Older Australians are at increased risk of skin tears with the risk not always recognised or the injury able to be prevented. This study externally validated Rayner et al. (2019) Skin Tear Risk Prediction Model in an independent aged cohort with a Fitzpatrick skin types I–IV from across multiple residential-care sites, over a 6-month period. A total of 362 individuals aged between 65 and 102.5 years completed the study. In all, 165-residents sustained one or more skin tears. Logistic regression analysis was conducted of the five variables (gender, previous history of skin tears, previous history of falls, purpura and solar elastosis) identified in the skin tear model. The skin tear model provided ‘good’ to nearly ‘very good discrimination’ for correctly classifying residents at-risk or not-at-risk (area under the curve of 0.799 [95% confidence interval, CI: 0.75–0.84]). The skin tear model correctly predicted 75.8% (sensitivity) of participants with skin tears and 71.6% (specificity) of residents without skin tears. The model demonstrated it could work as a screening tool to identify older individuals at risk of skin tears and would benefit clinical practice as it was easy to use, was reproducible, and had good accuracy across aged-care residents with a Fitzpatrick skin type I–IV.
{"title":"External validation of a predictive model for aged-related skin tears in Fitzpatrick skin types I–IV cohort","authors":"Robyn Louise Rayner, Keryln Joy Carville","doi":"10.1111/iwj.70031","DOIUrl":"10.1111/iwj.70031","url":null,"abstract":"<p>Older Australians are at increased risk of skin tears with the risk not always recognised or the injury able to be prevented. This study externally validated Rayner et al. (2019) Skin Tear Risk Prediction Model in an independent aged cohort with a Fitzpatrick skin types I–IV from across multiple residential-care sites, over a 6-month period. A total of 362 individuals aged between 65 and 102.5 years completed the study. In all, 165-residents sustained one or more skin tears. Logistic regression analysis was conducted of the five variables (gender, previous history of skin tears, previous history of falls, purpura and solar elastosis) identified in the skin tear model. The skin tear model provided ‘good’ to nearly ‘very good discrimination’ for correctly classifying residents at-risk or not-at-risk (area under the curve of 0.799 [95% confidence interval, CI: 0.75–0.84]). The skin tear model correctly predicted 75.8% (sensitivity) of participants with skin tears and 71.6% (specificity) of residents without skin tears. The model demonstrated it could work as a screening tool to identify older individuals at risk of skin tears and would benefit clinical practice as it was easy to use, was reproducible, and had good accuracy across aged-care residents with a Fitzpatrick skin type I–IV.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Schuh, Maximilian Berger, Stefan Schiele, Anna Rubeck, Gernot Müller, Jennifer Jahel Vélez González, Jon Holmes, Julia Welzel
The aim of this study was to investigate acute wound healing with dynamic optical coherence tomography (D-OCT). From 22 patients with 23 split skin graft donor sites, vessels at four wound edges, the wound bed, and adjacent and unaffected skin of the contralateral leg were measured by D-OCT at six time points from surgery to 4 weeks of healing. Changes in vessel orientation, density, diameter, morphology and pattern in horizontal, vertical and 3D images were analysed for wound healing and re-epithelialization. At 300 μm depth, there were significant differences of blobs and serpiginous vessels between normal and wounded skin. The wound had significantly more vertically oriented vessels, a higher degree of branching, vessel density and diameter compared with healthy skin. 3D images showed increased angiogenesis from healthy skin towards the wound centre, significantly higher vessel density at the wound than at normal skin and the highest at the interface. During wound healing blobs, coils and serpiginous vessels occurred significantly more frequently in lesional than healthy skin. Vessel density was greatest at the beginning, decreased and then increased by 4 weeks post-surgery. D-OCT helps to evaluate acute wound healing by visualizing and quantifying blood vessel growth in addition to re-epithelialization.
{"title":"Dynamic optical coherence tomography for imaging acute wound healing","authors":"Sandra Schuh, Maximilian Berger, Stefan Schiele, Anna Rubeck, Gernot Müller, Jennifer Jahel Vélez González, Jon Holmes, Julia Welzel","doi":"10.1111/iwj.70015","DOIUrl":"10.1111/iwj.70015","url":null,"abstract":"<p>The aim of this study was to investigate acute wound healing with dynamic optical coherence tomography (D-OCT). From 22 patients with 23 split skin graft donor sites, vessels at four wound edges, the wound bed, and adjacent and unaffected skin of the contralateral leg were measured by D-OCT at six time points from surgery to 4 weeks of healing. Changes in vessel orientation, density, diameter, morphology and pattern in horizontal, vertical and 3D images were analysed for wound healing and re-epithelialization. At 300 μm depth, there were significant differences of blobs and serpiginous vessels between normal and wounded skin. The wound had significantly more vertically oriented vessels, a higher degree of branching, vessel density and diameter compared with healthy skin. 3D images showed increased angiogenesis from healthy skin towards the wound centre, significantly higher vessel density at the wound than at normal skin and the highest at the interface. During wound healing blobs, coils and serpiginous vessels occurred significantly more frequently in lesional than healthy skin. Vessel density was greatest at the beginning, decreased and then increased by 4 weeks post-surgery. D-OCT helps to evaluate acute wound healing by visualizing and quantifying blood vessel growth in addition to re-epithelialization.</p>","PeriodicalId":14451,"journal":{"name":"International Wound Journal","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iwj.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Like many journals, the IWJ has seen a significant increase in submissions, with some of it being our natural growth as an important resource for those involved in wounds. However, some of the increase is related to “papermill” type activity. This has challenged our submission and review process. To manage this, we are implementing significant back-end processes to identify and reject such content. We are also creating the largest single editorial board for any wound care journal, to strengthen our review process to enhance its effectiveness. This has become necessary to ensure the continued quality of our journal, especially considering the threat that “papermill type” activity may have on our overall subject area. This is a global challenge to the world of academic and clinical research. It is something that the IWJ does not take lightly and we are working diligently in playing our part to minimize its impact in the world of wound care.
We are pleased to announce the expansion of our editorial board (Figure 1). Our founding members who remain on our board become our senior editorial advisers. We would be remis, however, if we did not thank our retiring board members for their service and remember those who are no longer with us (Table 1).
This is the first editorial in a series where we will introduce our newly expanded editorial board. We have created the largest most internationally diverse board to greatly increase the capabilities and expertise of the journal as it moves to its third decade of life. From Figure 1, you can see we have expanded our board to include over 240 plus members. These individuals are diverse geographically, diverse in speciality, diverse in experience and gender balanced.
The first stage of our board expansion was to establish those who wished to continue and to use their experience in creating our Senior Editorial Advisors. Here you will be introduced to our founding board members who decided to continue and become the senior advisors. We are privileged and honoured to have such high-calibre members continuing on our board.
Please meet the Senior Editorial Advisors for the International Wound Journal: