Prognosis of stage I pressure ulcers and related factors.

Abstract:

:The prognosis of stage I pressure ulcers cannot be predicted; therefore, nursing interventions for preventing their deterioration have not been clearly established. This study describes the clinical course of stage I pressure ulcers and prospectively investigates the factors related to their deterioration. Thirty-one stage I pressure ulcers in 30 patients in a long-term care facility were studied, and morphological changes were assessed every day until the ulcers healed or deteriorated. The physiological changes were assessed by ultrasonography and thermography. Twenty ulcers healed, and 11 deteriorated. The characteristics of deterioration were as follows: (1) double erythema; (2) non blanchable erythema across the whole area determined by glass plate compression; (3) erythema away from the tip of the bony prominence; and (4) expanding erythema on the following day. We analysed the sensitivity, specificity, positive predictive value, negative predictive value and positive likelihood ratio for the diagnostic utility of the indicators of deterioration double erythema and distance from the tip of bony prominence, which can be instantly assessed without the use of any special device. The values were 36.4%, 95.0%, 80.0%, 73.1% and 7.28, respectively. These results suggest that clinicians can predict the prognosis of stage I pressure ulcers by initial assessment and provide appropriate care based on the assessment.

journal_name

Int Wound J

authors

Sato M,Sanada H,Konya C,Sugama J,Nakagami G

doi

10.1111/j.1742-481X.2006.00267.x

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

355-62

issue

4

eissn

1742-4801

issn

1742-481X

pii

IWJ267

journal_volume

3

pub_type

杂志文章
  • Role of silicone derivative plus onion extract gel in presternal hypertrophic scar protection: a prospective randomized, double blinded, controlled trial.

    abstract::Use of silicone derivative and onion extract had been reported in the prevention of hypertrophic scarring. Our experience showed the preventive use of silicone derivative plus onion extract gel on hypertrophic scars after median sternotomy. In a randomized, double blinded, placebo-controlled study, 60 patients after m...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1742-481X.2011.00898.x

    authors: Jenwitheesuk K,Surakunprapha P,Jenwitheesuk K,Kuptarnond C,Prathanee S,Intanoo W

    更新日期:2012-08-01 00:00:00

  • The average cost of pressure ulcer management in a community dwelling spinal cord injury population.

    abstract::Pressure ulcers (PUs) are a common secondary complication experienced by community dwelling individuals with spinal cord injury (SCI). There is a paucity of literature on the health economic impact of PU in SCI population from a societal perspective. The objective of this study was to determine the resource use and co...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2012.01002.x

    authors: Chan BC,Nanwa N,Mittmann N,Bryant D,Coyte PC,Houghton PE

    更新日期:2013-08-01 00:00:00

  • A simple concept for covering pressure sores: wound edge-based propeller perforator flap.

    abstract::We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between J...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12783

    authors: Kelahmetoglu O,Van Landuyt K,Yagmur C,Sommeling CE,Keles MK,Tayfur V,Simsek T,Demirtas Y,Guneren E

    更新日期:2017-12-01 00:00:00

  • Efficacy of hydrosurgical debridement and nanocrystalline silver dressings for infection prevention in type II and III open injuries.

    abstract::The aim of this study was to retrospectively evaluate the clinical and culture-positive infection rates of open Gustilo/Anderson type II and III fractures using a protocol nanocrystalline silver wound dressing and hydrosurgical debridement. Retrospective case series through chart review on all type II and III open fra...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00822.x

    authors: Keen JS,Desai PP,Smith CS,Suk M

    更新日期:2012-02-01 00:00:00

  • Laser irradiation effect on Staphylococcus aureus and Pseudomonas aeruginosa biofilms isolated from venous leg ulcer.

    abstract::Chronic wounds, including diabetic foot ulcers, pressure ulcers and venous leg ulcers, represent a significant cause of morbidity in developed countries, predominantly in older patients. The aetiology of these wounds is probably multifactorial, but the role of bacteria in their pathogenesis is still unclear. Moreover,...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00910.x

    authors: Baffoni M,Bessa LJ,Grande R,Di Giulio M,Mongelli M,Ciarelli A,Cellini L

    更新日期:2012-10-01 00:00:00

  • An unusual presentation of postaxial polydactyly of the foot.

    abstract::A 6-month-old Caucasian baby is described with a postaxial polydactyly of the letf foot. Radiographic examination revealed the accessory digit was composed of soft tissue, some with a tiny osseous element, originated from around the metatarsophalangeal joint, defined by floating type (FT). The parents had consistent d...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12700

    authors: López-López D,Becerro-de-Bengoa-Vallejo R,Losa-Iglesias ME,Bautista Casasnovas AL

    更新日期:2017-10-01 00:00:00

  • The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial.

    abstract::Little is known about the cost-benefit of soft silicone foam dressings in pressure ulcer (PU) prevention among critically ill patients in the emergency department (ED) and intensive care unit (ICU). A randomised controlled trial to assess the efficacy of soft silicone foam dressings in preventing sacral and heel PUs w...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.12160

    authors: Santamaria N,Liu W,Gerdtz M,Sage S,McCann J,Freeman A,Vassiliou T,DeVincentis S,Ng AW,Manias E,Knott J,Liew D

    更新日期:2015-06-01 00:00:00

  • Comparative effectiveness of the SNaP™ Wound Care System.

    abstract::Diabetic lower extremity wounds cause substantial burden to healthcare systems, costing tens of thousands of dollars per episode. Negative pressure wound therapy (NPWT) devices have been shown to be cost-effective at treating these wounds, but the traditional devices use bulky electrical pumps that require a durable m...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00775.x

    authors: Hutton DW,Sheehan P

    更新日期:2011-04-01 00:00:00

  • No need for biopsies: comparison of three sample techniques for wound microbiota determination.

    abstract::The aim of the study was to compare three sampling techniques used in routine diagnostics to identify the microbiota in chronic venous leg ulcers. A total of 46 patients with persisting venous leg ulcers were included in the study. At inclusion, swab, biopsy and filter paper pad samples were collected. After 4 weeks, ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00883.x

    authors: Gjødsbøl K,Skindersoe ME,Christensen JJ,Karlsmark T,Jørgensen B,Jensen AM,Klein BM,Sonnested MK,Krogfelt KA

    更新日期:2012-06-01 00:00:00

  • Enteroatmospheric fistula management by endoscopic gastrostomy PEG tube.

    abstract::Management of small-bowel fistulas which are in an open abdomen and have no soft tissue overlay or a fistula tract involves many complications and challenges. Controlling the local leakage of enteric contents has a central role in the success of medical treatment. There are several methods to deal with fistula dischar...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12726

    authors: Miranda LE,Miranda AC

    更新日期:2017-12-01 00:00:00

  • The role of topical probiotics on wound healing: A review of animal and human studies.

    abstract::Pathogenic, opportunistic, and commensal bacterial coexist in the intestinal tract, and imbalances among these strains have been linked to systemic inflammation and a variety of disease states. Similarly, human skin plays an important role as an interface between the body and the environment with an estimated 1 billio...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13451

    authors: Knackstedt R,Knackstedt T,Gatherwright J

    更新日期:2020-12-01 00:00:00

  • Leg ulcer induced by hydroxycarbamide in sickle cell disease: What is the therapeutic impact?

    abstract::Major sickle cell disease syndrome (SCD) is a set of potentially serious and disabling constitutional haemoglobin pathologies characterised by chronic haemolysis and vaso-occlusion phenomena. If expression takes the form of acute vaso-occlusive crisis, SCD is currently considered to be a chronic systemic pathology, pr...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13115

    authors: Soya E,Makowski C,Blaise S

    更新日期:2019-08-01 00:00:00

  • Platelet-rich plasma versus platelet-poor plasma in the management of chronic diabetic foot ulcers: a comparative study.

    abstract::Non healing diabetic foot ulcers and the resulting potential amputations present significant costs to the health care system and reduce patient quality of life. The goal of diabetic foot ulcer treatment is to obtain wound closure as expeditiously as possible. The use of platelet-rich plasma (PRP) to enhance wound heal...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1742-481X.2011.00797.x

    authors: Saad Setta H,Elshahat A,Elsherbiny K,Massoud K,Safe I

    更新日期:2011-06-01 00:00:00

  • An update review on risk factors and scales for prediction of deep sternal wound infections.

    abstract::Surgical site infections are the most common nosocomial infections in surgical patients. The preventable and the unmodifiable risk factors for deep sternal wound infections (DSWI) have been amply assessed in the literature. The aim of this review was to describe the results of the numerous published studies to describ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-481X.2011.00896.x

    authors: Buja A,Zampieron A,Cavalet S,Chiffi D,Sandonà P,Vinelli A,Baldovin T,Baldo V

    更新日期:2012-08-01 00:00:00

  • An observational study of the maintenance of the 30° side-lying lateral tilt position among aged care residents at risk of developing pressure injuries when using the standard care pillow and a purpose-designed positioning device.

    abstract::The aim of the study was to evaluate the maintenance of the 30° side-lying lateral tilt position among aged care residents at the risk of developing pressure injuries when using the standard care pillow and a purpose-designed positioning device. An observational study was conducted. Participants were monitored during ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13142

    authors: Kapp S,Gerdtz M,Gefen A,Prematunga R,Santamaria N

    更新日期:2019-10-01 00:00:00

  • The nested graft acts by inducing the process of de-senescence of the fibroblasts in chronic venous ulcers.

    abstract::Senescent fibroblasts, which are present in chronic ulcers, are the reason for the wound becoming chronic. In this study, we introduce full-thickness micro skin grafts in the ulcer, a surgical technique known as a 'nested graft', which gave encouraging results leading to complete wound healing in all patients. The ass...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12415

    authors: Gualdi G,Crotti S,Monari P,Calzavara-Pinton P,Vitali M,Baronio M,Lougaris V

    更新日期:2016-12-01 00:00:00

  • Pain and trauma in negative pressure wound therapy: a review.

    abstract::Negative pressure wound therapy (NPWT) is considered an effective wound treatment, but there are a number of issues that need to be addressed for improvements to be made. This review aimed to explore the literature relating to the pain and skin trauma that may be experienced during NPWT. A literature search was carrie...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12059

    authors: Upton D,Andrews A

    更新日期:2015-02-01 00:00:00

  • Infection in neuro-muscular scoliosis deformity correction.

    abstract::Assess the outcome of a standardised protocol for the treatment of post-operative wound infection in patients undergoing deformity correction for neuro-muscular scoliosis (NMS). Retrospective review of 443 consecutive patients with a minimum 18 months' follow-up, following a primary posterior deformity correction for ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13332

    authors: Haleem S,Edwin J,Bashir MA,Soltani S,Nadarajah R,Kieser DC

    更新日期:2020-06-01 00:00:00

  • Effects of pH-neutral, super-oxidised solution on human dermal fibroblasts in vitro.

    abstract::For the past 20 years, super-oxidised solutions (SOSs) have been shown to be potent antimicrobials and disinfectants via oxidative damage. However, the potential toxicity of SOSs on eukaryotic cells has not been documented in vitro. This is relevant because oxygen and chlorine reactive species may possibly induce agei...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2007.00331.x

    authors: González-Espinosa D,Pérez-Romano L,Guzmán-Soriano B,Arias E,Bongiovanni CM,Gutiérrez AA

    更新日期:2007-09-01 00:00:00

  • Bacterial inhibition efficiency of prilocaine and bupivacaine.

    abstract::This study aimed to demonstrate the antibacterial effects of bupivacaine and prilocaine on Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa. In our study, the in vitro antimicrobial effects of 20 mg/mL prilocaine and 5 mg/mL bupivacaine were tested against a S. aureus American-type culture collectio...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13180

    authors: Kesici S,Demirci M,Kesici U

    更新日期:2019-10-01 00:00:00

  • Role of acellular dermal matrix allograft in minimal invasive coverage of deep burn wound with bone exposed--case report and histological evaluation.

    abstract::A sandwich graft was applied to the debrided cortical bone layer of the tibia in the case of a 72-year-old male patient with full-thickness necrotic burn injury. The combined graft consisted of a dermal template material and autologous split thickness skin graft. After application, the graft was found totally accepted...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-4801.2006.00175.x

    authors: Gáspár K,Erdei I,Péter Z,Dezsö B,Hunyadi J,Juhász I

    更新日期:2006-03-01 00:00:00

  • Wound healing university diplomas in France: an impact measurement after 6 years.

    abstract::An educational programme in wound healing was developed in France in 1998. The course lasts for 1 year and consists of 100 hours of interactive education including wound-healing principles, management of pressure ulcers, leg ulcers, diabetic foot ulcers, burns and trauma. The programme mixes theoretical and practical ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-4801.2005.00100.x

    authors: Meaume S,Téot L,Dereure O

    更新日期:2005-06-01 00:00:00

  • How precise is the evaluation of chronic wounds by health care professionals?

    abstract::Chronic wounds are a growing challenge for physicians and health insurance agencies. The burden of affected patients is enormous, because of pain but also because of long-lasting therapies and dependence on nursing services. In other areas of medicine, computer-based diagnostics is established, yet, accurate wound doc...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2007.00334.x

    authors: Stremitzer S,Wild T,Hoelzenbein T

    更新日期:2007-06-01 00:00:00

  • Perioperative corticosteroids administration as a risk factor for pressure ulcers in cardiovascular surgical patients: a retrospective study.

    abstract::The aim of this study was to investigate the relationship between perioperative corticosteroids administration and the incidence of pressure ulcers (PUs) in cardiovascular surgical patients. A retrospective analysis was performed on data from consecutive patients who had cardiac surgery in 2012. Univariate and multiva...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12168

    authors: Chen HL,Shen WQ,Xu YH,Zhang Q,Wu J

    更新日期:2015-10-01 00:00:00

  • An unusual lesion on the chest wall.

    abstract::Osteoradionecrosis is an exceptional complication after the treatment of breast carcinoma. We report here a 63-year-old woman who presented with osteoradionecrosis of the sternum 17 years after initial treatment for breast cancer. Difficulty in diagnosing the lesion and its management is discussed. ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-4801.2004.00037.x

    authors: Pandey M,Chandramohan KN,Mathew A

    更新日期:2004-06-01 00:00:00

  • An integrated experimental-computational study of the microclimate under dressings applied to intact weight-bearing skin.

    abstract::Pressure ulcers (PUs) are one of the most prevalent adverse events in acute and chronic care. The root aetiological cause of PUs is sustained cell and tissue deformations, which triggers a synergistic tissue damage cascade that accelerates over relatively short time periods. Changes in skin microclimate conditions are...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13309

    authors: Schwartz D,Gefen A

    更新日期:2020-06-01 00:00:00

  • Prospective clinical study of a new adhesive gelling foam dressing in pressure ulcers.

    abstract::This prospective, non comparative study evaluated the safety and effectiveness of an adhesive gelling foam dressing in pressure ulcer management. Twenty-three subjects with exuding pressure ulcers were recruited from seven centres in the USA and Canada. Study treatment included an adhesive gelling foam dressing, optio...

    journal_title:International wound journal

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1742-481X.2007.00428.x

    authors: Parish LC,Dryjski M,Cadden S,Versiva XC Pressure Ulcer Study Group.

    更新日期:2008-03-01 00:00:00

  • Combination therapy using non-ablative fractional laser and intralesional triamcinolone injection for hypertrophic scars and keloids treatment.

    abstract::Combinations of various treatment modalities were shown to be more effective than monotherapy when treating hypertrophic scars and keloids. This study was conducted to assess the effectiveness of combination therapy with non-ablative fractional laser and intralesional steroid injection. From May 2015 to June 2017, a t...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13213

    authors: Shin J,Cho JT,Park SI,Jung SN

    更新日期:2019-12-01 00:00:00

  • The detrimental impact of extracellular bacterial proteases on wound healing.

    abstract::In addition to clinical signs of infection (e.g. inflammation, purulence and pain), a microbial count of ≥105 colony-forming units/g has historically been used to define wound infection. However, it is increasingly recognised that, rather than a high bioburden level alone being detrimental to wound healing, it is the ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12790

    authors: Lindsay S,Oates A,Bourdillon K

    更新日期:2017-12-01 00:00:00

  • Investigating the effect of age on platelet ultrastructure using transmission electron microscopy.

    abstract::In the present study, the age- and sex-related differences in platelet ultrastructure were investigated using transmission electron microscopy (TEM). A total of 15 healthy volunteers were grouped according to age, with 5 people in each of the following groups: young group (25-45 years), middle-aged group (46-65 years)...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13214

    authors: Tian J,Cheng LH,Cui X,Lei XX,Tang JB,Cheng B

    更新日期:2019-12-01 00:00:00