Review
Dermatology
Hannah Wilson, Pinar Avsar, Declan Patton, Aglecia Moda Vitoriano Budri, Zena Moore
Summary: This systematic review examined the relationship between skin hydration and pressure ulcer development in at-risk adults. Nine studies were included in the review, and the results suggested a significant association between skin hydration and pressure ulcer development. However, methodological variations and quality issues in the included studies have reduced the homogeneity of the outcomes. Further research is needed to determine the role of skin hydration in pressure ulcer development.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Nursing
Anniina Heikkila, Jaana Kotila, Kristiina Junttila
Summary: The study evaluated the predictive validity and concurrent validity of the Prevent Pressure Injury Risk Assessment Tool in acute care. The results showed that the tool had adequate sensitivity but poor specificity in identifying adult pressure injury risk patients. There was a moderate correlation between the tool and the Braden Scale. Further research is needed to assess interrater reliability, usability, and validity with different patient populations.
Article
Biotechnology & Applied Microbiology
Sharon Eve Sonenblum, Megan Measel, Stephen H. Sprigle, John Greenhalgh, John McKay Cathcart
Summary: The study identified differences in subcutaneous fat characteristics between wheelchair users with and without a history of pressure injuries. It also found that the presence of spasms and fewer years of wheelchair use were associated with leaner muscle. Further investigation into changes in adipose tissue and intramuscular fat infiltration may help understand the etiology of pressure injuries.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2021)
Article
Nutrition & Dietetics
Chiara Francesca Gheri, Luca Scalfi, Barbara Biffi, Silvia Pancani, Sara Madiai, Olivia Di Vincenzo, Michele Ghaderi, Rebecca Celoni, Mara Dalladonna, Francesca Draghi, Daniela Maccanti, Claudio Macchi, Anna Maria Romoli, Francesca Cecchi, Bahia Hakiki, Maria Luisa Eliana Luisi
Summary: Preliminary evidence indicates a high prevalence of malnutrition in patients with severe acquired brain injuries, resulting in negative clinical outcomes and pressure ulcers. A retrospective cohort study assessed the risk of malnutrition using two different tools in patients discharged from intensive care units and admitted to an intensive rehabilitation unit. The study found a high proportion of patients with pressure ulcers, and identified baseline nutritional status as a predictor of pressure ulcers at discharge.
Article
Biology
Anne-France de Bengy, Jerome Lamartine, Dominique Sigaudo-Roussel, Berengere Fromy
Summary: Skin is a crucial organ in maintaining internal homeostasis, and both elderly and newborn skin exhibit fragility, making them more susceptible to damage from pressure and shear forces. Common features contributing to this fragility include thinner epidermis and dermis, lower levels of collagen and elastin, flatter dermal-epidermal junction, thinner hypodermis, and reduced expression of key molecules involved in skin barrier protection and extracellular matrix maintenance. Changes in skin vasodilation response to pressure, as well as differences in skin innervation and sensitivity, also play roles in increasing the risk of pressure injuries in these populations.
BIOLOGICAL REVIEWS
(2022)
Article
Nursing
Zhaoyu Li, Andrea P. Marshall, Frances Lin, Yanming Ding, Wendy Chaboyer
Summary: This study explores the approaches and challenges of Chinese Registered Nurses in pressure injury prevention. Nurses play a leading role in prevention, but they require appropriate resources and support from other healthcare personnel, patients, and carers.
JOURNAL OF ADVANCED NURSING
(2022)
Review
Nursing
Adam Burston, Sandra J. Miles, Paul Fulbrook
Summary: Pressure injuries have a significant impact on the lives of patients and caregivers, resulting in loss of autonomy and independence, psychological effects, and the need for adjustment. Limited research exists on this topic, highlighting the importance of further understanding and supporting interventions.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Infectious Diseases
Reem Binsuwaidan, Mohammad Aatif Khan, Raghad H. Alzahrani, Aljoharah M. Aldusaymani, Noura M. Almallouhi, Alhanouf S. Alsabti, Sajjad Ali, Omar Sufyan Khan, Amira M. Youssef, Lina I. Alnajjar
Summary: A pressure ulcer is a common complication in patients with spinal cord injuries, and the most frequently isolated bacteria include Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli. The study found that more than half of the bacteria were sensitive to commonly tested antibiotics, while approximately 10% were drug-resistant.
Article
Materials Science, Biomaterials
Yuanxing Li, Rumin Fu, Youjun Guan, Zhekun Zhang, Fabang Yang, Cairong Xiao, Zhengao Wang, Peng Yu, Ling Hu, Zhengnan Zhou, Chengyun Ning
Summary: Pressure injuries/pressure ulcers (PIs/PUs) are a critical global healthcare issue. Prevention is more cost-effective and lessens patient suffering compared to treatment. Hydrogel dressings have unique properties for preventing PIs/PUs, but auxiliary prophylaxis and early treatment remain challenging. This study presents an electroactive hydrogel with piezoelectric properties, similar stretchability and ductility to human skin, and the potential to promote angiogenesis. Finite element analysis and pressure dispersion experiments demonstrate the suitability of the hydrogel for preventing PIs/PUs.
ACS BIOMATERIALS SCIENCE & ENGINEERING
(2022)
Review
Nursing
Josephine Lovegrove, Saroeun Ven, Sandra J. Miles, Paul Fulbrook
Summary: This study compared the outcomes of nursing assessment of pressure injury risk using a structured assessment tool versus clinical judgement. The results showed that different assessment methods can result in different risk statuses, and the linkage between risk status and preventive interventions is weak.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Dermatology
JiannWen Yap, Samantha Holloway
Summary: The review examined the evidence supporting the use of nutritional supplements in pressure ulcer prevention strategies. Most of the reviewed studies were of low-to-moderate quality, but showed a reduction in pressure ulcer incidence after nutritional supplement use.
INTERNATIONAL WOUND JOURNAL
(2021)
Article
Dermatology
Zhaoyu Li, Andrea P. Marshall, Frances Lin, Yanming Ding, Wendy Chaboyer
Summary: This study aimed to describe and compare pressure injury prevention strategies used by medical and surgical nurses in China. Observations and chart audits revealed that repositioning was the most frequently used prevention strategy, but other strategies such as skin care, nutritional risk screening, and support surface use were suboptimal. Improvement is needed in various prevention strategies such as nutrition, skin care, and support surfaces.
INTERNATIONAL WOUND JOURNAL
(2022)
Article
Nursing
Tarja Tervo-Heikkinen, Anniina Heikkila, Marita Koivunen, Tiina Kortteisto, Jaana Peltokoski, Susanne Salmela, Merja Sankelo, Tuija Ylitormanen, Kristiina Junttila
Summary: This study explores the prevention of pressure injuries in Finnish acute inpatient care. The results show that risk assessments and preventive interventions for pressure injuries are irregularly conducted, highlighting the gaps in evidence-based nursing practice.
Review
Nursing
Bassam Alshahrani, Jenny Sim, Rebekkah Middleton
Summary: This systematic review identified four categories of interventions that are most effective in preventing pressure injuries among critical care patients: PI prevention bundles, repositioning and the use of surface support, prevention of medical device-related pressure injuries, and access to expertise. While all included studies reported a reduction in pressure injuries following the interventions, the strength of the evidence ranged from moderate to very low. Nurses play a vital role in prevention of pressure injuries, and education and training programs on PI prevention are important for successful prevention strategies.
JOURNAL OF CLINICAL NURSING
(2021)
Article
Rehabilitation
Jeanine Blanchard, Cheryl Vigen, Trudy Mallinson, Mike Carlson, Susan L. Garber, Barbara Bates-Jensen
Summary: This paper aims to advance pressure injury research in individuals with spinal cord injury by describing lessons learned and recommendations for future research. The study found that medical record review is the preferred method for identifying medically serious pressure injuries, and careful reconciliation is necessary when using multiple sources of information to ensure accuracy.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Dermatology
Aleksei Orlov, Amit Gefen
Summary: There are two design concepts for single-use negative pressure wound therapy systems: canister-based and canisterless. The canister-based technology provides stable delivery of negative pressure, while canisterless systems may result in loss of negative pressure. Research shows that continuous delivery of the intended pressure is necessary for an effective influence zone.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Aleksei Orlov, Amit Gefen
Summary: Prolonged use of positive airway pressure masks can lead to facial tissue breakdown, but this risk can be reduced with suitable cushioning materials. By comparing different dressings through experiments and computational modeling, it was found that foam-based dressings generally outperformed hydrocolloid dressings.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Aleksei Orlov, Amit Gefen
Summary: In this study, we developed a robotic system with two venous leg ulcers to test the fluid handling performance of three wound dressing types. The results indicated that foam-based dressing technology is not effective for managing exuding venous leg ulcers. Additionally, wound dressings containing superabsorbent polymers do not demonstrate equal performance in fluid handling for different wound scenarios.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Dermatology
Breda Cullen, Amit Gefen
Summary: Chronic wounds are a global issue that not only affects patients' health but also imposes a significant burden on society. This review explores the reasons for wound healing failure, the pathophysiology of chronic wounds, and the design and evaluation of dressings. It emphasizes the importance of understanding wound exudates and developing laboratory models for testing dressings. The findings have significant implications for improving dressing effectiveness, enhancing patient outcomes, and reducing the economic burden of chronic wounds.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Rosalind C. Simpson, Gudula Kirtschig, Amanda Selk, Suzanne von Seitzberg, Gitte Vittrup, Ione Bissonnette, Jan Kottner, Jaclyn Lanthier, Chris Stanton, David Foster, Martin Promm, Angelo Augenti, Stefano Lauretti, Kim S. Thomas
Summary: This article summarizes the international consensus process on which outcome domains should be measured in interventional trials of genital lichen sclerosus. Three key outcome domains have been agreed upon and it is recommended that researchers incorporate them into study protocols with immediate effect.
BRITISH JOURNAL OF DERMATOLOGY
(2023)
Review
Dermatology
Mona Prendke, Varvara Kanti-Schmidt, Doris Wilborn, Kathrin Hillmann, Rashmi Singh, Annika Vogt, Jan Kottner, Ulrike Blume-Peytavi
Summary: Alopecia areata (AA) is an autoimmune-mediated non-scarring hair loss that has a stigmatizing effect and can severely impact psychosocial well-being. Previous research has shown a correlation between AA and bullying, reduced quality of life, and psychiatric comorbidities. This review aims to systematically describe the quality of life among children and adolescents affected by AA, as no previous systematic evaluation has been performed on this population.
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
(2023)
Article
Neurosciences
Hadar Shaulian, Amit Gefen, Hen Biton, Alon Wolf
Summary: This study investigates a novel graded-stiffness offloading method for diabetic heel ulcers, which can effectively redistribute heel pressure and reduce focal stress concentration areas. The results show that the graded-stiffness offloading solution is more effective in reducing and redistributing peak pressure and pressure dose compared to existing solutions.
Article
Nursing
Bettina Voelzer, Monira El Genedy-Kalyoncu, Alexandra Fastner, Tsenka Tomova-Simitchieva, Konrad Neumann, Janna Sill, Katrin Balzer, Jan Kottner
Summary: The increase in elderly and care-dependent people has led to an increase in adverse skin conditions. Skin care is essential in long-term residential settings, and the study aimed to describe the prevalence and associations of skin conditions in aged nursing home residents.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2023)
Article
Dermatology
Tomer Katz, Amit Gefen
Summary: Support surfaces play a crucial role in preventing pressure ulcers/injuries for at-risk patients. Hybrid support surfaces, combining reactive and active properties, provide pressure redistribution through the use of high-quality foam material inside inflatable air cells. This study uses computational modelling and simulations to investigate the effects of static and dynamic modes of a hybrid support surface on soft tissue loading at the buttocks. Results show that the dynamic mode effectively relieves deep tissue pressure under the sacral bone and generates a deep tissue offloading effect by shifting the loading towards the coccyx.
INTERNATIONAL WOUND JOURNAL
(2023)
Review
Medicine, General & Internal
Jan Kottner, Alexandra Fastner, Dimitra-Aikaterini Lintzeri, Christopher E. M. Griffiths, Ulrike Blume-Peytavi
Summary: Ageing is accompanied by physical and physiological changes in the skin, which require proper care and monitoring to prevent or manage dermatological diseases. This scoping review aims to describe and summarize the available evidence on screening, diagnosis, and management of skin conditions in older people living at home, as currently there is no organized body of evidence in this area.
Article
Biology
Maayan Lustig, Yoram Epstein, Amit Gefen
Summary: This study developed a novel finite element modeling framework to evaluate and rate the biomechanical efficacy of ballistic protective plates (BPPs) in protecting the torso from non-penetrating impacts acquired on the battlefield.
COMPUTERS IN BIOLOGY AND MEDICINE
(2023)
Article
Nursing
Bettina Voelzer, Monira El Genedy-Kalyoncu, Alexandra Fastner, Tsenka Tomova-Simitchieva, Konrad Neumann, Kathrin Hillmann, Ulrike Blume-Peytavi, Elisabeth Hahnel, Janna Sill, Katrin Balzer, Jan Kottner
Summary: The study aimed to evaluate the effects of implementing a skincare and prevention package on older nursing home residents. The results indicate that tailored and evidence-based nursing routines can improve skin health and safety in residential long-term care, but there was no significant impact on the skin barrier function.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Review
Medicine, General & Internal
Julie Deprez, Jan Kottner, Alexandra Eilegard Wallin, Nils Ohde, Carina Baath, Ami Hommel, Lisa Hultin, Anna Josefson, Dimitri Beeckman
Summary: This study aims to identify prognostic factors associated with the development of IAD and improve management, prevention, and future research. Multiple observational studies or clinical trials will be assessed, and the results will be published in a peer-reviewed scientific journal.
Review
Medicine, General & Internal
Max Zilezinski, Natascha-Elisabeth Denninger, Antje Tannen, Jan Kottner
Summary: This scoping review aims to identify and summarize the evidence on non-pharmacological interventions for the prevention and management of pediatric delirium, and provide relevant methods and recommendations.
Editorial Material
Dermatology
Jan Kottner, Andrea Pokorna
JOURNAL OF WOUND CARE
(2023)