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Computational Intelligence and... 2022Pressure ulcers are a type of injury that causes tissue ischemia, a deficiency of nutrition and oxygen to the tissues, and, eventually, tissue necrosis when an area of...
Pressure ulcers are a type of injury that causes tissue ischemia, a deficiency of nutrition and oxygen to the tissues, and, eventually, tissue necrosis when an area of skin is placed under constant pressure for an extended length of time. With the acceleration of the aging process, the problem of providing care for pressure ulcers for the bedridden elderly becomes increasingly urgent. This study conducts a field survey based on the research status of 221 disabled elderly in 16 communities on 7 typical streets in Beijing, focusing on the problem of pressure ulcer complications caused by bedridden. An automatic inflatable airbag mattress is designed according to anthropometric dimensions of bedridden elderly, pressure ulcer-prone areas, and the decompression standard, so that the airbag mattress can reduce the pressure in its initial shape. To achieve accurate control of the pressure in the pressure-prone areas of an airbag, air pressure control system is proposed which can control airbags individually and link multiple airbags, evaluating the safety of pressure ulcer points based on the data from sensors and making corresponding air pressure changes to reduce the possibility of generating pressure ulcers. The proposed pressure ulcer preventing system will be an efficient healthcare tool for families who had elderly bedridden patients, patients with chronic degenerative disease side effects, and terminal and postsurgical patients, as well as femur fractures, in their homes.
Topics: Aged; Beds; Beijing; Humans; Pressure Ulcer
PubMed: 35942465
DOI: 10.1155/2022/4895038 -
Sensors (Basel, Switzerland) Mar 2023Visual diagnosis and rejuvenation are methods currently used to diagnose and treat pressure ulcers, respectively. However, the treatment process is difficult. We...
Visual diagnosis and rejuvenation are methods currently used to diagnose and treat pressure ulcers, respectively. However, the treatment process is difficult. We developed a biophotonic sensor to diagnose pressure ulcers and, subsequently, developed a pressure ulcer care device (PUCD.) We conducted animal and clinical trials to investigate the device's effectiveness. We confirmed the accuracy of the pressure ulcer diagnosis algorithm to be 91% and we observed an 85% reduction in immune cells when using the PUCD to treat pressure ulcer-induced mice. Additionally, we compared the treatment group to the pressure ulcer induction group to assess the PUCD's effectiveness in identifying immune cells through its nuclear shape. These results indicate a positive effect and suggest the use of PUCD as a recovery method for pressure ulcer diagnosis and treatment.
Topics: Animals; Mice; Pressure Ulcer; Electric Impedance; Algorithms
PubMed: 37050680
DOI: 10.3390/s23073620 -
Cells Jul 2023Although the proportion of ulcer patients with medical problems among the elderly has increased with the extension of human life expectancy, treatment efficiency is...
Although the proportion of ulcer patients with medical problems among the elderly has increased with the extension of human life expectancy, treatment efficiency is drastically low, incurring substantial social costs. MSCs have independent regeneration potential, making them useful in clinical trials of difficult-to-treat diseases. In particular, ADMSCs are promising in the stem cell therapy industry as they can be obtained in vast amounts using non-invasive methods. Furthermore, studies are underway to enhance the regeneration potential of ADMSCs using cytokines, growth factors, and gene delivery to generate highly functional ADMSCs. In this study, key regulators of wound healing, SOCS-1, -3, and -5, were combined to maximize the regenerative potential of ADMSCs in pressure ulcer treatments. After transfecting SOCS-1, -3, -5, and SOCS-com into ADMSCs using a non-viral method, the expression of the inflammatory factors TNF-alpha, INF-gamma, and IL-10 was confirmed. ADMSCs transfected with SOCS-com showed decreased overall expression of inflammatory factors and increased expression of anti-inflammatory factors. Based on these results, we implanted ADMSCs transfected with SOCS-com into a pressure ulcer mouse model to observe their subsequent wound-healing effects. Notably, SOCS-com improved wound closure in ulcers, and reconstruction of the epidermis and dermis was observed. The healing mechanism of ADMSCs transfected with SOCS-com was examined by RNA sequencing. Gene analysis results confirmed that expression changes occurred in genes of key regulators of wound healing, such as chemokines, MMP-1, 9, CSF-2, and IL-33, and that such genetic changes enhanced wound healing in ulcers. Based on these results, we demonstrate the potential of ADMSCs transfected with SOCS-com as an ulcer treatment tool.
Topics: Mice; Animals; Humans; Aged; Adipose Tissue; Ulcer; Pressure Ulcer; Wound Healing; Disease Models, Animal
PubMed: 37508509
DOI: 10.3390/cells12141840 -
Annals of the Royal College of Surgeons... Feb 2017INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a... (Review)
Review
INTRODUCTION In our regional spinal injuries unit, complex pressure ulcer reconstruction is facilitated by a monthly multidisciplinary team clinic. This study reviews a series of the more complex of these patients who underwent surgery as a joint case between plastics and other surgical specialties, aiming to provide descriptive data as well as share the experience of treating these complex wounds. MATERIALS AND METHODS Patients operated on as a joint case from 2010 to 2014 were identified through a locally held database and hospital records were then retrospectively reviewed for perioperative variables. Descriptive statistics were collected. RESULTS 12 patients underwent 15 procedures as a joint collaboration between plastic surgery and other surgical specialties: one with spinal surgery, 12 with orthopaedic and two with both orthopaedic and urology involvement. Ischial and trochanteric wounds accounted for 88% of cases with five Girdlestone procedures being performed and 12 requiring soft-tissue flap reconstruction. Mean operative time was 3.8hours. Four patients required high-dependency care and 13 patients received long-term antibiotics. Only three minor complications (20%) were seen with postoperative wound dehiscence. DISCUSSION The multidisciplinary team clinic allows careful assessment and selection of patients appropriate for surgical reconstruction and to help match expectations and limitations imposed by surgery, which are likely to influence their current lifestyle in this largely independent patient group. Collaboration with other specialties gives the best surgical outcome both for the present episode as well as leaving avenues open for potential future reconstruction.
Topics: Adult; Aged; Humans; Middle Aged; Pressure Ulcer; Plastic Surgery Procedures; Retrospective Studies; Spinal Injuries; Young Adult
PubMed: 27490980
DOI: 10.1308/rcsann.2016.0227 -
The British Journal of Dermatology Aug 2020
Topics: Bandages; Heel; Humans; Intensive Care Units; Pressure Ulcer; Silicones
PubMed: 32323310
DOI: 10.1111/bjd.19061 -
Journal of Healthcare Engineering 2022A pressure injury is a common and painful health condition, particularly among people who are elderly or surgical patients. In order to explore how to use the...
A pressure injury is a common and painful health condition, particularly among people who are elderly or surgical patients. In order to explore how to use the information management system to optimize the pressure injury management process of surgical patients, this work establishes an integrated pressure injury management information platform for surgical patients, which can effectively control the key links in the process and realize the multistep full-process monitoring of surgical patients from admission to discharge. A total of 578 patients before the operation of the information platform were selected as the control group (CG), and after the operation of the information platform, 662 cases became the observation group (OG). Various evaluation metrics are employed to evaluate pressure injury in terms of single-pass rate, high-risk pressure injury, transfer skin condition description matching rate, hospital pressure injury incidence, and incidence of pressure injury in surgical patients at various stages. The results showed that the qualified rate of the pressure injury assessment in the OG was 99.2%, the accuracy rate of high-risk pressure injury screening and reporting was 100.0%, and the matching rate of the transfer skin description was 100.0%, which was higher than that of the CG. The integrated pressure injury management information platform for surgical patients based on the information management system realizes the full, continuous, accurate, and dynamic evaluation and monitoring of patients' skin. Furthermore, it can effectively improve the quality of pressure injury care and facilitate care management.
Topics: Aged; Humans; Incidence; Information Management; Operating Rooms; Pressure Ulcer
PubMed: 35047148
DOI: 10.1155/2022/1463826 -
Journal of Patient Safety Jun 2022This study aimed to investigate how many preventable adverse events (PAEs) and near misses are identified through the methods structured record review, Web-based... (Review)
Review
OBJECTIVES
This study aimed to investigate how many preventable adverse events (PAEs) and near misses are identified through the methods structured record review, Web-based incident reporting (IR), and daily safety briefings, and to distinguish the type of events identified by each method.
METHODS
One year of retrospective data from 2017 were collected from one patient cohort in a 422-bed acute care hospital. Preventable adverse events and near misses were collected from the hospital's existing resources and presented descriptively as number per 1000 patient-days.
RESULTS
The structured record review identified 19.9 PAEs; the IR system, 3.4 PAEs; and daily safety briefings, 5.4 PAEs per 1000 patient-days. The most common PAEs identified by the record review method were drug-related PAEs, pressure ulcers, and hospital-acquired infections. The most common PAEs identified by the IR system and daily safety briefings were fall injury and pressure ulcers, followed by skin/superficial vessel injuries for the IR system and hospital-acquired infections for the daily safety briefings. Incident reporting and daily safety briefings identified 7.8 and 31.9 near misses per 1000 patient-days, respectively. The most common near misses were related to how care is organized.
CONCLUSIONS
The different methods identified different amounts and types of PAEs and near misses. The study supports that health care organizations should adopt multiple methods to get a comprehensive review of the number and type of events occurring in their setting. Daily safety briefings seem to be a particularly suitable method for assessing an organization's inherent security and may foster a nonpunitive culture.
Topics: Humans; Medical Errors; Near Miss, Healthcare; Pressure Ulcer; Retrospective Studies; Risk Management
PubMed: 35617591
DOI: 10.1097/PTS.0000000000000921 -
Ostomy/wound Management Jul 2016Christopher Columbus initially was scorned because he believed an alternative trade route to the East existed. Like most groundbreaking exploration, Columbus' came with...
Christopher Columbus initially was scorned because he believed an alternative trade route to the East existed. Like most groundbreaking exploration, Columbus' came with unintended consequences. His serendipitous findings: a new land. The consequence? Transmitting devastating illnesses with massive population loss to indigenous people.
Topics: Humans; Liability, Legal; Pressure Ulcer
PubMed: 27428562
DOI: No ID Found -
Wound Management & Prevention Jun 2021Pressure injury is a common problem for patients undergoing surgery and is a significant quality indicator for perioperative care.
BACKGROUND
Pressure injury is a common problem for patients undergoing surgery and is a significant quality indicator for perioperative care.
PURPOSE
To determine the rate of intraoperative pressure injuries and evaluate risk factors in surgical patients.
METHODS
A descriptive study was conducted from May to December 2019 among consecutive patients older than 18 years of age undergoing a nonemergent (planned) surgical procedure lasting longer than 2 hours in a hospital in Turkey. Patients with a history of preoperative pressure injury were not eligible for participation. Data collected included demographic and clinical information, preoperative Braden Scale scores, and 3S Intraoperative Risk Assessment Scale scores. The presence of a pressure injury was evaluated immediately postoperatively and 24 hours postoperatively. Descriptive statistics, chi-square, Student t test, Mann-Whitney U test, one-way analysis of variance, and the Kruskal-Wallis test were used for postoperative skin integrity and factors affecting the risk of pressure injury in the intraoperative period.
RESULTS
The 164 participants ranged in age from 18 to 80 years (mean, 51.58 ± 15.96 years). The most common procedures were orthopedic (47, 28.7%), the mean Braden Scale score was 19.96 ± 1.81, and the mean 3S Intraoperative Risk Assessment Scale score was 17.92 ± 3.03. Immediately postoperatively, 64.0% of patients had blanchable erythema and 6.7% had a stage 1 pressure injury. Also immediately postoperatively, noblanchable erythema was found to be affected by comorbidities, long hospitalization time before surgery, long operation time, American Society of Anesthesiologists score of II, lithotomy position, low body temperature, hypotension during surgery, and wetness under the gluteal and sacral area during surgery. In the skin assessment conducted 24 hours after surgery, 4.9% of patients had blanchable erythema.
CONCLUSIONS
The majority of patients (95.1%) did not show signs of a pressure injury during the time of the study (24 hours). Additional and longer-term studies are warranted.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Humans; Middle Aged; Pressure Ulcer; Risk Assessment; Risk Factors; Sacrococcygeal Region; Skin Care; Young Adult
PubMed: 34284347
DOI: No ID Found -
Journal of Tissue Viability Feb 2022Consumer engagement is a requirement of high quality clinical guidelines. Developing strategies to engage consumers and incorporate the perspectives of individuals with...
An exploration of the perspectives of individuals and their caregivers on pressure ulcer/injury prevention and management to inform the development of a clinical guideline.
BACKGROUND
Consumer engagement is a requirement of high quality clinical guidelines. Developing strategies to engage consumers and incorporate the perspectives of individuals with or at risk of pressure ulcers/injuries and their informal caregivers was one priority in the recent update of the EPUAP/NPIAP/PPPIA's Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline.
AIMS
The aims were to determine the goals of individuals and caregivers for pressure ulcer/injury care, priorities for pressure ulcer/injury education and biggest problems related to pressure ulcers/injuries.
METHODS
An online, anonymous, international 10-item survey, accessible in nine languages was provided to individuals and their caregivers from April to October 2018. Descriptive statistics were used for quantitative data and a thematic analysis approach was used to analyse qualitative data.
RESULTS
There were 1233 individuals from 27 countries who completed the survey. Overall, individuals and caregivers had similar goals of care. Reducing the size of pressure ulcer/injury was selected more often as a care goal than complete healing. Individuals, compared to caregivers, considered managing pain more important. Qualitative data analysis identified five themes including knowledge, attitudes, and skills; risk factors for pressure ulcer/injury; accessing pressure ulcer/injury care; quality of life for patients and caregivers; and the pressure ulcer/injury.
CONCLUSIONS
The consumer survey provided consumer engagement and perspective that was incorporated into guideline development, including consideration during evaluation of the relevance and acceptability of recommendations, and assignment of recommendation strength ratings.
Topics: Caregivers; Humans; Pressure Ulcer; Quality of Life; Skin Care; Surveys and Questionnaires
PubMed: 34776327
DOI: 10.1016/j.jtv.2021.10.008