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Use of a mobile application to monitor drain sites and surgical wounds after discharge from acute care - A feasibility study in Singapore 使用移动应用程序监测急性期出院后的引流部位和手术伤口--新加坡的一项可行性研究。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.05.011
Siew Huang Chua , Darshini Devi Rajasegeran , Nanthakumahrie Gunasegaran , Peijin Esther Monica Fan , Mei Dong , Fiona Aisis Oo , Saraswathi Nagalingam , Teng Teng Lee , Li Juan Krismaine Ng , Shi Ling Bernice Yong , Yi Zhen Ng , Shin Yuh Ang , Fazila Aloweni

Purpose

This study aimed to demonstrate the compliance, feasibility, and acceptability of telehealth monitoring among surgical patients discharged with wounds or drains.

Methodology

This is a cross-sectional feasibility study. Post-surgical breast, plastic, and hepatobiliary patients with wounds and/or surgical drains were recruited using convenience sampling. The control group received conventional care which consisted of daily telephone follow-up. The intervention group used a mobile wound application to take wound and drain images, report drainage amount and symptoms. Compliance was assessed by measuring the percentage of actual to expected patient entries, feasibility was assessed by comparing detection of abnormalities and unexpected hospital visits, and acceptability was assessed by subjective feedback from nurses and patients from the intervention group.

Results

59 patients were recruited, with 30 patients in the control group and 29 patients in the intervention group. 9 specialty nurses were involved in the patients’ post-discharge care. The mean compliance rate for the hepatobiliary, breast and plastic patients were 89.9 %, 89.5 % and 75.9 % respectively. 4 patients from the intervention group (13.8 %) and 6 patients from the control group (20.1 %) were flagged as having potential abnormalities. As for unexpected hospital visits, there were 2 (6.9 %) in the intervention group and 1 (3.4 %) in the control group. 25 patients and 9 specialty nurses responded to the feedback survey. 22 patients (88 %) did not face any application issues. 18 patients (72 %) preferred to self-report symptoms via the application rather than to call the nurses and reported feeling safe knowing that they are remotely monitored. Most nurses found the app convenient and timesaving (n = 7, 78 %), with monitoring through pictures as more accurate than phone conversation (n = 8, 89 %).

Conclusion

The results suggest that use of a mobile application by surgical patients discharged with wounds or drains is feasible and serves as a viable monitoring tool.
目的:本研究旨在证明带伤口或引流管出院的手术患者对远程医疗监控的依从性、可行性和可接受性:这是一项横断面可行性研究。研究采用便利抽样法,招募了有伤口和/或手术引流管的乳腺、整形和肝胆外科术后患者。对照组接受常规护理,包括每日电话随访。干预组使用移动伤口应用软件拍摄伤口和引流管图像,报告引流量和症状。通过测量患者实际输入量与预期输入量的百分比来评估依从性,通过比较异常检测和意外医院就诊来评估可行性,通过干预组护士和患者的主观反馈来评估可接受性:共招募了 59 名患者,其中对照组 30 人,干预组 29 人。9 名专科护士参与了患者出院后的护理工作。肝胆科、乳腺科和整形科患者的平均依从率分别为 89.9%、89.5% 和 75.9%。干预组有 4 名患者(13.8%)和对照组有 6 名患者(20.1%)被标记为潜在异常。至于意外到医院就诊,干预组有 2 例(6.9%),对照组有 1 例(3.4%)。25 名患者和 9 名专科护士对反馈调查做出了回复。22 名患者(88%)没有遇到任何应用问题。18 名患者(72%)更愿意通过应用程序自我报告症状,而不是打电话给护士,并表示知道自己受到远程监控后感到很安全。大多数护士认为该应用程序既方便又省时(7 人,78%),通过图片进行监测比电话交谈更准确(8 人,89%):结果表明,带伤口或引流管出院的手术患者使用移动应用程序是可行的,并且是一种可行的监测工具。
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引用次数: 0
Predictors of post-healing recurrence in patients with diabetic foot ulcers: A systematic review and meta-analysis 糖尿病足溃疡患者愈合后复发的预测因素:系统回顾与荟萃分析。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.07.002
Yujian Sun, Yue Zhou, Yu Dai, Yufan Pan, Yi Xiao, Yufeng Yu

Background

Diabetic foot ulcer is one of the most prevalent, serious, and costly consequences of diabetes, often associated with peripheral neuropathy and peripheral arterial disease. These ulcers contribute to high disability and mortality rates in patients and pose a major challenge to clinical management.

Objective

To systematically review the risk prediction models for post-healing recurrence in diabetic foot ulcer (DFU) patients, so as to provide a reference for clinical staff to choose appropriate prediction models.

Methods

The authors searched five databases (Cochrane Library, PubMed, Web of Science, EMBASE, and Chinese Biomedical Database) from their inception to September 23, 2023, for relevant literature. After data extraction, the quality of the literature was evaluated using the Predictive Model Research Bias Risk and Suitability Assessment tool (PROBAST). Meta-analysis was performed using STATA 17.0 software.

Results

A total of 9 studies involving 5956 patients were included. The recurrence rate after DFU healing ranged from 6.2 % to 41.4 %. Nine studies established 15 risk prediction models, and the area under the curve (AUC) ranged from 0.660 to 0.940, of which 12 models had an AUC≥0.7, indicating good prediction performance. The combined AUC value of the 9 validation models was 0.83 (95 % confidence interval: 0.79–0.88). Hosmer-Lemeshow test was performed for 10 models, external validation for 5 models, and internal validation for 6 models. Meta-analysis showed that 14 predictors, such as age and living alone, could predict post-healing recurrence in DFU patients (p < 0.05).

Conclusion

To enhance the quality of these risk prediction models, there is potential for future improvements in terms of follow-up duration, model calibration, and validation processes.
背景:糖尿病足溃疡是糖尿病最常见、最严重、最昂贵的后果之一,通常与周围神经病变和周围动脉疾病相关。这些溃疡导致患者残疾率和死亡率居高不下,给临床管理带来了巨大挑战:系统回顾糖尿病足溃疡(DFU)患者愈合后复发的风险预测模型,为临床医务人员选择合适的预测模型提供参考:作者检索了五个数据库(Cochrane Library、PubMed、Web of Science、EMBASE和中国生物医学数据库)从开始到2023年9月23日的相关文献。数据提取后,使用预测模型研究偏差风险和适宜性评估工具(PROBAST)对文献质量进行评估。使用 STATA 17.0 软件进行了元分析:共纳入 9 项研究,涉及 5956 名患者。DFU愈合后的复发率从6.2%到41.4%不等。9 项研究建立了 15 个风险预测模型,曲线下面积(AUC)从 0.660 到 0.940 不等,其中 12 个模型的 AUC ≥0.7,表明预测效果良好。9 个验证模型的综合 AUC 值为 0.83(95% 置信区间:0.79-0.88)。对 10 个模型进行了 Hosmer-Lemeshow 检验,对 5 个模型进行了外部验证,对 6 个模型进行了内部验证。Meta 分析表明,年龄和独居等 14 个预测因子可预测 DFU 患者愈合后的复发(P 结论:DFU 患者愈合后复发的风险预测因子较低,而独居患者愈合后复发的风险预测因子较高:为了提高这些风险预测模型的质量,未来有可能在随访时间、模型校准和验证过程方面进行改进。
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引用次数: 0
Determination of the family caregivers’level of knowledge on pressure injury prevention 确定家庭护理人员对压力伤害预防知识的了解程度
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.06.003
Handan Sen , Meryem Kilic

Objective

The purpose of this study is to determine family caregivers’ level of knowledge on pressure injury (PI) prevention.

Methods

This study used a cross-sectional and descriptive design. Data were collected between February and May 2023. The population of the study consisted of family caregivers providing care to patients who were at risk of developing pressure injuries and who were planned to be discharged from the inpatient wards of the hospital. A total of 105 family caregivers participated in the study.

Results

Of all the patients, 61.9 % (n = 65) were female and their average age was 68.96 years (SD = 18.07). While 30.48 % (n = 32) of the patients were bedridden due to Cerebrovascular Accident, 28.57 % (n = 30) were bedridden due to old age, and 28.57 % (n = 30) had PI. Of all the caregivers, 71.43 % (n = 75) were female, and their average age was 47.11 years (SD = 14.85). While 97.14 % (n = 96) of the caregivers had not received any training on PI before, 90.48 % (n = 95) had not provided care to a patient with PI before. Family caregivers scored an average of 22.25 (SD = 6.96) points out of 40 on the Pressure Injury Prevention Knowledge Test (PIPKT). A significant difference was detected between the knowledge test scores and education level and income level (P = 0.006; P = 0.002).

Conclusions

Family caregivers were found to need information about PI prevention. It is recommended to develop content on PI prevention in the guidelines for family caregivers.
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引用次数: 0
The impact of machine learning on the prediction of diabetic foot ulcers – A systematic review 机器学习对糖尿病足溃疡预测的影响--系统综述。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.07.004
Teagan Weatherall , Pinar Avsar , Linda Nugent , Zena Moore , John H. McDermott , Seamus Sreenan , Hannah Wilson , Natalie L. McEvoy , Rosemarie Derwin , Paul Chadwick , Declan Patton

Introduction

Globally, diabetes mellitus poses a significant health challenge as well as the associated complications of diabetes, such as diabetic foot ulcers (DFUs). The early detection of DFUs is important in the healing process and machine learning may be able to help inform clinical staff during the treatment process.

Methods

A PRISMA-informed search of the literature was completed via the Cochrane Library and MEDLINE (OVID), EMBASE, CINAHL Plus and Scopus databases for reports published in English and in the last ten years. The primary outcome of interest was the impact of machine learning on the prediction of DFUs. The secondary outcome was the statistical performance measures reported. Data were extracted using a predesigned data extraction tool. Quality appraisal was undertaken using the evidence-based librarianship critical appraisal tool.

Results

A total of 18 reports met the inclusion criteria. Nine reports proposed models to identify two classes, either healthy skin or a DFU. Nine reports proposed models to predict the progress of DFUs, for example, classing infection versus non-infection, or using wound characteristics to predict healing. A variety of machine learning techniques were proposed. Where reported, sensitivity = 74.53–98 %, accuracy = 64.6–99.32 %, precision = 62.9–99 %, and the F-measure = 52.05–99.0 %.

Conclusions

A variety of machine learning models were suggested to successfully classify DFUs from healthy skin, or to inform the prediction of DFUs. The proposed machine learning models may have the potential to inform the clinical practice of managing DFUs and may help to improve outcomes for individuals with DFUs. Future research may benefit from the development of a standard device and algorithm that detects, diagnoses and predicts the progress of DFUs.
导言:在全球范围内,糖尿病及其相关并发症,如糖尿病足溃疡(DFUs),构成了重大的健康挑战。早期发现糖尿病足溃疡对治疗过程非常重要,而机器学习或许能在治疗过程中为临床人员提供帮助:通过 Cochrane 图书馆、MEDLINE (OVID)、EMBASE、CINAHL Plus 和 Scopus 数据库,对过去十年内发表的英文报告进行了 PRISMA 信息检索。主要研究结果是机器学习对 DFU 预测的影响。次要结果是报告的统计性能指标。使用预先设计的数据提取工具提取数据。采用循证图书馆学关键评估工具进行质量评估:共有 18 篇报告符合纳入标准。九份报告提出了识别健康皮肤或 DFU 两类皮肤的模型。九篇报告提出了预测 DFU 进展的模型,例如将感染与非感染进行分类,或利用伤口特征预测愈合情况。报告提出了多种机器学习技术。在报告中,灵敏度 = 74.53-98 %,准确度 = 64.6-99.32 %,精确度 = 62.9-99 %,F 值 = 52.05-99.0 %:研究人员提出了多种机器学习模型,以成功地将 DFU 从健康皮肤中分类,或为 DFU 的预测提供信息。所提出的机器学习模型有可能为管理 DFU 的临床实践提供信息,并有助于改善 DFU 患者的治疗效果。未来的研究可能会受益于检测、诊断和预测 DFU 进展的标准设备和算法的开发。
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引用次数: 0
Patients with venous leg ulcers can be managed safely in the community ----results of an observational comparison study in Singapore 腿部静脉溃疡患者可在社区得到安全管理 ---- 新加坡一项观察性比较研究的结果
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.07.009
Nanthakumahrie Gunasegaran , Wee Ting Goh , Wei Xian Tan , Hafidah Saipollah , Hui Ru Chong , Raden Nurheryany Sunari , Tze Tec Chong , Shin Yuh Ang , Fazila Aloweni

Aim

To examine the healing outcomes of patients with venous leg ulcers requiring compression bandaging in community care versus tertiary care.

Method

This was an analytical observational cohort study. Venous leg ulcer (VLU) patients who required compression bandaging were recruited from an outpatient vascular clinic between May 2021 and August 2022. Eligible patients received two—or four-layer compression bandaging and followed up with the community care or tertiary care centre nurses. The primary outcome was the difference in the total surface area of the VLU after 12 weeks, and the secondary outcome was the patient's quality of life, as measured by the Cardiff Wound Impact Schedule (CWIS).

Results

Forty-seven VLU patients were recruited; 27 received compression bandaging in the community care and 20 by the tertiary care centre. Mean age 70 years old (SD 11.04). The two most prevalent comorbidities were hypertension (51.06 %) and diabetes mellitus (38.29 %). Among those who completed follow-up (12 weeks), the median difference of the total surface area of the VLU between community-based care (p = 0.02) versus tertiary-based care (0.003) was significant. However, there was no difference in the healing status between community and tertiary-based care (p = 0.68). There was no difference in the quality of life of patients between groups.

Conclusion

This first tropical study comparing VLU healing outcomes between community and tertiary care found no significant difference in healing with compression bandaging by nurses in either setting. However, the small sample size and high dropout rate limit the generalizability of the findings, necessitating a larger-scale study with longer follow-up. Despite these limitations, the study is a crucial step toward improving wound care services in Singapore, and highlights the need for further research to guide future community wound care implementation.
{"title":"Patients with venous leg ulcers can be managed safely in the community ----results of an observational comparison study in Singapore","authors":"Nanthakumahrie Gunasegaran ,&nbsp;Wee Ting Goh ,&nbsp;Wei Xian Tan ,&nbsp;Hafidah Saipollah ,&nbsp;Hui Ru Chong ,&nbsp;Raden Nurheryany Sunari ,&nbsp;Tze Tec Chong ,&nbsp;Shin Yuh Ang ,&nbsp;Fazila Aloweni","doi":"10.1016/j.jtv.2024.07.009","DOIUrl":"10.1016/j.jtv.2024.07.009","url":null,"abstract":"<div><h3>Aim</h3><div>To examine the healing outcomes of patients with venous leg ulcers requiring compression bandaging in community care versus tertiary care.</div></div><div><h3>Method</h3><div>This was an analytical observational cohort study. Venous leg ulcer (VLU) patients who required compression bandaging were recruited from an outpatient vascular clinic between May 2021 and August 2022. Eligible patients received two—or four-layer compression bandaging and followed up with the community care or tertiary care centre nurses. The primary outcome was the difference in the total surface area of the VLU after 12 weeks, and the secondary outcome was the patient's quality of life, as measured by the Cardiff Wound Impact Schedule (CWIS).</div></div><div><h3>Results</h3><div>Forty-seven VLU patients were recruited; 27 received compression bandaging in the community care and 20 by the tertiary care centre. Mean age 70 years old (SD 11.04). The two most prevalent comorbidities were hypertension (51.06 %) and diabetes mellitus (38.29 %). Among those who completed follow-up (12 weeks), the median difference of the total surface area of the VLU between community-based care (p = 0.02) versus tertiary-based care (0.003) was significant. However, there was no difference in the healing status between community and tertiary-based care (p = 0.68). There was no difference in the quality of life of patients between groups.</div></div><div><h3>Conclusion</h3><div>This first tropical study comparing VLU healing outcomes between community and tertiary care found no significant difference in healing with compression bandaging by nurses in either setting. However, the small sample size and high dropout rate limit the generalizability of the findings, necessitating a larger-scale study with longer follow-up. Despite these limitations, the study is a crucial step toward improving wound care services in Singapore, and highlights the need for further research to guide future community wound care implementation.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 561-570"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
A comprehensive study on mechanisms of action of fibroin, aloe vera, and ginger extracts through histochemical, inflammation biomarkers, and matrix metalloproteinases analysis against diabetic wounds 通过组织化学、炎症生物标志物和基质金属蛋白酶分析,全面研究纤维素、芦荟和生姜提取物对糖尿病伤口的作用机制。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.10.006
Rida Sulayman , Shaukat Ali , Rizwan Ullah , Muhammad Summer , Ali Hassan , Hafsa Shahzad , Umaima Fiaz , Samaira Mumtaz , Tooba Nauroze , Shumaila Mumtaz

Introduction

Diabetes causes complications like delayed wound healing for a long time. Fibroin, aloe vera, and ginger extracts along with their combinations are used for diabetic wound healing.

Methods

After induction of diabetes, The wound healing effects of fibroin (50 mg/ml), aloe vera gel (50 mg/ml), and ginger extract (30 mg/ml), individually and in combination, were assessed. The pro-inflammatory cytokines including tumor narcosis factor-α (TNF-α) interleukin (IL-6, IL-8, IL-1β), matrix metalloproteinases (MMP 2, MMP7, MMP 9), vascular endothelial growth factor (VEGF) and tissue inhibitors of metalloproteinases (TIMPs) levels were analyzed in the serum.

Results

A combination of fibroin + aloe vera gel + ginger extract (Fi + Al + Gi) healed the wounds in 11 days via wound contraction of 98.5 ± 0.9 % as compared to diabetic control (58.2 ± 0.7 %) and positive control (73.3 ± 0.6 %) groups. However, the wounds of the Polyfax and the diabetic control groups were healed in 17 and 19 days, corresponding to a contraction of: 96.7 ± 1.4 % and 96.3 ± 1.1 %. The histological assay showed that the Fi + Al + Gi group indicated an increased growth of collagen fibers, fibroblasts, keratinocytes and blood vessels with lessened inflammation. The Fi + Al + Gi group alleviated the serum level of TNF-α (12.7 ± 0.9 pg/ml), IL-6 (9.6 ± 0.9 pg/ml), IL-8 (19.6 ± 1.0 pg/ml), MMP2 (217.0 ± 9.2 pg/ml), MMP7 (279.0 ± 9.8 pg/ml), and MMP9 (156.0 ± 11.6 pg/ml) significantly as compared to the diabetic control (P ≤ 0.05). TIMP serum level (202.0 ± 6.9 pg/ml) was significantly elevated as compared to the diabetes control group.

Conclusion

The present study concludes that the biomaterials in their combinations possess high regenerative and healing abilities.
引言糖尿病会导致伤口长期延迟愈合等并发症。纤维素、芦荟和生姜提取物及其组合可用于糖尿病伤口愈合:诱导糖尿病后,评估纤维素(50 毫克/毫升)、芦荟胶(50 毫克/毫升)和生姜提取物(30 毫克/毫升)单独或混合使用对伤口愈合的影响。分析了血清中的促炎细胞因子,包括肿瘤坏死因子-α(TNF-α)、白细胞介素(IL-6、IL-8、IL-1β)、基质金属蛋白酶(MMP 2、MMP7、MMP 9)、血管内皮生长因子(VEGF)和金属蛋白酶组织抑制剂(TIMPs)的水平:与糖尿病对照组(58.2±0.7%)和阳性对照组(73.3±0.6%)相比,纤维素+芦荟胶+生姜提取物(Fi+Al+Gi)组合在 11 天内通过伤口收缩达到 98.5±0.9% 的伤口愈合率。不过,多聚酶和糖尿病对照组的伤口分别在 17 天和 19 天后愈合,收缩率分别为 96.7 ± 1.4 % 和 96.7 ± 1.4 %:96.7 ± 1.4 % 和 96.3 ± 1.1 %。组织学检测显示,Fi + Al + Gi 组的胶原纤维、成纤维细胞、角质细胞和血管生长增加,炎症减轻。Fi + Al + Gi 组降低了血清中 TNF-α (12.7 ± 0.9 pg/ml)、IL-6 (9.6 ± 0.9 pg/ml)、IL-8 (19.6 ± 1.0 pg/ml)、MMP2 (217.0 ± 9.2 pg/ml)、MMP7(279.0 ± 9.8 pg/ml)和 MMP9(156.0 ± 11.6 pg/ml)与糖尿病对照组相比有显著差异(P ≤ 0.05)。与糖尿病对照组相比,TIMP 血清水平(202.0 ± 6.9 pg/ml)明显升高:本研究得出结论,生物材料的组合具有很强的再生和愈合能力。
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引用次数: 0
The prevalence, incidence and risk factors of medical adhesive-related skin injury in adult inpatients: A systematic review and meta-analysis 成年住院病人医用粘合剂相关皮肤损伤的流行率、发病率和风险因素:系统回顾和荟萃分析。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.10.007
Ping Wang, Xinyue Luo, Huijie Chen, Qian Feng, Huijuan Song

Background

MARSI can occur in any population and clinical setting and is prevalent among patients who are frequently exposed to medical adhesives. It can disrupt the skin barrier and cause pain and infection, confusing patients and medical staff and making it necessary to understand its prevalence, incidence, and risk factors to improve patient health and medical safety.

Objective

To systematically evaluate the prevalence, incidence and risk factors of medical adhesive-related skin injury in adult inpatients.

Design

Systematic literature review and meta-analysis.

Methods

A computer search was conducted on nine databases in both Chinese and English, covering studies from inception to July 10, 2024, evaluating the prevalence, incidence and risk factors of medical adhesive-related skin injuries. Meta-analyses were performed using Review Manager 5.4 and Stata 14 software.

Results

The analysis included 22 studies, involving a total of 10510 research subjects. The meta-analysis of fourteen cross-sectional studies showed that the prevalence of medical adhesive-related skin injury in adult inpatients was 16 % [95 % CI: 13–18 %, Z = 10.95, P < 0.00001]. In the other seven additional cohort studies, the meta-analysis of incidence was 25 % [95 % CI: 17–33 %, Z = 5.90, P < 0.00001]. The results of the meta-analysis of risk factors showed that the following six factors: age>50 years (OR = 1.21, 95%CI: 1.05–1.41), dry skin (OR = 3.51, 95%CI: 1.55–7.95), history of MARSI (OR = 6.78, 95%CI: 1.69–27.15), history of skin allergies (OR = 3.82, 95%CI: 1.92–7.57), skin edema(OR = 3.59,95%CI:1.52–8.47), wet skin(OR = 3.57,95%CI:1.65–13.35) were risk factors.
背景:MARSI可发生在任何人群和临床环境中,在经常接触医用粘合剂的患者中很普遍。它可破坏皮肤屏障,导致疼痛和感染,使患者和医务人员感到困惑,因此有必要了解其流行率、发病率和风险因素,以改善患者健康和医疗安全:系统评估成人住院患者中医用粘合剂相关皮肤损伤的流行率、发生率和风险因素:设计:系统性文献回顾和荟萃分析:方法:在 9 个中英文数据库中进行计算机检索,涵盖了从开始到 2024 年 7 月 10 日评价医用粘合剂相关皮肤损伤的流行率、发生率和风险因素的研究。使用Review Manager 5.4和Stata 14软件进行了元分析:分析包括 22 项研究,共涉及 10510 名研究对象。对 14 项横断面研究进行的荟萃分析表明,成人住院患者医用粘合剂相关皮肤损伤的患病率为 16 % [95 % CI: 13-18 %, Z = 10.95, P 50 岁(OR = 1.21, 95%CI: 1.05-1.41),皮肤干燥(OR = 3.51,95%CI:1.55-7.95)、MARSI 病史(OR = 6.78,95%CI:1.69-27.15)、皮肤过敏病史(OR = 3.82,95%CI:1.92-7.57)、皮肤水肿(OR = 3.59,95%CI:1.52-8.47)、皮肤潮湿(OR = 3.57,95%CI:1.65-13.35)是风险因素。
{"title":"The prevalence, incidence and risk factors of medical adhesive-related skin injury in adult inpatients: A systematic review and meta-analysis","authors":"Ping Wang,&nbsp;Xinyue Luo,&nbsp;Huijie Chen,&nbsp;Qian Feng,&nbsp;Huijuan Song","doi":"10.1016/j.jtv.2024.10.007","DOIUrl":"10.1016/j.jtv.2024.10.007","url":null,"abstract":"<div><h3>Background</h3><div>MARSI can occur in any population and clinical setting and is prevalent among patients who are frequently exposed to medical adhesives. It can disrupt the skin barrier and cause pain and infection, confusing patients and medical staff and making it necessary to understand its prevalence, incidence, and risk factors to improve patient health and medical safety.</div></div><div><h3>Objective</h3><div>To systematically evaluate the prevalence, incidence and risk factors of medical adhesive-related skin injury in adult inpatients.</div></div><div><h3>Design</h3><div>Systematic literature review and meta-analysis.</div></div><div><h3>Methods</h3><div>A computer search was conducted on nine databases in both Chinese and English, covering studies from inception to July 10, 2024, evaluating the prevalence, incidence and risk factors of medical adhesive-related skin injuries. Meta-analyses were performed using Review Manager 5.4 and Stata 14 software.</div></div><div><h3>Results</h3><div>The analysis included 22 studies, involving a total of 10510 research subjects. The meta-analysis of fourteen cross-sectional studies showed that the prevalence of medical adhesive-related skin injury in adult inpatients was 16 % [95 % CI: 13–18 %, <em>Z</em> = 10.95, <em>P</em> &lt; 0.00001]. In the other seven additional cohort studies, the meta-analysis of incidence was 25 % [95 % CI: 17–33 %, <em>Z</em> = 5.90, <em>P</em> &lt; 0.00001]. The results of the meta-analysis of risk factors showed that the following six factors: age&gt;50 years (OR = 1.21, 95%CI: 1.05–1.41), dry skin (OR = 3.51, 95%CI: 1.55–7.95), history of MARSI (OR = 6.78, 95%CI: 1.69–27.15), history of skin allergies (OR = 3.82, 95%CI: 1.92–7.57), skin edema(OR = 3.59,95%CI:1.52–8.47), wet skin(OR = 3.57,95%CI:1.65–13.35) were risk factors.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 960-967"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Statistical and cross-sectional analysis of factors effecting the prevalence of pressure ulcer in hospital admitted stroke patients 影响住院脑卒中患者压疮发生率因素的统计和横断面分析
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.06.004
Rabbia Amin , Jamila Farid , Muhammad Aman Sheikh , Muhammad Irfan , Saifur Rahman , Salim Nasar Faraj Mursal
Every year, millions of people around the world are disabled by stroke, it is well recognized that complications aftera stroke extend hospital stays and pressure ulcers, a stroke consequence, which can be prevented by educating the caregiver. The primary focus of this research is not only to investigate the prevalence of pressure ulcers (PU) among stroke patients, but this study also introduced a variety of factors which influence the formation of PU, such as restricted mobility, gender, duration of stroke, hypertension, diabetes, hygiene, type of mattress, malnutrition, awareness, etc. In addition, this research provides a comparative and statistical analysis, a cause of the catastrophic disabilities influenced by a variety of factors. Moreover, the proposed research also provides a room for the pertinent treatment of stroke patient to curtail the formation of pressure ulcer. In this research, a total of 120 stroke patients were initially included to monitor the frequency of pressure ulcers at incipient stage. Out of the total patients, the number of patients with ischemic stroke were 78.5 % while 8.3 % were of haemorrhagic type. In the results, the demographic characteristics and the factors which influence the formation of PU of the patients were examined with their cross-sectional impact on each other through comparative and statistical analysis. It was discovered that among all the stroke patients, 8.3 % were found with a PUs and the most frequent localization was sacrum and no new PU was observed for the participants under the observation.
{"title":"Statistical and cross-sectional analysis of factors effecting the prevalence of pressure ulcer in hospital admitted stroke patients","authors":"Rabbia Amin ,&nbsp;Jamila Farid ,&nbsp;Muhammad Aman Sheikh ,&nbsp;Muhammad Irfan ,&nbsp;Saifur Rahman ,&nbsp;Salim Nasar Faraj Mursal","doi":"10.1016/j.jtv.2024.06.004","DOIUrl":"10.1016/j.jtv.2024.06.004","url":null,"abstract":"<div><div><span>Every year, millions of people around the world are disabled by stroke, it is well recognized that complications aftera stroke extend hospital stays and pressure ulcers<span>, a stroke consequence, which can be prevented by educating the caregiver. The primary focus of this research is not only to investigate the prevalence of pressure ulcers (PU) among stroke patients, but this study also introduced a variety of factors which influence the formation of PU, such as restricted mobility, gender, duration of stroke, hypertension, diabetes, hygiene, type of mattress, malnutrition, awareness, etc. In addition, this research provides a comparative and statistical analysis, a cause of the catastrophic disabilities influenced by a variety of factors. Moreover, the proposed research also provides a room for the pertinent treatment of stroke patient to curtail the formation of pressure ulcer. In this research, a total of 120 stroke patients were initially included to monitor the frequency of pressure ulcers at incipient stage. Out of the total patients, the number of patients with </span></span>ischemic stroke were 78.5 % while 8.3 % were of haemorrhagic type. In the results, the demographic characteristics and the factors which influence the formation of PU of the patients were examined with their cross-sectional impact on each other through comparative and statistical analysis. It was discovered that among all the stroke patients, 8.3 % were found with a PUs and the most frequent localization was sacrum and no new PU was observed for the participants under the observation.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 631-641"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Traditional and complementary treatment use in wound care: A descriptive study in Turkey 在伤口护理中使用传统疗法和辅助疗法:土耳其描述性研究
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.07.017
Ayşe Aydinli , Sevgi Deniz Doğan

Objectives

This study was conducted to determine the use of traditional and complementary treatment in wound care and the opinions of individuals in Turkey.

Methods

The descriptive study was completed with 536 adult individuals. The research data were collected using the "Personal Information Form", "Questionnaire on Traditional and Complementary Treatment Methods Used in Wound Care" and "Questionnaire on Opinions Regarding the Use of Traditional and Complementary Treatment in Wound Care" prepared in line with the literature. Descriptive statistics were used in the evaluation of the data.

Results

When a wound occurs on the body, 31 % of the participants reported that they first applied traditional and complementary treatment. It was determined that the participants experienced surgical wounds (55.7 %) and burn wounds (46.1 %) the most. The first three biological-based approaches used by individuals in wound care were hypericum perforatum (60.8 %), aloe vera (39.6 %), and honey (36.8 %). In other approaches used by individuals in wound care, the first three methods are prayer (54.1 %), vaseline application (47.1 %), and massage (37.8 %), respectively. In addition, 64.7 % of the individuals reported that they thought these methods were useful in wound care, 60.1 % reported that they accelerated healing, and 46.8 % reported that they prevented scarring.

Conclusion

It was determined that individuals commonly used various traditional and complementary treatment methods in wound care. It is also noteworthy that these methods are highly accepted by individuals. Therefore, it is important for nurses, who play a key role in wound care, to know the methods commonly used in society and to follow the developments in this field.
{"title":"Traditional and complementary treatment use in wound care: A descriptive study in Turkey","authors":"Ayşe Aydinli ,&nbsp;Sevgi Deniz Doğan","doi":"10.1016/j.jtv.2024.07.017","DOIUrl":"10.1016/j.jtv.2024.07.017","url":null,"abstract":"<div><h3>Objectives</h3><div>This study was conducted to determine the use of traditional and complementary treatment in wound care and the opinions of individuals in Turkey.</div></div><div><h3>Methods</h3><div>The descriptive study was completed with 536 adult individuals. The research data were collected using the \"Personal Information Form\", \"Questionnaire on Traditional and Complementary Treatment Methods Used in Wound Care\" and \"Questionnaire on Opinions Regarding the Use of Traditional and Complementary Treatment in Wound Care\" prepared in line with the literature. Descriptive statistics were used in the evaluation of the data.</div></div><div><h3>Results</h3><div>When a wound occurs on the body, 31 % of the participants reported that they first applied traditional and complementary treatment. It was determined that the participants experienced surgical wounds (55.7 %) and burn wounds (46.1 %) the most. The first three biological-based approaches used by individuals in wound care were hypericum perforatum (60.8 %), aloe vera (39.6 %), and honey (36.8 %). In other approaches used by individuals in wound care, the first three methods are prayer (54.1 %), vaseline application (47.1 %), and massage (37.8 %), respectively. In addition, 64.7 % of the individuals reported that they thought these methods were useful in wound care, 60.1 % reported that they accelerated healing, and 46.8 % reported that they prevented scarring.</div></div><div><h3>Conclusion</h3><div>It was determined that individuals commonly used various traditional and complementary treatment methods in wound care. It is also noteworthy that these methods are highly accepted by individuals. Therefore, it is important for nurses, who play a key role in wound care, to know the methods commonly used in society and to follow the developments in this field.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 864-870"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 incidence and prevalence of chronic wounds from a major plastic surgery service from a metropolitan city in south western Nigeria: A sixteen-year retrospective review 尼日利亚西南部大都市一家大型整形外科医院的慢性伤口发生率和流行率:十六年的回顾性研究。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2024-11-01 DOI: 10.1016/j.jtv.2024.08.005
Ayodele Olukayode Iyun , Chinsunum Peace Isamah , Samuel Adesina Ademola , Olayinka Adebanji Olawoye , Afieharo Igbibia Michael , Rotimi Opeyemi Aderibigbe , Odunayo Moronfoluwa Oluwatosin

Introduction

Chronic wound presents a burden to the patient due to the effect on their quality of life and cost of care. The exact prevalence is difficult to assess due to insufficient data, different study designs, and deferent study definitions of chronic wounds. There is limited data on the prevalence and the burden of chronic wound in our subregion. This study was therefore carried out to establish the burden of chronic wound in order to document a baseline data for monitoring progress, as well as provide information for advocacy on equitable distribution of resources for wound care.

Method

This was a retrospective review between January 2007 and December 2022. Data was analysed using SPSS.

Result

A total of 866 patients with new chronic wounds were seen at an average of 54 cases per year. An average of 330 old and new chronic wounds are seen yearly. Chronic ulcers are developing at a rate of 1.2/1000 population, and the prevalence of chronic ulcer is 3.3/1000 population. Most patients were males (57.2 %), with a mean age of 41.7years ± 20.6. Post traumatic wound is the leading aetiology. Age correlates positively with aetiology, p=<0.001. Sickle cell and venous wounds are predominantly on the legs, p=<0.001. There is a correlation between increasing age and occurrence of chronic wound in the leg, p=<0.001.

Conclusion

Post traumatic wound is the leading cause of chronic wound in our subregion. There is a need to improve care of acute wounds to reduce the burden of chronic wounds.
导言:慢性伤口会影响患者的生活质量并增加护理成本,给患者造成负担。由于数据不足、研究设计不同以及对慢性伤口的研究定义不同,很难评估确切的患病率。在我们这个次区域,有关慢性伤口流行率和负担的数据非常有限。因此,我们开展了这项研究,以确定慢性伤口的负担,为监测进展情况记录基线数据,并为倡导公平分配伤口护理资源提供信息:这是一项回顾性研究,时间跨度为 2007 年 1 月至 2022 年 12 月。采用 SPSS 对数据进行分析:共有 866 名新慢性伤口患者接受了治疗,平均每年 54 例。平均每年接诊 330 例新旧慢性伤口患者。慢性溃疡的发病率为 1.2/1000 人,慢性溃疡的患病率为 3.3/1000 人。大多数患者为男性(57.2%),平均年龄为 41.7 岁 ± 20.6 岁。创伤后伤口是主要病因。年龄与病因呈正相关,P= 结论:创伤后伤口是我们次区域慢性伤口的主要病因。有必要改善对急性伤口的护理,以减轻慢性伤口的负担。
{"title":"The incidence and prevalence of chronic wounds from a major plastic surgery service from a metropolitan city in south western Nigeria: A sixteen-year retrospective review","authors":"Ayodele Olukayode Iyun ,&nbsp;Chinsunum Peace Isamah ,&nbsp;Samuel Adesina Ademola ,&nbsp;Olayinka Adebanji Olawoye ,&nbsp;Afieharo Igbibia Michael ,&nbsp;Rotimi Opeyemi Aderibigbe ,&nbsp;Odunayo Moronfoluwa Oluwatosin","doi":"10.1016/j.jtv.2024.08.005","DOIUrl":"10.1016/j.jtv.2024.08.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic wound presents a burden to the patient due to the effect on their quality of life and cost of care. The exact prevalence is difficult to assess due to insufficient data, different study designs, and deferent study definitions of chronic wounds. There is limited data on the prevalence and the burden of chronic wound in our subregion. This study was therefore carried out to establish the burden of chronic wound in order to document a baseline data for monitoring progress, as well as provide information for advocacy on equitable distribution of resources for wound care.</div></div><div><h3>Method</h3><div>This was a retrospective review between January 2007 and December 2022. Data was analysed using SPSS.</div></div><div><h3>Result</h3><div>A total of 866 patients with new chronic wounds were seen at an average of 54 cases per year. An average of 330 old and new chronic wounds are seen yearly. Chronic ulcers are developing at a rate of 1.2/1000 population, and the prevalence of chronic ulcer is 3.3/1000 population. Most patients were males (57.2 %), with a mean age of 41.7years ± 20.6. Post traumatic wound is the leading aetiology. Age correlates positively with aetiology, p=&lt;0.001. Sickle cell and venous wounds are predominantly on the legs, p=&lt;0.001. There is a correlation between increasing age and occurrence of chronic wound in the leg, p=&lt;0.001.</div></div><div><h3>Conclusion</h3><div>Post traumatic wound is the leading cause of chronic wound in our subregion. There is a need to improve care of acute wounds to reduce the burden of chronic wounds.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 877-882"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of tissue viability
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