Advances in Skin & Wound Care最新文献

Objective: Contactless wound size measurement is an important element for monitoring the wound healing process and the effects of treatment both in people and animals. The purpose of this study was to evaluate the metrologic performances of a contactless digital planimetry app (imitoMeasure, Imito AG) for cutaneous wound area measurement.

Methods: Precision, accuracy, agreement, and reliability of six different combinations of smart devices (smartphone or tablet), calibration modes (manual mode or marker mode), and tracing modes (manual finger tracing or digital pencil tracing) were tested and compared with the standard method on already known canine wound area shapes traced on transparent sheets.

Results: Using the app, all methods showed an acceptable metrologic performance. Methods using a tablet were more precise, accurate, and reliable compared with a smartphone. Calibration marker mode was faster than manual calibration. Methods using pencil tracing were more accurate than manual finger tracing, showed a higher agreement with the standard method, and needed fewer retouching-ups to obtain fine-tuning of the shape.

Conclusions: This study contributed to the advancement of noncontact wound area measurement using smart digital mobile devices, identifying the most suitable method to use the imitoMeasure app in clinical and research settings. The imitoMeasure app showed excellent metrologic characteristics in contactless wound area measurement. The evidence indicates that the use of the tablet with digital pencil tracing is a noteworthy improvement in the wound measurement process.

Objective: The aim of this study was to describe a cohort of patients participating in a 12-week supervised exercise program as part of a comprehensive cardiovascular rehabilitation program for patients with peripheral artery disease (PAD) with or at risk of wound on maximal walking distance, wound healing, and cardiovascular outcomes in the year following participation.

Methods: A retrospective cohort study was conducted, and all adult patients with PAD admitted to the rehabilitation program between January 1, 2021, and January 1, 2023 were included.

Results: Forty-two patients with PAD were enrolled, of whom 85.7% had intermittent claudication and 38.1% had severe PAD (toe pressure measurement <30 mm Hg). Mean maximal walking distance at the 6-minute walking test was 301.8 m (median: 300.0, SD: 106.3) at baseline and increased to 408.3 m (median: 440, SD: 123.8) at the end of the program. All patients with a wound at baseline (n = 8) were healed, except for 1 patient who died before healing. One year following the program, only 1 patient developed a new wound, 4 benefited from a percutaneous angioplasty, none required a surgical revascularization, and 1 had a major lower limb amputation.

Conclusions: A 12-week supervised exercise program appears beneficial to improve walking distance for patients with moderate to severe PAD. It also appears safe for patients with or at risk of a lower limb wound, providing tailored exercises prespecified for each patient and adequate supervision. However, prospective studies are required before making clinical recommendations of such a program for the at-risk foot with PAD.

Objective: To evaluate the state anxiety levels and concerns expressed by patients with a stoma at hospital discharge and identify predictors.

Methods: The investigators recruited 136 patients with a stoma who were discharged from the hospital between March and December 2021. Participants completed the demographic questionnaire, the State-Trait Anxiety Inventory state anxiety subscale (STAI-S), and questions about stoma-related concerns. Data were analyzed with descriptive statistics, independent-sample t test, and analysis of variance. Multiple regression analysis was conducted to identify the significant predictors of STAI-S score.

Results: The mean STAI-S score of all patients was 44.75 ± 9.53 at discharge, and approximately 84.5% consistently experienced stoma-related concerns. Stoma status, cause of stoma, marital status, stoma self-care ability, and patients' thoughts on stoma care self-efficacy were all significant predictors of anxiety levels. Patients' primary concerns at discharge related to the sufficiency of stoma care training, stool leakage, stoma bag puncture while sleeping, touching the stoma region, and the appearance of the stoma.

Conclusions: Patients with a stoma experience moderate anxiety and significant concerns at discharge; if left unaddressed, patients may be prematurely discharged with high anxiety. Healthcare providers should pay attention to at-risk patients: those with permanent stomas, who have undergone colorectal cancer surgery, who are single, who believe their stoma care self-efficacy is insufficient, and who primarily rely on others for stoma care. Clinicians should assess anxiety levels and concerns of stoma patients before discharge and refer patients for psychological counseling as needed.

Advanced pressure injuries (PI), the debilitating consequence of prolonged pressure on the skin, are devastating wounds that are commonly refractory to treatment and are a source of significant patient morbidity and monetary strain on the healthcare system. This article outlines the fundamental principles for the conservative management of PIs, emphasizing risk factor mitigation, patient optimization, and preventive strategies. In addition, the article explores different surgical interventions for cases where PIs have progressed beyond conservative treatment options. GENERAL PURPOSE: To demonstrate knowledge of the evidence-based fundamental measures and surgical options to manage advanced pressure injuries (PIs). JOURNAL/aswca/04.03/00129334-202508000-00001/figure1/v/2025-07-18T083052Z/r/image-jpeg LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant will 1. Identify factors that place a patient at risk for PI. 2. Differentiate between the various stages and types of PI. 3. Apply evidence-based management strategies to treat patients with PI.

Objective: To investigate the clinical efficacy of stamp skin grafting in promoting wound healing for patients with chronic wounds.

Methods: This study enrolled 86 patients with chronic wounds from a wound care clinic between November 2022 and December 2023. The participants were randomly allocated into the control (n = 44) and skin-grafting (n = 42) groups using a preset random number table. The control group received conventional wet dressing care, whereas the skin-grafting group underwent additional stamp skin-grafting care.

Results: The skin-grafting group demonstrated significantly reduced wound healing time, improved healing efficacy, decreased dressing change frequency, and lowered dressing change costs compared with the control group (all P s < .05). During the nursing process, the skin-grafting group exhibited significantly lower pretreatment Numeric Rating Scale scores when the fourth and fifth dressings were changed and during-treatment Visual Analog Scale scores from the third to fifth dressing changes compared with the control group (all P s < .05). After adjusting for confounding factors, wound area served as an independent risk factor for both healing time ( rpartial  = 0.457, P  < .05) and healing efficacy ( β  = -0.559, P  < .05) in the skin-grafting group, whereas patient adherence to wound care served as an independent risk factor for both healing time ( rpartial  = 0.333, P  < .05) and healing efficacy ( β  = 1.194, P  < .05) in the control group, as well as for healing efficacy ( β  = 1.318, P  < .05) in the skin-grafting group.

Conclusions: Stamp skin grafting effectively promotes the rapid recovery of chronic wounds with reduced medical burden and patient pain. The effectiveness primarily depends on the wound area and patient adherence.

Considering the increase in cesarean surgeries in recent years and, therefore, the complications related to this type of surgical wound, attention has been drawn to treatment methods such as biological wound dressings. In this case series, the authors describe the treatment of infected cesarean wounds with impaired healing in 4 women. For this aim, human placentas were collected under sterile conditions and amniotic membranes were separated from the placenta. To decrease immunogenic response, the membrane was decellularized using 1% Triton-x-100, 1 mmol/L EDTA, and Trypsin 0.05. Then, using glycerol and Dulbecco Modified Eagle Medium, the decellularized amniotic membrane (dAM) was frozen for 3 months at -80 °C. After this period, the dAM was used to dress the wounds of the 4 patients. All patients treated with dAM achieved complete wound healing, indicating that dAM may be an effective treatment method for cesarean section wounds, especially those prone to complications.

Objective: To evaluate the effects of extra-virgin olive and almond oils on maintaining skin integrity in neonates admitted to the neonatal intensive care unit.

Methods: This was a semiexperimental study. The sample comprised 120 term (37-42 weeks) neonates treated in a state hospital in Istanbul, Turkey (May-August 2023), who met the sample criteria (olive oil: 60, almond oil: 60). The data were collected using a newborn identification form, the Neonatal Skin Condition Score, and the DMM Skin Moisture Meter.

Results: The neonates' sex, gestational age, postnatal age, birth weight, length, and head circumference measurements were similar, suggesting no significant differences between the groups ( P s > .05). A statistically significant difference was found between the mean skin hydration levels of neonates treated with almond oil and extra-virgin olive oil on the first, second, and third days of the application, where a higher skin hydration was determined in the extra-virgin olive oil group ( P  = .024, P  = .004, P  = .020). However, no statistically significant difference was found between the Neonatal Skin Condition Score scores of neonates treated with almond oil and extra-virgin olive oil before and on all days of the application (1-5 days, P  > .05).

Conclusions: Both extra-virgin olive oil and almond oil increased the stratum corneum hydration in term neonates. The application of extra-virgin olive oil and almond oil did not result in any adverse effects on neonatal skin conditions of neonates admitted to the neonatal intensive care unit.