.337) indicating moderate effectiveness of plant and animal-based interventions in preventing and reducing PIs. Aloe vera, olive oil, and fish oil showed significant effects with p-values &lt;0.05. High heterogeneity was observed among the studies (Q = 91.007, p &lt; 0.05; I² = 79.123 %), leading to the use of a random effects model.</div></div><div><h3>Conclusions</h3><div>Plant and animal-based interventions are moderately effective in preventing and reducing pressure injuries. These findings support the integration of natural therapies into clinical practice for PI management. Further research is needed to standardize protocols and explore the long-term effects of these interventions.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100893"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synthesising the evidence for patient and public involvement in pressure ulcer research: A scoping review protocol","authors":"Hannah Wilson ,&nbsp;Aglecia Moda Vitoriano Budri ,&nbsp;Liane Araujo Teixeira ,&nbsp;Pinar Avsar ,&nbsp;Linda Nugent ,&nbsp;Niamh Dillon ,&nbsp;Declan Naughton ,&nbsp;Wendy Chaboyer ,&nbsp;Tom O'Connor ,&nbsp;Killian Walsh ,&nbsp;Sharon Latimer ,&nbsp;Zena Moore","doi":"10.1016/j.jtv.2025.100892","DOIUrl":"10.1016/j.jtv.2025.100892","url":null,"abstract":"<div><h3>Introduction</h3><div>There is a growing shift toward greater inclusion of patients and the public in the design, conduct, and implementation of research to ensure it is more meaningful, relevant and impactful. This involvement creates a partnership in which patients and the public contribute to decisions throughout the research lifecycle. While the impact and importance of patient and public involvement (PPI) in research is becoming increasingly recognised, the extent of PPI in pressure ulcer (PU) research has yet to be fully established. This scoping review aims to provide insights into how PPI has been included and reported in PU research, ultimately placing a spotlight on the impact and importance of reporting PPI to guide future PU research.</div></div><div><h3>Methods and analysis</h3><div>Through synthesising literature from a diverse global landscape, this scoping review aims to achieve the following objectives (1) To explore and map the stage(s) of the PU research cycle where PPI has been incorporated (2) To identify and describe the range of participatory methods, including frameworks, guidelines, or tools, that have been used to facilitate the involvement of patients and the public in PU research. (3) To identify and synthesise reporting impacts of including PPI in PU research, and (4) To map and analyse the terminology commonly used to describe PPI in PU research.</div><div>The Joanna Briggs Institute scoping review methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews framework will guide the conduct and reporting of this review. Nine databases will be included in the search strategy and all articles will be independently screened for eligibility by two authors. Data from eligible articles will be extracted using a pre-defined data extraction table, and the results will be analysed and synthesised using the PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) framework.</div></div><div><h3>Ethics and dissemination</h3><div>Ethics approval will not be required considering the nature of this scoping review. PPI advisory partners will be consulted for disseminating the results in a format that is accessible and understood by a layperson, in order to communicate the findings to a wide audience and diverse communities. This scoping review will be published in a peer reviewed journal and results will be disseminated at local national and international conferences.</div></div><div><h3>Registration</h3><div>This scoping review is registered on the Open Science Framework (<span><span>https://doi.org/10.17605/OSF.IO/JHT34</span><svg><path></path></svg></span>). As is typical with scoping reviews, this protocol may evolve over time. Any updates will be documented on the Open Science Framework platform, along with a clear rationale for the changes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100892"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the gap: ICU nurses’ experiences in detecting pressure injuries across diverse skin tones","authors":"Herminigildo II Lo ,&nbsp;Eleanor Hollywood ,&nbsp;Rosemarie Derwin","doi":"10.1016/j.jtv.2025.100891","DOIUrl":"10.1016/j.jtv.2025.100891","url":null,"abstract":"<div><h3>Background</h3><div>Pressure Injury detection remains a challenge in patients with darker skin tones due to the absence of visible erythema, resulting in delayed diagnosis and poorer patient outcomes. Despite international guidelines, nurses face barriers in early recognition due to knowledge gaps and inadequate training in skin tone diversity. A timely assessment is critical for effective treatment. This necessitates that healthcare professionals recognise how early pressure ulcer signs may present in patients of all skin tone types.</div></div><div><h3>Aim</h3><div>To explore ICU nurses’ experiences in assessing pressure areas in patients with dark skin tones and identify challenges and solutions.</div></div><div><h3>Methodology</h3><div>Following ethical approval, semi-structured interviews were conducted with 11 ICU Nurses. Interview data were analysed using thematic analysis using NVivo software.</div></div><div><h3>Findings</h3><div>Three key themes emerged: (1) Gaps in education and training on diverse skin tones, (2) Challenges in early detection due to “white normativity” in assessment tools, and (3) The need for inclusive education and advanced diagnostic tools to mitigate disparities.</div></div><div><h3>Conclusion</h3><div>Urgent improvements in nursing curricula and clinical training are required to ensure equitable pressure injury detection for all skin tones. The study advocates for greater inclusivity in educational materials, continuous professional development, and the integration of advanced tools like infrared thermography and subepidermal moisture scanners.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100891"},"PeriodicalIF":2.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modification and validation of the Bluebelle Wound Healing Questionnaire (WHQ) for assessing surgical site infection in wounds healing by secondary intention","authors":"Rhiannon Macefield ,&nbsp;Laura Mandefield ,&nbsp;Jane M. Blazeby ,&nbsp;Caroline Fairhurst ,&nbsp;Kalpita Baird ,&nbsp;Catherine Arundel ,&nbsp;Ian Chetter ,&nbsp;Belen Corbacho Martin ,&nbsp;Catherine Hewitt ,&nbsp;Athanasios Gkekas ,&nbsp;Andrew Mott ,&nbsp;Dr Pedro Saramago Goncalves ,&nbsp;Samantha Swan ,&nbsp;David Torgerson ,&nbsp;Jacqueline Wilkinson ,&nbsp;Sabeen Zahra ,&nbsp;Stephen Dixon ,&nbsp;Josie Hatfield ,&nbsp;Angela Oswald ,&nbsp;Jo Dumville ,&nbsp;E. Packer","doi":"10.1016/j.jtv.2025.100889","DOIUrl":"10.1016/j.jtv.2025.100889","url":null,"abstract":"<div><h3>Background</h3><div>Surgical wounds healing by secondary intention are common. Healing is often complicated by surgical site infection (SSI). SSI assessment is important to guide treatment but existing methods generally require in-person assessment, making them resource intensive. A validated patient-reported SSI outcome measure may be useful to overcome this limitation.</div></div><div><h3>Aim</h3><div>To modify and validate the Bluebelle Wound Healing Questionnaire (WHQ) for wounds healing by secondary intention.</div></div><div><h3>Methods</h3><div>The 18-item Bluebelle WHQ developed for wounds healing by primary intention was modified to make it applicable to secondary healing wounds. Testing was performed as part of the SWHSI-2 randomised trial assessing negative pressure wound dressings versus standard care. Participants completed the WHQ at five timepoints; in-person (baseline, post-healing) and by post (3, 6, 12 months). A reference SSI assessment was performed by a research nurse at the time of wound healing. Acceptability and criterion validity (ability of the Bluebelle WHQ to discriminate between SSI/no SSI) were explored by examining questionnaire return rates, levels of missing data and total score sensitivity/specificity values (receiver operating characteristic curve (ROC)).</div></div><div><h3>Results</h3><div>Baseline in-person questionnaire return rates were highest (672/686; 98 %), with postal return rates of 428/615 (68.5 %), 274/416 (65.9 %) and 186/296 (62.8 %) at follow up points. Overall, low levels of item-missing data were observed with few problems completing the questionnaire reported. Ability to discriminate between SSI/no SSI was good (Area under ROC = 0.796).</div></div><div><h3>Conclusion</h3><div>The modified Bluebelle WHQ is a valuable tool for post-discharge assessment of wounds healing by secondary intention. It is recommended for use in research and clinical practice.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100889"},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936068","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 new conceptual model for how pressure ulcer risk is negotiated and adherence to preventative advice in the community setting","authors":"Lisa Ledger ,&nbsp;Jo Hope ,&nbsp;Lisette Schoonhoven ,&nbsp;Peter R. Worsley","doi":"10.1016/j.jtv.2025.100890","DOIUrl":"10.1016/j.jtv.2025.100890","url":null,"abstract":"<div><h3>Aim(s)</h3><div>To identify potential factors affecting patient adherence to preventative advice and to explore how pressure ulcer risk is negotiated between nurse and patient in the community setting.</div></div><div><h3>Design</h3><div>A qualitative research design using a pragmatist approach.</div></div><div><h3>Methods</h3><div>Observation of interactions between nurse and patient, evaluation of documentation, and semi-structured interviews with 15 community patients following the nursing interaction. Data was analysed using the principles of Thematic Analysis.</div></div><div><h3>Results</h3><div>Five overarching themes affected patient adherence to pressure ulcer preventative advice: Patient decision-making, difficulty implementing advice, carer involvement, trust in the nurse and the nursing approach. These factors were complex, individualised, dynamic, and context and time specific. How pressure ulcer avoidance was negotiated diverged according to the type of nursing approach adopted, which impacted on adherence.</div></div><div><h3>Conclusion</h3><div>The new conceptual model identifies the importance of an open, participatory nursing approach to support shared decision-making. It accommodates the dynamic nature of patient factors, which affect their ability to acquire and understand PU advice and adhere to preventative strategies.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100890"},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding recurrent pressure injuries: A scoping review of current research and risk factors","authors":"Li Du ,&nbsp;Ning Wang ,&nbsp;Juhong Pei ,&nbsp;Yanxia Jiao ,&nbsp;Jie Xu ,&nbsp;Xinyue Xu ,&nbsp;Anna Wen ,&nbsp;Lin Han ,&nbsp;Lin Lv","doi":"10.1016/j.jtv.2025.100886","DOIUrl":"10.1016/j.jtv.2025.100886","url":null,"abstract":"<div><h3>Aim</h3><div>To describe published studies on the current status of recurrent pressure injuries.</div></div><div><h3>Background</h3><div>Pressure injuries burden patients and the health care system, so it is essential to prevent their recurrence and prevent patients from experiencing secondary injury. However, most current studies focus on primary pressure injury and less on its recurrence.</div></div><div><h3>Design and methods</h3><div>We employed a scoping review methodology. From the database construction until December 9, 2024, we searched PubMed, Embase, Web of Science, CINAHL, and the Cochrane Library. Two researchers independently screened and extracted data.</div></div><div><h3>Results</h3><div>Twenty-eight articles met our criteria, most published after 2000. The included studies showed that 13 articles dealt with the definition of recurrent pressure injuries, but no uniform standard has been formed yet. The incidence of recurrent pressure injuries is 5.4 %–73.6 %. The most commonly reported site of recurrence is the ischium. The high-risk population for recurrence is the patient with spinal cord injury. Eleven studies described 26 risk factors for recurrent pressure injuries, of which albumin was the most commonly reported risk factor, followed by spinal cord injuries, age, hospital stay, and ulcer size. The 26 risk factors were summarised into five aspects: personal factors, social-environmental factors, disease-related factors, physiological and biochemical parameters, and Initial ulcer characteristics.</div></div><div><h3>Conclusions</h3><div>The incidence of recurrent pressure injuries varies widely, and specific definitions and standardised staging criteria must be further determined to improve clinical judgment and reporting accuracy. The risk factors for recurrent pressure injuries involve many aspects. Some studies have described local flaps and overall recurrence risk factors separately, and further verification is needed to determine whether there is a difference between the two.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100886"},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetic foot care behavior and self-efficacy levels in individuals with diabetic foot ulcers in Turkey","authors":"Emine Sezgunsay ,&nbsp;Murat Urkan ,&nbsp;Mustafa Deveci","doi":"10.1016/j.jtv.2025.100885","DOIUrl":"10.1016/j.jtv.2025.100885","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the connection between demographic characteristics, diabetes-related knowledge, foot self-care behaviors, and self-efficacy levels in individuals with diabetic foot ulcers. Additionally, it investigated whether there is a correlation between foot care behaviors and self-efficacy levels among these individuals.</div></div><div><h3>Methods</h3><div>This descriptive and cross-sectional study was conducted with individuals who applied to a training and research hospital with a diabetic foot ulcer and received treatment between October 2019 and October 2020. Data were collected through the Patient Identification Characteristics Form, the Diabetes Management Self-Efficacy Scale, and the Foot Self-Care Behavior Scale. Percentage, mean, Mann-Whitney <em>U</em> test, Kruskal-Wallis test, and Spearman correlation analysis were used to analyze the data.</div></div><div><h3>Results</h3><div>The mean self-efficacy score among individuals with diabetic foot ulcers was 68.39 ± 14.03, while the mean foot self-care behavior score was 59.10 ± 10.13. Previous diabetes education, regular exercise, and educational status significantly influenced scores on both scales. Furthermore, a positive linear relationship was observed between foot self-care behaviors and self-efficacy levels in individuals with diabetic foot.</div></div><div><h3>Conclusions</h3><div>To enhance self-efficacy levels and promote foot self-care behaviors in individuals with diabetic foot ulcers, continuous education, and regular follow-up examinations are essential. Providing tailored care based on demographic characteristics and evolving health conditions related to diabetes is expected to reduce complications effectively.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100885"},"PeriodicalIF":2.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence rate and risk factors of intraoperative-acquired pressure injury in posterior interbody fusion: A retrospective study of a national inpatient sample database","authors":"Xuelian Wang ,&nbsp;Mengmeng Shao ,&nbsp;Jian Wang ,&nbsp;Xiaoshuang Liang ,&nbsp;Yuhang Chen ,&nbsp;Haofei Wang ,&nbsp;Jianlong Li","doi":"10.1016/j.jtv.2025.100873","DOIUrl":"10.1016/j.jtv.2025.100873","url":null,"abstract":"<div><h3>Background</h3><div>Intraoperative-acquired pressure injuries (IAPIs) are a common complication in posterior intervertebral fusion surgery, leading to adverse outcomes for patients. However, there is a lack of large-scale national database research analyzing the morbidity and associated risk factors of IAPIs in this surgical procedure.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed data from the National Inpatient Sample (NIS) database from 2010 to 2019. Demographic, hospital, and patient characteristics were examined, including length of stay (LOS), total costs, in-hospital mortality, preoperative comorbidities, and complications.</div></div><div><h3>Result</h3><div>The overall incidence of IAPIs in posterior intervertebral fusion surgery was 0.2 % from 2010 to 2019. The annual occurrence of interbody fusion demonstrated an M-shaped trend, with rates of 0.2 % in 2010, 0.05 % in 2016, and 0.05 % in 2019. IAPIs were associated with increased preoperative complications, longer LOS, higher total hospitalization costs, and higher in-hospital mortality rates. Risk factors for IAPIs included comorbidities, large hospitals, urban hospitals, deficiency anemia, coagulation disorders, fluid electrolyte disorders, paralysis, and weight loss. Additionally, IAPIs were linked to medical complications such as sepsis, deep vein thrombosis, urinary tract infections, acute renal failure, shock, pneumonia, blood transfusion, and surgical complications such as cerebrospinal fluid leak. Elective admission was found to be a protective factor.</div></div><div><h3>Conclusion</h3><div>Identifying risk factors for IAPIs in posterior intervertebral fusion surgery can help identify high-risk patients and develop preventive measures. By targeting these risk factors, the incidence of IAPIs can be reduced, leading to improved patient outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100873"},"PeriodicalIF":2.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}