Advances in Skin & Wound Care最新文献_第2页

Perioperative Risk Factors of Postoperative Pressure Injuries in Patients after Surgical Hematoma Evacuation of Intracranial Hemorrhage: A Retrospective Cohort Study. 颅内出血血肿引流术后压力损伤围手术期危险因素：回顾性队列研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-05 DOI: 10.1097/ASW.0000000000000304

On-Yu Choi, Youn-Jung Son

{"title":"Perioperative Risk Factors of Postoperative Pressure Injuries in Patients after Surgical Hematoma Evacuation of Intracranial Hemorrhage: A Retrospective Cohort Study.","authors":"On-Yu Choi, Youn-Jung Son","doi":"10.1097/ASW.0000000000000304","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000304","url":null,"abstract":"Objective: To identify the incidence and perioperative risk factors of postoperative pressure injuries (PIs) in patients with intracranial hemorrhage who had surgical evacuation of hematoma.Methods: This retrospective cohort study was conducted at a tertiary care university hospital. Researchers collected medical record data from April 2010 to March 2020 and conducted backward selection in multiple logistic regression.Results: Of the 386 patients identified, 103 (26.7%) developed postoperative PIs. The most common site of PI was the coccyx (n = 56; 38.9%). More than half of the patients had stage 2 PIs, and 43 (41.7%) developed PIs 14 or more days after surgery. Three variables were associated with an increased risk of postoperative PI: older age (P = .025), receiving a packed red blood cell transfusion while in the ICU (P = .004), and staying in the ICU for more than 7 days (P < .001).Conclusions: The present findings indicate that risk factors for postoperative PIs include older age, requiring a blood transfusion, and longer ICU stays, which may increase nursing workload regardless of surgery type. Future research on postoperative PIs in patients undergoing neurosurgery should consider additional ICU work environment factors, including nurse-to-patient ratio and immobility-related factors such as duration of medical device use. Further, international comparisons of risk factors for postoperative PIs among patients undergoing neurosurgery are needed.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953144","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

Medicare National Correct Coding Initiative Medically Unlikely Edits: Myth and Mystery. 医疗保险国家正确编码倡议医学上不可能的编辑：神话和神秘。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 DOI: 10.1097/ASW.0000000000000298

Kathleen D Schaum

引用次数: 0

Cutaneous Psoriasis: Clinical Aspects and Treatments. 皮肤牛皮癣：临床方面和治疗。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 DOI: 10.1097/ASW.0000000000000265

引用次数: 0

Response to "Bacterial Fluorescence Imaging to Address Racial Inequities in Wound Infection Assessment". 对“细菌荧光成像解决伤口感染评估中的种族不平等”的回应。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 DOI: 10.1097/ASW.0000000000000269

Igor Melnychuk

引用次数: 0

In response. 作为回应。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 DOI: 10.1097/01.ASW.0001111696.35767.2e

Charles A Andersen, Gabriel Ayoola, Alton R Johnson, Jonathan Johnson, Martha R Kelso, Thomas E Serena, Alisha Oropallo

引用次数: 0

Cutaneous Psoriasis: Clinical Aspects and Treatments. 皮肤牛皮癣：临床方面和治疗。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1097/ASW.0000000000000243

Ryan S Q Geng, R Gary Sibbald

引用次数: 0

Demographic Factor Analysis on the Knowledge, Attitudes, and Practice Status of Nurses in Preventing Device-Related Pressure Injuries: A Multicentric Cross-sectional Study. 护士预防器械相关压力伤害知识、态度和实践状况的人口统计学因素分析：一项多中心横断面研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-04-01 DOI: 10.1097/ASW.0000000000000291

Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He

{"title":"Demographic Factor Analysis on the Knowledge, Attitudes, and Practice Status of Nurses in Preventing Device-Related Pressure Injuries: A Multicentric Cross-sectional Study.","authors":"Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He","doi":"10.1097/ASW.0000000000000291","DOIUrl":"10.1097/ASW.0000000000000291","url":null,"abstract":"Objective: To evaluate the current status of the Device-Related Pressure Injuries Knowledge, Attitude, and Practice (DRPI-KAP) survey among nurses and explore its demographic factors.Methods: The demographic questionnaire and appropriative DRPI-KAP scale were used to investigate 1,368 nurses from eight representative hospitals in Mianyang City, China.Results: A total of 1,344 valid questionnaires were collected, yielding an effective response rate of 98.2% (1,344/1,368). The scores (score rates) of the knowledge, attitude, and practice dimensions and overall DRPI-KAP scale were 49.5 ± 12.1 (65.9%), 38.3 ± 5.6 (85.1%), 56.7 ± 10.0 (81.0%), and 144.4 ± 22.6 (76.0%), respectively. The Pearson and partial correlation analysis revealed a significant positive correlation between scores on the DRPI knowledge, attitude, and practice dimensions. After adjusting for the confounding effects of the three DPRI-KAP dimensions, the multiple linear stepwise regression analysis revealed that multiple demographic factors independently influenced the knowledge (eg, department, work years, received DRPI training, wound/stoma specialist nurse), attitude (eg, technical title, department), and practice (eg, position, technical title, wound/stoma specialist nurse, received DRPI training). Of them, the proactive DRPI attitude of pediatric nurses and the effective DRPI practices of frontline nurses were identified as innovative findings.Conclusions: There is an urgent need for improvement in the knowledge of DRPI prevention among representative hospital nurses. Enhancing the knowledge training and management system is anticipated to cultivate professional attitude and practice, thereby elevating the DRPI nursing quality.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"215-219"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond the Case Study: Laboratory Activities to Complement Integumentary Education. 超越个案研究：辅助教学的实验活动。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-01-27 DOI: 10.1097/ASW.0000000000000255

Deborah M Wendland, Kathryn Panasci, Hope A Martinez, John S Mantanona, Melinda G Powers, Rachael L Sausman, Karen A Gibbs

{"title":"Beyond the Case Study: Laboratory Activities to Complement Integumentary Education.","authors":"Deborah M Wendland, Kathryn Panasci, Hope A Martinez, John S Mantanona, Melinda G Powers, Rachael L Sausman, Karen A Gibbs","doi":"10.1097/ASW.0000000000000255","DOIUrl":"10.1097/ASW.0000000000000255","url":null,"abstract":"Objective: To present a full scope of detailed and engaging laboratory activities recommended by physical therapist clinicians and educators from across the US to assist health professions faculty to develop new or improve current integumentary/wound management (IWM) instruction.Methods: A three-round Delphi survey was conducted to update IWM curriculum recommendations for entry-level doctor of physical therapy education. First-round participants provided ideas for laboratory activities. Activity responses were discussed, edited for redundancy, and clarified. Missing information (eg, estimated cost and time required) was added to increase usability.Results: A total of 139 laboratory activities were recommended by survey participants. Many of the suggestions included inexpensive and readily available, do-it-yourself wound models requiring food or other moulage techniques. These simulations are elucidated to facilitate translation of ideas into classroom and community laboratory activities to promote student learning.Conclusions: The literature supports that most entry-level healthcare profession programs report limited IWM education, emphasizing the need for effective and efficient use of IWM contact hours. Developing engaging and meaningful hands-on laboratory activities is vital to increasing student knowledge and skill in this area of clinical practice.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"196-203"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057728","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 Shear Force Redistribution and Microclimate in Foam Dressings Indicated for Pressure Injury Prevention. 泡沫敷料中剪切力重分布及微气候对预防压力损伤的影响。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1097/ASW.0000000000000295

Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call

{"title":"Evaluation of Shear Force Redistribution and Microclimate in Foam Dressings Indicated for Pressure Injury Prevention.","authors":"Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call","doi":"10.1097/ASW.0000000000000295","DOIUrl":"10.1097/ASW.0000000000000295","url":null,"abstract":"Objective: To understand the performance of a border and silicone version of a next-generation multilayered foam dressing (dressings A and B) compared with three commercially available wound dressings (dressings C, D, and E) in bench tests relevant for pressure injuries.Methods: Two methods were used. The first measured shear force transmission through dressings in low- and high-shear force scenarios compared with a control with no dressing. The second measured the dressings' microclimate (heat and moisture) compared with two controls: one with high moisture output and one with no moisture output. Statistical significance was determined using a 95% CI and t test with α = .05.Results: In the low-shear scenario, dressing A showed the lowest force transmission, whereas dressing B was not significantly different from dressings C and E. In the high-shear scenario, dressing D had a significantly higher percentage of transmitted forces compared with the other dressings, with dressing A showing the lowest force transmission but no significant differences among the other three dressings. Regarding microclimate, dressing A showed no significant difference in relative humidity in the dressing-indenter and dressing-surface interfaces, suggesting good breathability. Dressing E had the highest temperature at the indenter-dressing interface, significantly different from the other dressings ( P < .05).Conclusions: The study found that a next-generation foam dressing (dressing A) had better breathability and lower shear force transmission than other available dressings. This study emphasized the importance of understanding the physical properties of dressings to choose the most appropriate product based on individual patient needs, wound characteristics, and environmental conditions.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"183-188"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pressure Distribution Properties in Wound Dressings Using Heel and Sacrum Indenters Under Clinically Relevant Loads. 临床相关负荷下足跟和骶骨压头伤口敷料的压力分布特性。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1097/ASW.0000000000000294

Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call

{"title":"Pressure Distribution Properties in Wound Dressings Using Heel and Sacrum Indenters Under Clinically Relevant Loads.","authors":"Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call","doi":"10.1097/ASW.0000000000000294","DOIUrl":"10.1097/ASW.0000000000000294","url":null,"abstract":"Objective: To understand the pressure distribution characteristics of a border and silicone version of a next-generation multilayered foam dressing (A and B) compared with three commercially available dressings (C, D, and E) using a novel pressure distribution model with clinically relevant pressures.Methods: The testing setup included a support surface analog of K45 foam covered with polyurethane fabric, a high-resolution pressure mapping system, and a silicone layer to simulate overlying tissue. The dressing was exposed to clinically relevant loads of 30 and 80 mm Hg for 60 seconds using new sacral and heel indenters. A control was conducted using the same setup without a dressing. Statistical significance was determined using a 95% CI and t test with α = .05.Results: All dressings decreased pressure and increased contact area compared with the control ( P < 0.05). Dressings A and B had lower peak pressures than dressings C and E for both indenters. Dressings D and B had the largest contact areas and lowest pressures in the heel indenters, whereas dressing E had the smallest contact area and the highest pressures for both indenters. The results also demonstrated a strong negative correlation between the average pressure and the contact area for both indenters.Conclusions: Using anatomically accurate indenters and clinically relevant pressures, the study demonstrated that dressings A and B significantly reduced interface pressure compared with no dressing, suggesting potential advantages for pressure redistribution in vulnerable areas. Additional clinical research in various care settings is needed to validate this study's findings.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"189-194"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0