Advances in Skin & Wound Care最新文献

Connecting Wound Bed Preparation 2024, Therapeutic Index, and Covert and Overt Infection. 2024年连接伤口床准备，治疗指标与隐性和显性感染。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000267

R Gary Sibbald, John H Gregory

引用次数: 0

Neuromuscular Electrostimulation Increases Microcirculatory Flux in Mixed Etiology Leg Ulcers. 神经肌肉电刺激增加混合病因腿溃疡的微循环通量。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.1097/ASW.0000000000000261

Keith Gordon Harding, Melissa Blow, Faye Ashton, David C Bosanquet

{"title":"Neuromuscular Electrostimulation Increases Microcirculatory Flux in Mixed Etiology Leg Ulcers.","authors":"Keith Gordon Harding, Melissa Blow, Faye Ashton, David C Bosanquet","doi":"10.1097/ASW.0000000000000261","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000261","url":null,"abstract":"Objective: To determine if intermittent neuromuscular electrostimulation (NMES) of the common peroneal nerve increases microvascular flow and pulsatility in and around the wound bed of patients with combined venous and arterial etiology.Methods: Seven consenting participants presenting with mixed etiology leg ulcers participated in this study. Microvascular flow and pulsatility was measured in the wound bed and in the skin surrounding the wound using laser speckle contrast imaging. Measurements were made at baseline and when the venous pumps of the leg were activated by 1 Hz intermittent neuromuscular stimulation of the common peroneal nerve. The nerve was stimulated transdermally at the head of the fibula.Results: When activated by NMES, wound bed flux increased by 38% (95% CI, 11%-73%; P = .023), and periwound flux increased by 19% (95% CI, 9%-32%; P = .009). Pulsatility increased in the wound bed by 214% (95% CI, 51%-985%; P = .017) and in the periwound by 122% (95% CI, 38%-299%; P = .014).Conclusions: The results indicate that NMES is effective in augmenting microvascular flow in leg ulcers with combined venous and arterial etiology.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 1","pages":"25-30"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998585","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

Utilizing Image Processing Techniques for Wound Management and Evaluation in Clinical Practice: Establishing the Feasibility of Implementing Artificial Intelligence in Routine Wound Care. 利用图像处理技术进行伤口管理和临床评估：建立人工智能在常规伤口护理中的可行性。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000246

Mai Dabas, Suzanne Kapp, Amit Gefen

{"title":"Utilizing Image Processing Techniques for Wound Management and Evaluation in Clinical Practice: Establishing the Feasibility of Implementing Artificial Intelligence in Routine Wound Care.","authors":"Mai Dabas, Suzanne Kapp, Amit Gefen","doi":"10.1097/ASW.0000000000000246","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000246","url":null,"abstract":"Objective: To develop a generalizable and accurate method for automatically analyzing wound images captured in clinical practice and extracting key wound characteristics such as surface area measurement.Methods: The authors used image processing techniques to create a robust algorithm for segmenting pressure injuries from digital images captured by nurses during clinical practice. The algorithm also measured the real-world wound surface area. They used the hue-saturation-value color space to analyze red color values and to detect and segment the wound region within the entire image. To assess the accuracy of the algorithm's wound segmentation, the authors compared the results against wound image annotations.Results: The algorithm performed impressively, achieving an intersection-over-union score of up to 0.85 and 100% intersection with the annotations. The algorithm effectively analyzed wound images obtained during clinical practice and accurately extracted the surface area of the documented pressure injuries. These results support the feasibility and applicability of this methodology.Conclusions: Accurate determination of wound size and healing supports decision-making regarding treatment and is essential to successful outcomes. This innovative approach for visual assessment of chronic wounds highlights the potential of computerized wound analysis in clinical practice. By leveraging advanced computational techniques, healthcare providers can gain valuable insights into wound progression, enabling more accurate assessments to support their decision-making.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 1","pages":"31-39"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998620","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

Managing Calciphylaxis: Insights from Real-World Cases at a Tertiary Academic Center. 管理钙化反应：来自现实世界案例的见解在一个高等学术中心。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000263

Kanika Kochhar, Brennen O'Dell, Garneisha Torrence, Alton Johnson, Carey Spitler, Brian Schmidt

{"title":"Managing Calciphylaxis: Insights from Real-World Cases at a Tertiary Academic Center.","authors":"Kanika Kochhar, Brennen O'Dell, Garneisha Torrence, Alton Johnson, Carey Spitler, Brian Schmidt","doi":"10.1097/ASW.0000000000000263","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000263","url":null,"abstract":"Abstract: Calciphylaxis is a rare and potentially fatal condition involving chronic, nonhealing wounds caused by microvascular calcification. There is currently no approved treatment for calciphylaxis, contributing to its devastating impacts on quality of life. In this case series, the authors highlight instances of potentially misdiagnosed calciphylaxis in a cohort of patients and emphasize the importance of accurate diagnosis through multidisciplinary management approaches.The authors report on three patients treated at a large tertiary academic center between March 2021 and March 2023. Consent was obtained from all patients, including for the use of patient images. The first and second patients, a 75-year-old man and 62-year-old woman, respectively, both underwent an extensive course of local wound care as well as sodium thiosulfate therapy. The third patient, a 61-year-old woman, was treated with a combination of medication adjustments, lymphedema therapy, pulse lavage treatment, and cadaveric skin substitute. Tissue biopsy was also obtained in two of the three subjects to aid in the diagnosis of calciphylaxis. Unfortunately, these procedures lead to diagnostic challenges and misadventures, highlighting the risks associated with biopsy of calciphylaxis.This case series demonstrates how correctly diagnosing calciphylaxis relies heavily on providers maintaining a high index of clinical suspicion based on patient history, presentation, and risk factors. The primary goals of treatment for calciphylaxis include appropriate wound care, management of infection and pain, and close monitoring.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 1","pages":"E1-E5"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998582","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

Therapeutic Indices of Topical Antiseptics in Wound Care: A Systematic Review. 伤口护理中外用杀菌剂的治疗指标：系统回顾

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 Epub Date: 2024-10-03 DOI: 10.1097/ASW.0000000000000233

Ryan S Q Geng, R Gary Sibbald, Jacqueline Slomovic, Olivia Toksarka, Gregory Schultz

引用次数: 0

The Infection-Inflammation Challenges to Skin and Wound Care. 感染-炎症对皮肤和伤口护理的挑战。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000266

引用次数: 0

The National Correct Coding Initiative Policy Manual Is a Great Reference. 国家正确编码倡议政策手册是一个很好的参考。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000258

Kathleen D Schaum

引用次数: 0

Adjunctive Hyperbaric Oxygen Therapy for Patients with Chronic Refractory Osteomyelitis: A Report of Treatment Outcomes and Risk Factors for Treatment Failure. 慢性难治性骨髓炎患者的辅助高压氧治疗：治疗结果和治疗失败的危险因素报告。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000256

J Benjamin Jackson, Yianni Bakaes, Ben Jacques, Chase Gauthier, William L Mills, Kenny Nguyen, Tyler Gonzalez, David L Cone

{"title":"Adjunctive Hyperbaric Oxygen Therapy for Patients with Chronic Refractory Osteomyelitis: A Report of Treatment Outcomes and Risk Factors for Treatment Failure.","authors":"J Benjamin Jackson, Yianni Bakaes, Ben Jacques, Chase Gauthier, William L Mills, Kenny Nguyen, Tyler Gonzalez, David L Cone","doi":"10.1097/ASW.0000000000000256","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000256","url":null,"abstract":"Objective: To evaluate the effect of hyperbaric oxygen (HBO) therapy on the outcomes of patients with chronic refractory osteomyelitis (CRO) when combined with modern antibiotics with modern delivery methods and/or surgical treatments.Methods: The authors conducted a retrospective review on 58 patients with CRO from a single institution who underwent HBO therapy along with standard treatment between January 2009 and December 2019. To investigate associations with binary outcomes of interest, they estimated logistic regression models. All models were adjusted for sex, smoking status, and pertinent comorbidities. Exponentiated logistic regression model coefficients were interpreted as odds ratios for each outcome of interest. Multivariable logistic regression was used to control for potential confounding variables.Results: When controlling for multiple confounding factors, patients who completed HBO treatment had 7.76 times the odds of having improvement of their CRO compared with patients who started HBO treatment but did not complete it (P = .015). Further, patients who completed HBO treatment had 7.7 times the odds of experiencing CRO improvement when controlling for CRO stage (P = .006). However, completion of HBO did not statistically significantly impact the resolution of CRO or the odds of further surgery or amputation. Patients with diabetes, peripheral vascular disease, and congestive heart failure had increased odds of having an amputation (Ps = .026, .037, and .024, respectively).Conclusions: Patients who completed HBO treatment had increased odds of experiencing improvement of their CRO compared with patients who started HBO treatment but did not complete it. Patients with CRO who had diabetes and congestive heart failure had increased odds of undergoing an amputation.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 1","pages":"40-45"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998555","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

Healthcare Costs of Pressure Injuries among Patients with a Spinal Cord Injury within a Dutch Rehabilitation Center. 荷兰康复中心脊髓损伤患者压力损伤的医疗费用。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.1097/ASW.0000000000000259

Boas J Wijker, Sonja de Groot, Anne-Fleur Boertje, Jacinthe J E Adriaansen, Wendy J Achterberg-Warmer, Amber Wighman, Maurits W van Tulder, Thomas W J Janssen, Johanna M van Dongen

{"title":"Healthcare Costs of Pressure Injuries among Patients with a Spinal Cord Injury within a Dutch Rehabilitation Center.","authors":"Boas J Wijker, Sonja de Groot, Anne-Fleur Boertje, Jacinthe J E Adriaansen, Wendy J Achterberg-Warmer, Amber Wighman, Maurits W van Tulder, Thomas W J Janssen, Johanna M van Dongen","doi":"10.1097/ASW.0000000000000259","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000259","url":null,"abstract":"Objective: To assess the healthcare costs of pressure injuries (PIs) among patients with a spinal cord injury (SCI) in a Dutch rehabilitation center and determine if those costs were associated with patients' age or sex.Methods: The direct healthcare costs of PIs were estimated using data from electronic health records of a Dutch rehabilitation center. This dataset contained demographic, clinical, and resource use information of all patients with an SCI or a PI who were treated at the rehabilitation center because of a PI between 2009 and 2022. Standard prices were used to value inpatient rehabilitation, whereas a micro-costing approach was used to value outpatient consultations and material costs. Using ordinary least squares regression analyses, the authors assessed whether the costs were associated with age and sex, after correcting for the patients' length of PI care.Results: Between 2009 and 2022, 409 patients with an SCI were treated at the rehabilitation center for a PI. The patients' mean total length of PI care was 883 ± 1,266 days (median, 137 days; interquartile range, 10-1,620). The mean total rehabilitation cost of PIs among these patients was €15,412 (USD $16,836) per patient with a mean total annual rehabilitation cost of €6,368 (USD $6,956) per patient. Costs were not significantly associated with age and sex.Conclusions: The healthcare costs of PIs among patients with an SCI in a Dutch rehabilitation center represent a significant economic burden. Prevention of PIs seems warranted, not only from a clinical perspective, but also from a health economic perspective.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 1","pages":"19-24"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998560","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

Scleredema: An Unusual Cutaneous Manifestation of Coronavirus Infection. 硬化水肿：冠状病毒感染的一种不寻常的皮肤表现。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-01-01 DOI: 10.1097/ASW.0000000000000257

Priyanka Hemrajani, Mona Sharma, Piyush Gupta, Tapan Kumar Dhali, Paschal D'souza

引用次数: 0