Advances in Skin & Wound Care最新文献_第6页

Operation and Practice of the Scott-Munro Model: Risk Assessment of Intraoperatively Acquired Pressure Injuries. 斯科特-芒罗模型的操作与实践：术中压伤的风险评估。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000281

Yanjun Wu, Yuting Chen, Weina Kong, Caiqin He, Dongxue Li

{"title":"Operation and Practice of the Scott-Munro Model: Risk Assessment of Intraoperatively Acquired Pressure Injuries.","authors":"Yanjun Wu, Yuting Chen, Weina Kong, Caiqin He, Dongxue Li","doi":"10.1097/ASW.0000000000000281","DOIUrl":"10.1097/ASW.0000000000000281","url":null,"abstract":"Abstract: Objective: To evaluate the feasibility and effectiveness of the Scott-Munro (S-M) model in the dynamic assessment of intraoperatively acquired pressure injuries (IAPIs) in adults.Methods: This study included 8,254 patients who underwent surgery between October 2022 and September 2023. The S-M model was applied for the dynamic risk assessment of IAPIs. The first cycle was set as the baseline from October 1, 2022, to December 31, 2022, and cycles were set every 3 months thereafter. Each cycle was compared with the first cycle and the previous cycle, in terms of IAPI incidence, actual assessment rate of IAPIs in high-risk patients, and accuracy of IAPI assessment in high-risk patients.Results: The incidences of IAPIs in the four cycles were 0.52%, 0.27%, 0.09%, and 0.13%, respectively. The third and fourth cycles both differed significantly from the first cycle (P < .05). The actual assessment rates of IAPIs in high-risk patients in the four cycles were 13.01%, 47.20%, 90.96%, and 95.67%, respectively (P < .05). Similarly, the accuracy of the assessment of IAPIs in high-risk patients was 38.04%, 67.37%, 89.93%, and 86.58%, respectively, in the four cycles (P < .05).Conclusions: The S-M model can reduce the incidence of IAPIs, dynamically and effectively evaluate IAPIs, and provide a basis for the management and prevention of IAPIs.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"90-95"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466438","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

Effects of Heat and Pressure Loading on Erythema and Skin Microclimate at Pressure-Prone Areas of Semirecumbent Healthy Adults. 热压负荷对半卧位健康成人压力易感区红斑和皮肤微气候的影响

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000244

Caroline Borzdynski, Charne Miller, Bill McGuiness

{"title":"Effects of Heat and Pressure Loading on Erythema and Skin Microclimate at Pressure-Prone Areas of Semirecumbent Healthy Adults.","authors":"Caroline Borzdynski, Charne Miller, Bill McGuiness","doi":"10.1097/ASW.0000000000000244","DOIUrl":"10.1097/ASW.0000000000000244","url":null,"abstract":"Abstract: Background: Altered localized microclimate conditions are known to increase the risk of pressure injuries in immobile patients. Limited in vivo studies have examined how skin properties change over time and under different skin microclimate conditions.Objective: To examine changes in erythema, stratum corneum hydration, and skin temperature in response to an altered microclimate, simulated by the introduction of heat, at the skin-support surface interface of semirecumbent healthy adults.Methods: In this quasi-experimental study, researchers obtained noninvasive biophysical skin measures at the elbows, heels, and sacrum of healthy adults positioned semirecumbently. Participants advanced through a controlled condition and heat intervention. Repeated measures were gathered at the anatomic sites every 10 minutes for 60 minutes per condition. Linear mixed models were used to compare skin measures over time and between conditions.Results: Large regional variation in skin measures emerged by condition and among participants. The introduction of heat increased skin temperature at the heels (P < .001), elbows (P = .005), and sacrum (P < .001). Erythema increased at the sacrum (P = .012) but at no other anatomic testing site. There was no impact on stratum corneum hydration as a result of increased heat at any anatomic testing site.Conclusions: More frequent monitoring cycles for erythematous skin discoloration and thermal changes may be required at the sacral skin in immobile patients. Distinctive protocols in relation to skin-care regimens may be warranted for individual patients. Skin cooling, enabled by intermittent off-loading of pressure-prone areas, may assist optimization of the skin microclimate.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"96-104"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466798","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

Markers for Pressure Injury Risk in Individuals with Chronic Spinal Cord Injury: A Pilot Study. 慢性脊髓损伤患者压力损伤风险的标志物：一项初步研究

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1097/ASW.0000000000000253

Yi-Ting Tzen, Patricia T Champagne, Jijia Wang, Merrine Klakeel, Wei-Han Tan, Kath M Bogie, Timothy J Koh

{"title":"Markers for Pressure Injury Risk in Individuals with Chronic Spinal Cord Injury: A Pilot Study.","authors":"Yi-Ting Tzen, Patricia T Champagne, Jijia Wang, Merrine Klakeel, Wei-Han Tan, Kath M Bogie, Timothy J Koh","doi":"10.1097/ASW.0000000000000253","DOIUrl":"10.1097/ASW.0000000000000253","url":null,"abstract":"Abstract: Objective: To identify markers associated with pressure injury (PrI) history in individuals with spinal cord injury (SCI) using two approaches: skin blood flow (SBF) response toward localized heating, and serum marker for insulin resistance.Methods: For this cross-sectional, observational study of adults with chronic traumatic SCI at T12 and above, researchers recruited two groups of participants: with history of PrI (group 1), and without history of PrI (group 2). The study protocol included obtaining fasting blood samples and measurement of SBF at bilateral heels with localized heating of 42 °C for 30 minutes from all participants. Primary SBF outcomes were initial peak and plateau SBF normalized to baseline SBF. The primary outcome for insulin resistance was Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), calculated from fasting plasma glucose and insulin. Secondary outcomes included demographic and SCI information. Researchers used the Fisher exact test and Wilcoxon-Mann-Whitney test to compare the intergroup difference of categorical and continuous variables, respectively.Results: Sixteen adults completed this study (group 1, n = 7; group 2, n = 9). In comparison with group 2, group 1 had significantly higher HOMA-IR (3.90 ± 0.71 vs 1.45 ± 0.71), suggesting higher insulin resistance, and longer duration of injury (22.54 ± 7.24 vs 7.98 ± 6.58 years). There were no between-group differences in SBF or other secondary outcomes.Conclusions: HOMA-IR is a novel serum index associated with PrI history in persons with chronic SCI. Future longitudinal study is warranted to examine the role of insulin resistance in increasing PrI risk for the SCI population.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E12-E17"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057697","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

Investigation of Unavoidable Pressure Injuries in the Actively Dying Stage. 调查主动死亡阶段不可避免的压力伤害。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000274

Masaki Fujioka

{"title":"Investigation of Unavoidable Pressure Injuries in the Actively Dying Stage.","authors":"Masaki Fujioka","doi":"10.1097/ASW.0000000000000274","DOIUrl":"10.1097/ASW.0000000000000274","url":null,"abstract":"Abstract: Background: Although most pressure injuries (PIs) are healable with appropriate assessment, preventive intervention, and treatment, nursing professionals recognize that some PIs are unavoidable. Research investigating unavoidable PIs is limited because there are few clear means of determining whether these injuries are unavoidable.Objective: To clarify the reality of unavoidable PIs by analyzing the state of PIs and blood test results in patients who were actively dying.Methods: From 2018 to 2023, 904 hospitalized patients at the author's medical center developed PIs. Of these patients, 710 survived and were discharged (survival group). Of the 194 patients who died after developing a PI, 111 died more than 8 days after onset (end-of-life group), and 83 patients died within 7 days of onset (actively dying group). The researcher analyzed patients' age, weight, and height, as well as various blood work parameters at the time of PI occurrence in the survival, end-of-life, and actively dying patient groups.Results: Approximately half of patients with PIs in the actively dying stage had cancer. Total protein, albumin, and blood urea nitrogen were significantly lower among the actively dying patients compared with those who survived. Aspartate transferase, alanine aminotransferase, white blood cell count, and C-reactive protein were all significantly higher among patients in the actively dying versus the surviving group.Conclusions: It is difficult to determine whether a PI is unavoidable. However, the author believes that clinical symptoms and blood test data can help make that decision.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"86-89"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466393","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

The Impact of Cleaning and Disinfecting on Full-Body Support Surfaces. 清洁和消毒对全身支撑表面的影响。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1097/ASW.0000000000000268

Kristen Thurman, Jackie Todd, Shaun Ambrose-Jones

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":"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

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":"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

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

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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130902/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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