Caroline Mussatto, Adam Nygard, Kris Butler, Lucas Richards, Brenden Bombardier, Lauren Clark, Yanming Li, Kate Young, Carissa Walter, Peyton Ackerman, Steven Orr, Aaron Rohr, Kamal Gupta, Adam Alli
{"title":"难愈合创面介入治疗中氧合评价方法的比较。","authors":"Caroline Mussatto, Adam Nygard, Kris Butler, Lucas Richards, Brenden Bombardier, Lauren Clark, Yanming Li, Kate Young, Carissa Walter, Peyton Ackerman, Steven Orr, Aaron Rohr, Kamal Gupta, Adam Alli","doi":"10.12968/jowc.2023.0022","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To compare transcutaneous oxygen measurement (TCOM) and near infrared spectroscopy (NIRS) measurement of tissue oxygen levels in hard-to-heal (chronic) wounds.</p><p><strong>Method: </strong>Patients aged 18-85 years presenting with hard-to-heal lower extremity wounds between 1 December 2019 and 31 July 2020 were included in this cross-sectional study. TCOM and NIRS measurements of tissue oxygenation were obtained. Data were stratified by wound severity (Wagner score), skin pigmentation (Fitzpatrick skin type), and use of melanin correction for NIRS measurement.</p><p><strong>Results: </strong>A total of 76 patients were included. Correlation coefficients between TCOM and NIRS with melanin correction were obtained for: Fitzpatrick I-III (p=0.41); Fitzpatrick IV-VI (p=0.08); Wagner 0-2 (p=0.22); Wagner 3-5 (p=0.34). Results without melanin correction were: Fitzpatrick I-III (p=0.19); Fitzpatrick IV-VI (p=0.08); Wagner 0-2 (p=0.05); and Wagner 3-5 (p=0.34).</p><p><strong>Conclusion: </strong>There was only one significant correlation between TCOM and NIRS measurements of tissue oxygenation in patients with hard-to-heal lower extremity wounds and that was for patients with Wagner scores of 0-2 without melanin correction. Further investigation is needed on the application of NIRS to guide the interventional management of hard-to-heal wounds.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":"34 Sup5","pages":"S26-S32"},"PeriodicalIF":1.5000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparing oxygenation assessment methods for the interventional management of hard-to-heal wounds.\",\"authors\":\"Caroline Mussatto, Adam Nygard, Kris Butler, Lucas Richards, Brenden Bombardier, Lauren Clark, Yanming Li, Kate Young, Carissa Walter, Peyton Ackerman, Steven Orr, Aaron Rohr, Kamal Gupta, Adam Alli\",\"doi\":\"10.12968/jowc.2023.0022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To compare transcutaneous oxygen measurement (TCOM) and near infrared spectroscopy (NIRS) measurement of tissue oxygen levels in hard-to-heal (chronic) wounds.</p><p><strong>Method: </strong>Patients aged 18-85 years presenting with hard-to-heal lower extremity wounds between 1 December 2019 and 31 July 2020 were included in this cross-sectional study. TCOM and NIRS measurements of tissue oxygenation were obtained. Data were stratified by wound severity (Wagner score), skin pigmentation (Fitzpatrick skin type), and use of melanin correction for NIRS measurement.</p><p><strong>Results: </strong>A total of 76 patients were included. Correlation coefficients between TCOM and NIRS with melanin correction were obtained for: Fitzpatrick I-III (p=0.41); Fitzpatrick IV-VI (p=0.08); Wagner 0-2 (p=0.22); Wagner 3-5 (p=0.34). Results without melanin correction were: Fitzpatrick I-III (p=0.19); Fitzpatrick IV-VI (p=0.08); Wagner 0-2 (p=0.05); and Wagner 3-5 (p=0.34).</p><p><strong>Conclusion: </strong>There was only one significant correlation between TCOM and NIRS measurements of tissue oxygenation in patients with hard-to-heal lower extremity wounds and that was for patients with Wagner scores of 0-2 without melanin correction. Further investigation is needed on the application of NIRS to guide the interventional management of hard-to-heal wounds.</p>\",\"PeriodicalId\":17590,\"journal\":{\"name\":\"Journal of wound care\",\"volume\":\"34 Sup5\",\"pages\":\"S26-S32\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of wound care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.12968/jowc.2023.0022\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"DERMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of wound care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.12968/jowc.2023.0022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"DERMATOLOGY","Score":null,"Total":0}
Comparing oxygenation assessment methods for the interventional management of hard-to-heal wounds.
Objective: To compare transcutaneous oxygen measurement (TCOM) and near infrared spectroscopy (NIRS) measurement of tissue oxygen levels in hard-to-heal (chronic) wounds.
Method: Patients aged 18-85 years presenting with hard-to-heal lower extremity wounds between 1 December 2019 and 31 July 2020 were included in this cross-sectional study. TCOM and NIRS measurements of tissue oxygenation were obtained. Data were stratified by wound severity (Wagner score), skin pigmentation (Fitzpatrick skin type), and use of melanin correction for NIRS measurement.
Results: A total of 76 patients were included. Correlation coefficients between TCOM and NIRS with melanin correction were obtained for: Fitzpatrick I-III (p=0.41); Fitzpatrick IV-VI (p=0.08); Wagner 0-2 (p=0.22); Wagner 3-5 (p=0.34). Results without melanin correction were: Fitzpatrick I-III (p=0.19); Fitzpatrick IV-VI (p=0.08); Wagner 0-2 (p=0.05); and Wagner 3-5 (p=0.34).
Conclusion: There was only one significant correlation between TCOM and NIRS measurements of tissue oxygenation in patients with hard-to-heal lower extremity wounds and that was for patients with Wagner scores of 0-2 without melanin correction. Further investigation is needed on the application of NIRS to guide the interventional management of hard-to-heal wounds.
期刊介绍：
Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice.
In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers.
Specifically, JWC publishes:
High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more
The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide
In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments
Clinical case studies providing information on how to deal with complex wounds
Comprehensive literature reviews on current concepts and practice, including cost-effectiveness
Updates on the activities of wound care societies around the world.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
