Advances in Skin & Wound Care最新文献

Pemphigus Vulgaris: Clinical Aspects and Treatments. 寻常性天疱疮：临床方面和治疗。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1097/ASW.0000000000000307

Ryan S Q Geng, R Gary Sibbald

引用次数: 0

Continuity of Outpatient Care for Patients with an Intestinal Fistula in China. 中国肠瘘患者门诊护理的连续性

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-15 DOI: 10.1097/ASW.0000000000000289

Yi Qiao, Beihua Xi, Yin Zhang

{"title":"Continuity of Outpatient Care for Patients with an Intestinal Fistula in China.","authors":"Yi Qiao, Beihua Xi, Yin Zhang","doi":"10.1097/ASW.0000000000000289","DOIUrl":"10.1097/ASW.0000000000000289","url":null,"abstract":"Objective: To report on the current state of outpatient nursing care for patients with an intestinal fistula in a stoma clinic in China.Methods: This retrospective study included 41 patients with an intestinal fistula who visited the stoma clinic in a tertiary hospital in Shanghai, China, between January 2019 and December 2023. Electronic medical records were selected for analysis of patients' clinical data, fistula diagnosis and treatment process, and outcome regression.Results: Few patients with an intestinal fistula are referred to the stoma clinic for nursing care (1.29%). At patients' first visit to the stoma clinic, the majority of those with an intestinal fistula (87.80%) had perifistular moisture-associated skin damage (MASD). The mean discolor, erosion, and tissue score was 6.73 ± 4.35, the mean healing time for MASD was 8.77 ± 8.51 days, and the mean number of follow-ups was 3.41 ± 1.92. The majority of patients (87.80%) complained of accompanying pain of different degrees. The mean self-healing time for nonoperative treatment was 301.96 ± 193.95 days. Enterostomal therapists applied the dressings to care for the skin around the fistula and formulated and guided a personalized management method to effectively contain output.Conclusions: The quality of outpatient nursing care for patients with an intestinal fistula needs to be optimized. Standardized assessment and individualized precise intervention can reduce the incidence of complications such as MASD and improve the quality of care and prognosis of patients.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"254-257"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Healing Rate and Time to Closure of Venous Leg Ulcers: A Real-World Service Evaluation of Neuromuscular Electrostimulation as an Adjunct to Compression Therapy. 下肢静脉溃疡的愈合速度和愈合时间：神经肌肉电刺激作为压迫治疗辅助的真实世界服务评估。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI: 10.1097/ASW.0000000000000299

Holly Murray, Rochelle Duong, Duncan Shirreffs Bain

{"title":"Healing Rate and Time to Closure of Venous Leg Ulcers: A Real-World Service Evaluation of Neuromuscular Electrostimulation as an Adjunct to Compression Therapy.","authors":"Holly Murray, Rochelle Duong, Duncan Shirreffs Bain","doi":"10.1097/ASW.0000000000000299","DOIUrl":"10.1097/ASW.0000000000000299","url":null,"abstract":"Objective: To perform a service evaluation of neuromuscular electrostimulation (NMES) as an adjunct to compression therapy, comparing the rate of wound margin advance and time to closure with a matched retrospective control group.Methods: Fifteen patients with venous leg ulcers were prescribed NMES for 6 hours per day for 56 days or until wound closure (whichever occurred first), in addition to multilayer compression. Wounds were selected for size, with an inclusion criterion of a maximum of 12 cm 2 . Wound progress was compared with 15 retrospective control patients who were matched for ulcer size and duration.Results: The retrospective group had a healing rate of 0.31 mm per week (95% CI, 29-37 mm/week), whereas the prospective compression plus NMES group had a healing rate of 0.56 mm per week (95% CI, 50-62 mm/week; P = .004). All wounds in both groups healed completely during the service evaluation. Mean time to closure for the retrospective group was 77 days (95% CI, 66-88 days), whereas the NMES group had a mean time to closure of 40 days (95% CI, 37-43 days; P = .005).Conclusions: Adding NMES of the common peroneal nerve to a care bundle including multicomponent compression resulted in significantly faster wound margin advance and significantly less time to heal in comparison with retrospective matched controls. Future randomized controlled trials or self-controlled studies of this approach would be of great interest to inform clinical practice.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"246-250"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Exploring the Braden QD Scale Assessment Performance and Related Hospital-Acquired Pressure Injury Influencing Factors among Critically Ill Adult Patients. 成人危重病人Braden QD量表评估绩效及相关医院获得性压力损伤影响因素探讨

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1097/ASW.0000000000000301

Xiuli Zhu, Linhe Yang, Junjie Ning, Baoqin Li, Yang Chen, Zhenyu Luo

{"title":"Exploring the Braden QD Scale Assessment Performance and Related Hospital-Acquired Pressure Injury Influencing Factors among Critically Ill Adult Patients.","authors":"Xiuli Zhu, Linhe Yang, Junjie Ning, Baoqin Li, Yang Chen, Zhenyu Luo","doi":"10.1097/ASW.0000000000000301","DOIUrl":"10.1097/ASW.0000000000000301","url":null,"abstract":"Objective: To investigate the performance of the Braden QD Scale in predicting hospital-acquired pressure injuries (HAPIs) in critically ill adult patients and the incidence and factors associated with HAPIs within such patients.Methods: A prospective observational study was conducted in a dual-center comprehensive ICU from June to September 2023. The nurse on duty examined all patients for skin integrity upon admission to the ICU and also scored patients using both the Braden and Braden QD scales. A patient's skin was then checked daily by 14 course-trained nurses until the patient was discharged or transferred out of the ICU. If a suspected HAPI was found, photographs were taken and sent to specialist nurses for confirmation and documentation.Results: A total of 316 critically ill patients were enrolled in the study, and 79 HAPIs occurred. Fifty-five patients (17.4%) had pressure injuries (PIs), 35 patients (11.1%) had medical device-related PIs, and 14 patients (4.4%) had both medical device-related PIs and PIs. Essential predictors of HAPIs were detected. Further, the Braden QD Scale performed better than the Braden Scale in predicting HAPI development in critically ill adults, with the area under the curve being 0.77 (CI, 0.75-0.84) on admission.Conclusions: The incidence of HAPIs in critically ill adult patients is high, with several influencing factors. The Braden QD Scale emerges as a validated predictive tool for HAPIs in critically ill adult patients, demonstrating clinical utility that warrants additional investigation to optimize prevention strategies.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"239-244"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Intensive Care Nurses' Skin Tear Knowledge. 重症监护护士皮肤撕裂知识的评价。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-19 DOI: 10.1097/ASW.0000000000000288

Betül İlbey Koç, Dilay Hacıdursunoğlu Erbaş, Fatma Eti Aslan

{"title":"Evaluation of Intensive Care Nurses' Skin Tear Knowledge.","authors":"Betül İlbey Koç, Dilay Hacıdursunoğlu Erbaş, Fatma Eti Aslan","doi":"10.1097/ASW.0000000000000288","DOIUrl":"10.1097/ASW.0000000000000288","url":null,"abstract":"Objective: To assess the skin tear knowledge of intensive care nurses who care for surgical patients.Methods: This study was conducted among intensive care nurses working in a training and research hospital and caring for surgical patients. Data were collected face-to-face using the Demographic Data Collection Form and the Skin Tear Knowledge Assessment Instrument.Results: Participants were primarily women (66.7%), and most (71.3%) had a bachelor's degree. The mean age of the participants was 30.01 ± 2.49 years, and the mean years of intensive care experience was 6.29 ± 2.76 years. No significant relationships were found between the scale scores of the participants and age, sex, and education status, or whether they had received training on skin tears. There was a statistically significant positive correlation between years of intensive care experience and experience caring for patients with skin tears and OASES (Skin Tear Knowledge Assessment Instrument) total scale score. The analysis revealed that years of intensive care experience had a significant positive effect on the scale total score.Conclusions: This study revealed that nurses had a moderate level of knowledge about skin tears and that intensive care experience and status of caring for patients with skin tears were important factors influencing skin tear knowledge.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"251-253"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Postoperative Anastomotic Leakage Complicated with Severe Intra-abdominal Infection and Peristomal Abscess after Colon Cancer Surgery: A Case Report. 结肠癌术后吻合口瘘并发严重腹腔内感染及口周脓肿1例。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI: 10.1097/ASW.0000000000000286

Qin-Ying Chen, Bei Li, Li Pan

{"title":"Postoperative Anastomotic Leakage Complicated with Severe Intra-abdominal Infection and Peristomal Abscess after Colon Cancer Surgery: A Case Report.","authors":"Qin-Ying Chen, Bei Li, Li Pan","doi":"10.1097/ASW.0000000000000286","DOIUrl":"10.1097/ASW.0000000000000286","url":null,"abstract":"Abstract: Postoperative anastomotic leakage following surgery for colorectal cancer is a serious complication that is frequently associated with significant intra-abdominal infection and the formation of peristomal abscesses. Patients with this condition often present with complex medical comorbidities and face considerable challenges in achieving wound healing. In this case report, a 57-year-old man presented with colonic obstruction secondary to colon cancer and subsequently underwent curative surgery. Postoperatively, anastomotic leakage occurred, which necessitated resection of the anastomosis and the formation of a descending colostomy. The patient subsequently developed severe intra-abdominal infection and peristomal abscess, leading to impaired wound healing. Clinicians implemented a treatment regimen combining continuous negative-pressure wound therapy (NPWT) with intermittent NPWT with instillation and dwell time. This approach resulted in rapid wound healing. Ultimately, the patient successfully underwent colostomy closure, restoring gastrointestinal continuity. For abdominal wounds with severe fecal contamination and extensive separation of the dermis and subcutaneous tissues, the combination of continuous NPWT and intermittent NPWT with instillation and dwell time may be an efficacious therapeutic strategy.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"274-277"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Massive Malignant Transformation in a Patient with Hidradenitis Suppurativa during Anti-Tumor Necrosis Factor Treatment. 1例化脓性汗腺炎患者在抗肿瘤坏死因子治疗期间发生恶性转变。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1097/ASW.0000000000000303

Gabija Rudzikaitė, Jorinta Jokubaitė, Dominykas Markevičius, Justinas Pamedys, Tadas Raudonis

引用次数: 0

Applications of Telemedicine in Patients with an Ostomy: A Scoping Review. 远程医疗在造口术患者中的应用：范围综述。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1097/ASW.0000000000000300

Zhuang Hui-Ren, Zhang Jin, Zheng Pian, Zhang Wei-Ying

{"title":"Applications of Telemedicine in Patients with an Ostomy: A Scoping Review.","authors":"Zhuang Hui-Ren, Zhang Jin, Zheng Pian, Zhang Wei-Ying","doi":"10.1097/ASW.0000000000000300","DOIUrl":"10.1097/ASW.0000000000000300","url":null,"abstract":"Objective: To explore the application of telemedicine in patients with an ostomy and assess the current research status.Data sources: The authors searched PubMed, EMBASE, Web of Science, Ovid, CINAHL (Cumulative Index to Nursing and Allied Health Literature), China Biology Medicine, China National Knowledge Infrastructure, WanFang, and VIP (Chinese Scientific Journals Database) databases from the inception of each database to March 2024.Study selection: A total of 41 articles comparing telemedicine and standard care in ostomy patients were included.Data extraction: Information was extracted from full-text articles, including author(s), year, country, study design, ostomy type, sample characteristics, intervention type, duration, and outcomes.Data synthesis: In the 41 studies, telemedicine intervention tools encompass social and conference software, mobile healthcare apps, and remote devices. Intervention durations ranged from 4 weeks to 3 years. The intervention content can be categorized into seven key aspects: health guidance, health counseling, psychological care, peer support, medical appointment scheduling, information statistics, and remote visits. Evaluation of these interventions involves measuring outcomes in 10 areas, including quality of life, ostomy knowledge, self-efficacy, self-care ability, stoma complications, participant satisfaction, psychology, coping and adaptation, burden, and health condition.Conclusions: The implementation of telemedicine for patients with an ostomy has had a profound impact. As internet technology evolves, optimization of platforms and longer interventions are needed. Healthcare professionals should enhance their training in online communication. In addition, researchers should design specific, specialized measurement scales based on the characteristics of patients with stomas.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"258-268"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Advances in Noncontact Measurement of Wound Area Using an Application for Smart Mobile Devices. 基于智能移动设备的伤口面积非接触测量研究进展。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-08 DOI: 10.1097/ASW.0000000000000296

Adolfo Maria Tambella, Margherita Galosi, Alessio Angorini, Fabrizio Dini, Angela Palumbo Piccionello, Caterina Di Bella, Federica Serino, Sara Sassaroli, Alessandro Troisi

{"title":"Advances in Noncontact Measurement of Wound Area Using an Application for Smart Mobile Devices.","authors":"Adolfo Maria Tambella, Margherita Galosi, Alessio Angorini, Fabrizio Dini, Angela Palumbo Piccionello, Caterina Di Bella, Federica Serino, Sara Sassaroli, Alessandro Troisi","doi":"10.1097/ASW.0000000000000296","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000296","url":null,"abstract":"Objective: Contactless wound size measurement is an important element for monitoring the wound healing process and the effects of treatment both in people and animals. The purpose of this study was to evaluate the metrologic performances of a contactless digital planimetry app (imitoMeasure, Imito AG) for cutaneous wound area measurement.Methods: Precision, accuracy, agreement, and reliability of six different combinations of smart devices (smartphone or tablet), calibration modes (manual mode or marker mode), and tracing modes (manual finger tracing or digital pencil tracing) were tested and compared with the standard method on already known canine wound area shapes traced on transparent sheets.Results: Using the app, all methods showed an acceptable metrologic performance. Methods using a tablet were more precise, accurate, and reliable compared with a smartphone. Calibration marker mode was faster than manual calibration. Methods using pencil tracing were more accurate than manual finger tracing, showed a higher agreement with the standard method, and needed fewer retouching-ups to obtain fine-tuning of the shape.Conclusions: This study contributed to the advancement of noncontact wound area measurement using smart digital mobile devices, identifying the most suitable method to use the imitoMeasure app in clinical and research settings. The imitoMeasure app showed excellent metrologic characteristics in contactless wound area measurement. The evidence indicates that the use of the tablet with digital pencil tracing is a noteworthy improvement in the wound measurement process.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Procalcitonin as a Diagnostic Marker for Osteomyelitis in Patients with Pressure Injuries: A Retrospective Study. 降钙素原作为压迫性损伤患者骨髓炎的诊断指标：一项回顾性研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-08 DOI: 10.1097/ASW.0000000000000276

Joon Suk Bae, Young Hun Kang, Eun Soo Park, Seung Min Nam, Chang Yong Choi

{"title":"Procalcitonin as a Diagnostic Marker for Osteomyelitis in Patients with Pressure Injuries: A Retrospective Study.","authors":"Joon Suk Bae, Young Hun Kang, Eun Soo Park, Seung Min Nam, Chang Yong Choi","doi":"10.1097/ASW.0000000000000276","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000276","url":null,"abstract":"Objective: To assess the diagnostic potential of procalcitonin in identifying osteomyelitis in patients with pressure injuries (PIs).Methods: The authors conducted a retrospective study of 21 patients with PIs from 2017 to 2022. Inflammatory markers (white blood cell count, erythrocyte sedimentation rate, C-reactive protein, procalcitonin) and radiologic images were analyzed to determine osteomyelitis presence. Patients were divided into osteomyelitis-positive and osteomyelitis-negative groups, with marker levels compared statistically.Results: Both C-reactive protein and procacitonin levels were significantly higher in the osteomyelitis group (Ps = .05). Elevated procalcitonin (>0.5) indicated a 10.67 times higher likelihood of osteomyelitis.Conclusions: Procalcitonin may serve as a valuable marker for diagnosing osteomyelitis in patients with PIs, aiding in early detection and treatment planning. Further research with larger cohorts is needed to confirm its diagnostic and monitoring potential.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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