Advances in Skin & Wound Care最新文献_第4页

Do Not Jump Out of the Reimbursement Frying Pan and Into the Reimbursement Fire. 不要跳出报销的煎锅，跳进报销的火坑。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-09-01 Epub Date: 2026-08-12 DOI: 10.1097/ASW.0000000000000517

Kathleen D Schaum

引用次数: 0

Effectiveness of Trolamine in Preventing Radiotherapy-Related Skin Toxicity in Breast Cancer: A Meta-Analysis and Trial Sequential Analysis Study of Randomized Controlled Trials. 三硝胺预防乳腺癌放疗相关皮肤毒性的有效性：随机对照试验的荟萃分析和试验序贯分析研究。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-09-01 Epub Date: 2026-06-09 DOI: 10.1097/ASW.0000000000000487

Lufeng Xie, Yu Zeng, Binbin Zhang, Xiaoli Yuan

{"title":"Effectiveness of Trolamine in Preventing Radiotherapy-Related Skin Toxicity in Breast Cancer: A Meta-Analysis and Trial Sequential Analysis Study of Randomized Controlled Trials.","authors":"Lufeng Xie, Yu Zeng, Binbin Zhang, Xiaoli Yuan","doi":"10.1097/ASW.0000000000000487","DOIUrl":"10.1097/ASW.0000000000000487","url":null,"abstract":"Objective: To evaluate the efficacy of trolamine in preventing radiotherapy-associated skin toxicity in patients with breast cancer.Data sources: PubMed, Embase, Cochrane Library, Web of Science, ClinicalTrials.gov, China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP Database, and Chinese Biomedical Literature Database (CBM).Study selection: The included randomized controlled trials focused on the incidence of grade 0 to 1 cutaneous toxicity, the incidence of grade 2 cutaneous toxicity, the incidence of grade 2 or higher cutaneous toxicity, and the incidence of grade 3 or higher cutaneous toxicity.Data extraction: Data on participant demographics, intervention details, and outcome measures were collected from the selected studies.Data synthesis: A total of 10 randomized controlled trials involving 980 patients with breast cancer were included. Results showed that the incidence of grade 0 to 1 skin toxicity was significantly higher in the trolamine group (RR = 1.89; 95% CI [1.05, 3.40]; P = .03), whereas the incidence of grade 2 (RR = 0.51; 95% CI [0.27, 0.96]; P = .04), grade 2 or higher (RR = 0.52; 95% CI [0.31, 0.87]; P = .01), and grade 3 or higher (RR = 0.37; 95% CI [0.23, 0.62]; P = .0001) skin toxicity was significantly lower. Based on the GRADE approach, the quality of evidence was rated as \"low\" for grades 0 to 1, grade 2, and grade 2 or higher skin toxicity, whereas evidence for grade 3 or higher skin toxicity was rated as \"moderate.\"Conclusions: Trolamine significantly reduces the incidence of grade 2 and higher skin toxicity, particularly grade 3 or higher skin toxicity.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"429-439"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148248758","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

Applauding Our Peer Reviewers. 为我们的同行评审鼓掌。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-09-01 Epub Date: 2026-08-12 DOI: 10.1097/ASW.0000000000000514

Elizabeth A Ayello, R Gary Sibbald

引用次数: 0

Response to "Consulting the Digital Doctor: Efficacy of ChatGPT-3.5 in Answering Questions Related to Diabetic Foot Ulcer Care". 对“咨询数字医生：ChatGPT-3.5在回答糖尿病足溃疡护理相关问题中的疗效”的回应。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-09-01 Epub Date: 2026-08-12 DOI: 10.1097/ASW.0000000000000504

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Intraoperative Device-Related Pressure Injuries in Patients Undergoing Prolonged Surgery. 长时间手术患者术中器械相关压力损伤。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-08-20 DOI: 10.1097/ASW.0000000000000510

Mehtap Adıgüzel Akbaba, Yasemin Uslu, Fatmanur Aytar, Esra Eren

{"title":"Intraoperative Device-Related Pressure Injuries in Patients Undergoing Prolonged Surgery.","authors":"Mehtap Adıgüzel Akbaba, Yasemin Uslu, Fatmanur Aytar, Esra Eren","doi":"10.1097/ASW.0000000000000510","DOIUrl":"10.1097/ASW.0000000000000510","url":null,"abstract":"Objective: This study aimed to determine the incidence of and risk factors for device-related pressure injuries (PIs) in prolonged surgeries.Methods: A descriptive, prospective, single-center study was conducted in a hospital in Istanbul, Turkey, between June and September 2023. The study included 367 adults who underwent elective surgery with an operative time of 3 hours or longer. Data were collected via a patient information form, the Braden Scale, and the 3S Intraoperative Risk Assessment Scale (3S Intraoperative RAS).Results: The patients in the study had a mean age of 47 years, 64% were women, and 28.9% underwent plastic surgery. The median operative time was 250 minutes, and the median number of intraoperative medical devices used was 13. Device-related PIs were observed in 30% of the patients (n=110), and 98.8% of the PIs were classified as stage 1. The factors associated with a significantly greater incidence of device-related PI were age older than 48 years ( P =.001), body mass index ≥25 kg/m 2 ( P =.036), position change after anesthesia induction ( P <.001), skin abnormalities ( P =.033), operative time ≥250 minutes ( P =.012), intraoperative bleeding ≥150 mL ( P =.012), and ≥13 intraoperative medical devices ( P <.001).Conclusions: Patient and surgical factors are important in the development of device-related PIs during long surgeries. The use of risk assessment tools that include surgical risk factors and evidence-based PI prevention interventions for the medical devices used in surgery is recommended.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148534977","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

Efficacy of Digital Subtraction Angiography in Identifying Arterial Injuries and Guiding Treatment in High-Voltage Electrical Burns to the Wrist: A Retrospective Analysis. 数字减影血管造影在识别手腕高压电烧伤动脉损伤及指导治疗中的疗效：回顾性分析。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-08-20 DOI: 10.1097/ASW.0000000000000513

Lin Cheng, Hui-Jun Zhang, Ying Zhang, Xiao-Zhuo Zhao, Tong-Yu Cao, Wei-Li Du, Xiao-Hua Hu, Yu-Ming Shen

{"title":"Efficacy of Digital Subtraction Angiography in Identifying Arterial Injuries and Guiding Treatment in High-Voltage Electrical Burns to the Wrist: A Retrospective Analysis.","authors":"Lin Cheng, Hui-Jun Zhang, Ying Zhang, Xiao-Zhuo Zhao, Tong-Yu Cao, Wei-Li Du, Xiao-Hua Hu, Yu-Ming Shen","doi":"10.1097/ASW.0000000000000513","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000513","url":null,"abstract":"Objective: This study aimed to evaluate the efficacy of digital subtraction angiography (DSA) in detecting and classifying arterial injuries associated with high-voltage electrical burns (HVEBs) to the wrists and its utility in informing clinical decision-making.Methods: A retrospective analysis of 32 cases with wrist injuries from HVEBs, with DSA exams conducted from January 1, 2019, to December 30, 2022. Forty-six limbs were categorized into type A (stable perfusion), type B (unstable perfusion), and type C (complete occlusion) based on DSA findings. Additional data included concurrent injuries, emergency interventions, time to surgery, flap type, number of surgeries, complications, and prognosis.Results: DSA examinations were performed an average of 5.96 days postinjury. Type A included 17 limbs with stable radial artery perfusion and 2 limbs with stable ulnar artery perfusion. All limbs were successfully salvaged through the timely implementation of fasciotomy, comprehensive debridement, and early flap coverage. Type B included 15 limbs, 13 salvaged with fasciotomy, vascular reconstruction, and flap coverage; 2 limbs required amputation due to late-onset infection of the distal radius and ulna. Type C was identified in 12 limbs, with 11 requiring amputations, whereas limb salvage was achieved in 1 case through active vascular reconstruction and flap coverage.Conclusions: DSA is effective for assessing arterial stenosis and occlusion in HVEBs to the wrist, guiding limb salvage strategies. Supplementary diagnostics are necessary to enhance DSA in treatment planning for HVEBs affecting the wrist.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787001","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

Incidence of Community-Acquired Pressure Injuries and Factors Influencing Their Frequent Occurrence Among Community-Dwelling Individuals With Spinal Cord Injury. 社区脊髓损伤患者社区获得性压力损伤发生率及影响因素分析

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-08-19 DOI: 10.1097/ASW.0000000000000521

Zheng He, Wenxuan Wang, Jing Liu, Baoyun Huang, Qiqing Yang, Sumei Xie, Kun Li

{"title":"Incidence of Community-Acquired Pressure Injuries and Factors Influencing Their Frequent Occurrence Among Community-Dwelling Individuals With Spinal Cord Injury.","authors":"Zheng He, Wenxuan Wang, Jing Liu, Baoyun Huang, Qiqing Yang, Sumei Xie, Kun Li","doi":"10.1097/ASW.0000000000000521","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000521","url":null,"abstract":"Objective: To investigate the incidence of community-acquired pressure injuries (PIs) and factors influencing their frequent occurrence (ie, 2 or more PIs after discharge) among community-dwelling individuals with spinal cord injury in China.Methods: This retrospective study included a convenience sample of 302 community-dwelling individuals with either traumatic or nontraumatic spinal cord injury. Univariate analysis and logistic regression analysis were performed to identify factors influencing the frequent occurrence of community-acquired PI (CAPI).Results: Of the sample, 34.11% had a CAPI. Independent risk factors for CAPI included complete spinal cord injury, >2 years duration since injury, low serum albumin or total protein levels before discharge, high fasting blood glucose before discharge, and the occurrence of PI during hospitalization. Independent protective factors for CAPI included having at least a senior middle school education, reporting often or always alleviating local skin pressure when sitting, and average duration of each skin pressure relief exceeding 15 seconds when sitting.Conclusions: The incidence of CAPI among individuals with spinal cord injury in China was high. It is vital that health care professionals evaluate CAPI risk for CAPI community-dwelling individuals, determine patients' skin self-management level, and provide long-term follow-up and care after discharge.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786991","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

Alternative Craniotomy Scalp Closure Method for Reduction of Surgical Site Infections and Wound Dehiscence. 替代开颅-头皮闭合法减少手术部位感染和创面裂开。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-08-19 DOI: 10.1097/ASW.0000000000000519

Jacqueline Nicole Boyle, William Kyle Miller, Andrew Joseph Tsung

{"title":"Alternative Craniotomy Scalp Closure Method for Reduction of Surgical Site Infections and Wound Dehiscence.","authors":"Jacqueline Nicole Boyle, William Kyle Miller, Andrew Joseph Tsung","doi":"10.1097/ASW.0000000000000519","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000519","url":null,"abstract":"Objective: Surgical site infection (SSI) after cranial surgery is a serious complication with high morbidity and mortality. This study sought to evaluate the relationship between an alternative scalp closure technique for craniotomy after tumor resection and SSIs.Methods: The authors retrospectively reviewed patients who underwent craniotomy for tumor resection between January 1, 2020, and June 10, 2023. After clinical and demographic data were collected, patients were dichotomized by suture closure technique, and SSI and wound dehiscence incidence were evaluated.Results: A total of 285 patients were identified for study inclusion, with 58 in the experimental cohort. The experimental cohort had higher rates of preoperative chemotherapy, current smoking, low albumin, and revision procedures. There were no significant differences in treatment outcomes (wound washout, SSI, dehiscence, or oversewing) individually or collectively. Multivariate models did not demonstrate any differences.Conclusions: Although the present study did not statistically demonstrate an advantage to this novel closure technique, patients within the experimental group had a greater number of risk factors for infection, with no significant differences between groups for wound dehiscence, washout, or SSI. This is likely due to low adverse events, nonrandomization, and group heterogeneity. Future studies are needed to fully determine the significance of suture technique on cranial SSI.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786954","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

Assessing Challenges and Barriers to Effective Wound Care in Rural Indigenous Communities. 评估农村土著社区有效伤口护理的挑战和障碍。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-08-19 DOI: 10.1097/ASW.0000000000000522

Polycronis P Akouris, Jonah W Perlmutter, Arshia P Javidan, Asha Behdinan, Jackie Walker, Ahmed Kayssi, R Gary Sibbald, Rachel N Asiniwasis

{"title":"Assessing Challenges and Barriers to Effective Wound Care in Rural Indigenous Communities.","authors":"Polycronis P Akouris, Jonah W Perlmutter, Arshia P Javidan, Asha Behdinan, Jackie Walker, Ahmed Kayssi, R Gary Sibbald, Rachel N Asiniwasis","doi":"10.1097/ASW.0000000000000522","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000522","url":null,"abstract":"Objective: To explore the lived experiences of patients with chronic wounds from a remote Indigenous community in Northern Manitoba, Canada, focusing on challenges in wound management, the impact on quality of life, barriers to wound care access, and the role of traditional healing practices.Methods: A qualitative descriptive study was co-created with members of the Nisichawayasihk Cree Nation (NCN) and conducted in alignment with OCAP (Ownership, Control, Access, and Possession) principles. Fifteen participants with current or past chronic wounds participated in semi-structured, in-person interviews at the NCN Family and Community Wellness Centre in June 2024. Interviews were audio-recorded, transcribed verbatim, and analyzed inductively using NVivo to identify key thematic domains.Results: Five thematic domains emerged: (1) access to health care-limited local services, long wait times, and substantial travel and financial burden to obtain specialty care; (2) inadequate wound care-inconsistent follow-up and reliance on self-management at home; (3) patient education-focused largely on diabetes control with little wound-specific guidance; (4) living with pain-persistent pain limiting mobility, sleep, and emotional well-being; and (5) traditional Indigenous medicine-frequent use of culturally rooted treatments, though often not acknowledged or integrated by Western providers.Conclusions: Indigenous patients experience major barriers to timely, effective wound care, driven by geographic isolation, fragmented services, and gaps in patient education. Integrating traditional healing with Western practice, strengthening community-based care pathways, and improving specialist access may support limb preservation, reduce preventable amputation, and enhance quality of life.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786987","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 Pressure Injuries in Intensive Care Units: A Point Prevalence Study in a City Hospital. 重症监护病房压力损伤的评估：某城市医院的点患病率研究

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-08-03 DOI: 10.1097/ASW.0000000000000516

Aysegul Erciyas, Gulay Yazici, Elif Demirden Eristi, Aziz A Surel

{"title":"Evaluation of Pressure Injuries in Intensive Care Units: A Point Prevalence Study in a City Hospital.","authors":"Aysegul Erciyas, Gulay Yazici, Elif Demirden Eristi, Aziz A Surel","doi":"10.1097/ASW.0000000000000516","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000516","url":null,"abstract":"Objective: To determine the prevalence of pressure injuries (PIs) in intensive care units (ICUs).Methods: This descriptive point prevalence study was conducted in 43 adult ICUs of the General Hospital, Cardiovascular Hospital, Orthopedics and Neurology Hospital, and Oncology Hospital of the City Hospital in Turkey. The study population consisted of 705 patients who were hospitalized in the adult ICUs of the City Hospital on May 2, 2024; of those, 632 patients agreed to participate. Data were collected using a patient information form and the Braden Risk Assessment Scale.Results: Overall, 45.1% of the patients were at high risk for PI, 28.8% had a PI, and 12.9% had a PI originating from an external center. The prevalence of PI in this population was 12.8%. Pressure injuries occurred most frequently in the sacral region (38.8%) and the most frequent staging was stage 2 (34.5%). The Braden Risk Assessment Scale was used in 100% of patients.Conclusions: Pressure injuries represent system-level issues. Sustainable prevention requires strengthened education, improved nurse-to-patient ratios, reduced workload, and enhanced holistic care practices alongside ongoing training efforts within intensive care settings.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663422","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