Journal of tissue viability最新文献

{"title":"Impact on management performance outcomes of standardizing wound care using integrated care bundles – results of a retrospective analysis","authors":"Theresa Hurd ,&nbsp;Sophie Berry ,&nbsp;Julie Murdoch","doi":"10.1016/j.jtv.2025.100914","DOIUrl":"10.1016/j.jtv.2025.100914","url":null,"abstract":"<div><h3>Aim</h3><div>Integrated care bundles (ICBs) are interventions that used together synergistically improve care outcomes through standardized care pathways and can help to optimize healthcare expenditure. For wound care, ICBs may need to incorporate low or non-adherent dressings for patients with fragile and/or sensitive skin to help reduce the risk of damage. This retrospective analysis of real-world data assessed the impact on wound management outcomes of an ICB where a specific non-adhesive foam dressing was selected for patients with fragile skin and appropriate wound types.</div></div><div><h3>Method</h3><div>A comprehensive wound care program using ICBs was implemented and tracked using a real-time electronic database at two large healthcare organizations in Ontario, Canada (December 2015 to March 2018). Anonymized patient data were analyzed retrospectively.</div></div><div><h3>Results</h3><div>4421 patients with chronic wounds received an ICB including a non-adhesive foam dressing; 2242 patients did not receive an ICB. With use of the ICB including a non-adhesive foam dressing versus no ICB: mean Bates-Jensen Wound Assessment Tool (BWAT) Score was lower (27.4 vs 33.2); mean time to healing was shorter (12.7 vs 25.5 weeks) and mean time between dressing changes was longer (3.1 vs 1.9 days). Mean labor costs were lower with use of the ICB including a non-adhesive foam dressing (CAD 1766 vs 6488; p &lt; 0.05). No adverse events related to the non-adhesive foam dressing were reported and the overall safety profile improved with use of the ICB.</div></div><div><h3>Conclusion</h3><div>Implementing ICBs can help to improve wound management outcomes and reduce labor costs compared with non-standardized care without an ICB.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100914"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838515","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":"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 ,&nbsp;Ali Alboloushi ,&nbsp;Ellen Kirwan ,&nbsp;Caroline McIntosh ,&nbsp;Claire MacGilchrist ,&nbsp;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":"2025-08-01","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}

{"title":"Atmospheric plasma control excessive inflammation and oxidative stress in burn wound healing in diabetes-induced rats","authors":"Jennyffer Souza ,&nbsp;Amanda Tavares Pereira ,&nbsp;Letícia de Lima ,&nbsp;Raul Wiltler ,&nbsp;Maraiara Aparecida de Oliveira ,&nbsp;Samara de Sousa Mariano ,&nbsp;Leonardo Bagne ,&nbsp;Bruno Bellotti Lopes ,&nbsp;Maria Esméria Corezola do Amaral ,&nbsp;Gustavo de Bem Silveira ,&nbsp;Laura de Roch Casagrande ,&nbsp;Paulo Cesar Lock Silveira ,&nbsp;Andrea Aparecida de Aro ,&nbsp;Thiago Antônio Moretti de Andrade","doi":"10.1016/j.jtv.2025.100918","DOIUrl":"10.1016/j.jtv.2025.100918","url":null,"abstract":"<div><div>Burns are the fourth most prevalent trauma worldwide, and their complications are significantly exacerbated when associated with diabetes, leading to increased morbidity and mortality. This study addresses the urgent need for safe and effective treatments by exploring the therapeutic potential of atmospheric plasma (AP), an ionized gas produced at atmospheric pressure, in enhancing the healing of burn wounds. We investigated the effects of AP on the repair of second-degree dorsal burns in Wistar rats, induced to diabetes with alloxan (45 mg/kg). The animals were randomly assigned to either the sham group (plasma generator off) or the AP group (treated with AP for 1 min daily until the 2nd, 7th, 14th and 21st days). Our findings indicate that AP treatment significantly reduced inflammatory cell accumulation, increased interleukin levels, controlled oxidative damage, and stimulated antioxidant responses. Furthermore, AP promoted angiogenesis, fibroblast proliferation, and collagen fiber organization. These results suggest that AP accelerates tissue healing in diabetic burns, making it a promising treatment for improving burn wound healing in diabetes-induced conditions.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100918"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844963","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":"Randomized clinical trial of the efficacy of the EmoLED medical device in the treatment of stage 2 and stage 3 pressure ulcers: The RISE_UP study","authors":"Hamilton Dollaku ,&nbsp;Mara Dalladonna ,&nbsp;Marika Giuliano ,&nbsp;Michele Rossi ,&nbsp;Paola Barbetti ,&nbsp;Maria Sipontina Marcolongo ,&nbsp;Emanuele Buccione ,&nbsp;Paolo Iovino ,&nbsp;Claudio Macchi","doi":"10.1016/j.jtv.2025.100895","DOIUrl":"10.1016/j.jtv.2025.100895","url":null,"abstract":"<div><h3>Aim of the study</h3><div>Pressure ulcers are an important public health issue, impacting quality of life and causing health deterioration. Blue light photobiomodulation has been shown promoting wound healing in vascular, diabetic, rheumatologic ulcers and lesions in spinal cord injury patients. Based on these preliminary results, this study was developed to assess the effectiveness of blue light therapy in second and third stage pressure ulcers.</div></div><div><h3>Materials and methods</h3><div>This study was a randomized controlled trial enrolling hospitalized patients with poor mobility. The intervention group included blue light treatment in addition to standard care, three times a week, for 4 consecutive weeks. The primary objective is the difference in the healing process by measuring the average difference of the lesion's PUSH score between the first and the last visit.</div></div><div><h3>Results</h3><div>The analysis shows that the mean PUSH reduction and the probability of belonging to responder patients were higher in the treatment group. A latent profile analysis that identifies two trajectory classes based on treatment response, shows an association in the probability of following best trajectory for the treatment group (30 % vs 2 %).</div></div><div><h3>Conclusions</h3><div>The result shows that blue light photobiomodulation promotes recovery of tissue repair in pressure ulcers, and in stabilizing wounds that would otherwise worsen despite standard of care treatment. This therapy may be a valuable contribution to the daily management of pressure lesions since it has an excellent safety profile and the addition of this therapy to a treatment program may speed healing, improving the quality of life.</div><div>(<span><span>Clinicaltrials.gov</span><svg><path></path></svg></span> Ref. numb.: NCT05130814)</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100895"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724887","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":"2025-08-01","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":"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":"2025-08-01","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":"Cognition and quality of life in patients with a diabetes-related foot ulcer","authors":"Nada Bechara ,&nbsp;Fiona Hawke ,&nbsp;Jenny E. Gunton ,&nbsp;Peta Ellen Tehan","doi":"10.1016/j.jtv.2025.100913","DOIUrl":"10.1016/j.jtv.2025.100913","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to compare cognitive function and quality of life (QoL) in individuals with diabetes and a diabetes-related foot ulcer (DFU) to a control group with diabetes and no active foot ulceration.</div></div><div><h3>Materials &amp; methods</h3><div>A cross-sectional case-control study was conducted between December 2022 and August 2024. Forty-two adults with diabetes and an active DFU were compared to forty age- and sex-matched controls with diabetes but no DFU. Cognitive function was assessed using the Trail Making Test (TMT), and QoL was measured using the EuroQol EQ-5D-5L. Statistical analyses included Mann-Whitney U tests, logistic regression, and correlation analyses to evaluate differences and associations between cognitive function and QoL.</div></div><div><h3>Results</h3><div>Individuals with a DFU demonstrated significantly poorer cognitive function compared to controls, taking approximately twice as long to complete the TMT (p &lt; 0.001). Both rote memory (TMT-A) and executive functioning (TMT-B) were significantly impaired in the DFU group. QoL scores were also significantly lower in the DFU group (p = 0.005), with a notable association between cognitive impairment and reduced QoL (p = 0.01, r = −0.29). Logistic regression indicated that longer TMT completion time was associated with 4.13 increased odds of DFU (p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Cognitive function is significantly impaired in individuals with DFU and is associated with poorer QoL. These findings highlight the need to integrate cognitive assessments into DFU management to optimise adherence and improve patient outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100913"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907904","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":"Exploring physiological differences in injury response by skin tone: A scoping review","authors":"Pinar Avsar ,&nbsp;Zena Moore ,&nbsp;Declan Patton ,&nbsp;Tom O'Connor ,&nbsp;Lone Skoubo Bertelsen ,&nbsp;Desmond J. Tobin ,&nbsp;Giulio Brunetti ,&nbsp;Keryln Carville ,&nbsp;Vignesh Iyer ,&nbsp;Hannah Wilson","doi":"10.1016/j.jtv.2025.100871","DOIUrl":"10.1016/j.jtv.2025.100871","url":null,"abstract":"<div><h3>Aim</h3><div>To explore existing literature examining physiological differences in pressure ulcer response among individuals with differing skin tones.</div></div><div><h3>Methods</h3><div>This was a scoping review. Articles meeting the inclusion criteria were retrieved from electronic databases including PubMed, CINAHL, Scopus, Cochrane, and EMBASE, using the keywords \"pressure ulcer,\" \"skin pigmentation,\" \"melanin,\" and \"risk factor.\" Data were extracted using a predesigned data extraction tool and analysed using a narrative synthesis.</div></div><div><h3>Results</h3><div>Five papers met the inclusion criteria. Analysis of findings suggests there are potential mechanisms which may influence the skin's ability to withstand mechanical stress and its inflammatory response to damage among those with different skin tones; the structure of the stratum corneum, collagen density, fibroblast activity, mast cell density, and transepidermal water loss (TEWL). The stratum corneum can compromise skin resilience, while collagen density and fibroblast activity may impact skin strength and repair. Mast cells affect inflammation, which can exacerbate pressure ulcer damage, and increased TEWL in those with dark skin tones can result in lower water content in the stratum corneum, affecting hydration.Conversely, factors like melanosome size, hair follicle and hair fiber characteristics, sebaceous gland activity, vitamin D production, UVR protection, and desquamation rate, although relevant to overall skin health, may not directly affect the mechanical processes leading to pressure ulcer formation.</div></div><div><h3>Conclusions</h3><div>Physiological differences in skin structure may contribute to alterations in the response to pressure ulcer development among individuals with dark skin. Recognising these differences is important for targeted prevention strategies within diverse populations. However, further research is needed to explore the mechanisms underlying this association in greater detail.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100871"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609496","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":"Nurses' knowledge of skin tears: A cross-sectional survey study across four hospitals in São Paulo, Brazil","authors":"Cinthia Viana Bandeira da Silva ,&nbsp;Dimitri Beeckman ,&nbsp;Vera Lucia Conceição de Gouveia Santos","doi":"10.1016/j.jtv.2025.100874","DOIUrl":"10.1016/j.jtv.2025.100874","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess and analyze nurses' knowledge regarding Skin Tears (STs).</div></div><div><h3>Methods</h3><div>An observational, exploratory, and cross-sectional study was conducted across four hospitals in São Paulo, Brazil, encompassing diverse settings: two public hospitals (one affiliated with a university and the other serving state public service professionals) and two private hospitals (one specializing in highly complex cases and the other a general hospital). Data collection involved two instruments: one for sample characterization and another, the OASES instrument, which was translated and content-validated for use in Brazilian Portuguese, to assess nurses' knowledge on STs. Data were analyzed using measures of central tendency and variability.</div></div><div><h3>Results</h3><div>The study included 179 nurses, with an average score of 10.83 (SD = 3.32). Higher knowledge levels were observed in nurses who had received training on STs (p = 0.003) and those who participated in scientific activities (p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Nurses across the four hospitals in São Paulo demonstrated a level of knowledge about STs that was slightly higher compared to international benchmarks in similar studies.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100874"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520340","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":"Application of infrared thermography for predicting pressure injury healing: A prospective study","authors":"Lulu Lin ,&nbsp;Danwen Zhuang ,&nbsp;Hailei Guo ,&nbsp;Miaomiao Zheng ,&nbsp;Qianqian Zhu ,&nbsp;Ying Xu ,&nbsp;Xiaoqiong Jiang ,&nbsp;Fuman Cai","doi":"10.1016/j.jtv.2025.100857","DOIUrl":"10.1016/j.jtv.2025.100857","url":null,"abstract":"<div><h3>Background</h3><div>An accurate assessment of pressure injury healing is crucial for the timely implementation of nursing intervention. This study aimed to investigate the accuracy of infrared thermography-based wound temperature measurement in predicting wound outcomes.</div></div><div><h3>Methods</h3><div>This prospective, 16 days observational study included 156 adults with pressure injury. The temperature of wound bed, periwound skin and normal skin was recorded by using infrared thermography every three days. After that, three relative temperatures of PI were analyzed. The aim was to assess the significance of wound temperature in predicting healing outcomes for pressure injuries.</div></div><div><h3>Results</h3><div>Relative temperature between periwound skin and normal skin was positively correlated with pressure injury healing (r &gt; 0.64). Particularly the first day of follow up, it was found to be closely related to pressure injury healing (r = 0.687). On the last day and median time (the eighth to ninth day) of follow up, the optimal cutoff values of the indicator were negative values (periwound skin temperature was lower than normal skin). COX proportional hazard regression model analysis showed that relative temperature between periwound skin and normal skin on the first day of follow-up was the most significant predictor of pressure injury healing, and the healing risk increased largest- 8.79 times (95%CI: 4.53, 17.05), when its temperature greater than 0.000 °C.</div></div><div><h3>Conclusion</h3><div>Relative temperature between periwound skin and normal skin monitoring by infrared thermography better than visual assessment which can objectively serve as an indicator for predicting the healing status of pressure injury.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100857"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007580","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}