Reliability of a Skin Diagnostic Device in Assessing Hydration and Erythema

Huimin, Koh; Rowledge, Alexandra M.; Borzdynski, Caroline J.; Miller, Charne; Frescos, Nicoletta; McKenzie, Gayle; Perry, Elizabeth; McGuiness, William

doi:10.1097/01.asw.0000520117.58976.32

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…This technique can be used to compare the effectiveness of various barrier creams by measuring the electrical conductance before and after repeated soak cycles. 48 Skin hydration can also be assessed in studies of periwound skin near venous leg ulcers, diabetic ulcers, and pressure-prone areas of the sacrum 49 as predictive information for wound healing potential or pressure injury development; the authors suggested a bimonthly assessment of periwound hydration and erythema to help guide care.…”

Section: Discussionmentioning

confidence: 99%

The Science of Skin: Measuring Damage and Assessing Risk

Bernatchez

Bichel

2023

Advances in Wound Care

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Significance: Healthy skin provides a barrier to contaminants. Breaches in skin integrity are often encountered in the patient health care journey, owing to intrinsic health issues or to various procedures and medical devices used. The time has come to move clinical practice beyond mere awareness of medical adhesive-related skin injury and toward improved care and outcomes. Recent Advances: Methods developed in research settings allow quantitative assessments of skin damage based on the measurement of baseline skin properties. These properties become altered by stress and over time. Assessment methods typically used by the cosmetic industry to compare product performance could offer new possibilities to improve clinical practice by providing better information on the status of patient skin. This review summarizes available skin assessment methods as well as specific patient risks for skin damage. Critical Issues: Patients in health care settings may be at risk for skin damage owing to predisposing medical conditions, health status, medications taken, and procedures or devices used in their treatment. Skin injuries come as an additional burden to these medical circumstances and could be prevented. Technology should be leveraged to improve care, help maintain patient skin health, and better characterize functional wound closure. Future Directions: Skin testing methods developed to evaluate cosmetic products or assess damage caused by occupational exposure can provide detailed, quantitative information on the integrity of skin. Such methods have the potential to guide prevention and treatment efforts to improve the care of patients suffering from skin integrity issues while in the health care system.

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Section: Discussionmentioning

confidence: 99%

The Science of Skin: Measuring Damage and Assessing Risk

Bernatchez

Bichel

2023

Advances in Wound Care

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“…3 Therefore, the SC can provide vital information on the function and biophysical properties of the skin. 9 Skin that is dry, or inadequately hydrated, is increasingly vulnerable to PU development, 10 as the fragility and inelasticity of the superficial skin becomes more susceptible to breakdown from external mechanical forces. 11 Excessive hydration or moisture, on the other hand, can result in maceration, impaired barrier function, and breakdown.…”

Section: Introductionmentioning

confidence: 99%

Skin hydration measurement and the prediction of the early development of pressure ulcers among at risk adults: A systematic review

Wilson

Avşar

Patton

et al. 2022

International Wound Journal

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This systematic review aimed to examine skin hydration and determine if this biophysical parameter can predict pressure ulcer development in at risk adults. A literature search was conducted in March 2022, using PubMed, CINAHL, SCOPUS, Cochrane, and EMBASE databases. A total of 1727 records were returned, with 9 studies satisfying the inclusion criteria. Data were extracted using a pre‐designed extraction tool and a narrative synthesis of the data was undertaken. The methodological quality of the included articles was assessed using the evidence‐based librarianship checklist. Included studies were published between 1997 and 2021, with most using a prospective cohort design (88.9%, n = 8). The mean sample size was 74 participants (SD = 38.6; median 71). All studies measured skin hydration objectively, with 55.6% (n = 5) using the Corneometer® CM825 and 33.3% (n = 3) of studies reported a statistically significant association between skin hydration and pressure ulcer development. The mean evidence‐based librarianship percentage was 66.6% (SD: 20.7%), however, only 33.3% (n = 3) of studies scored ≥75%, indicating validity. The quality of included studies, methodology variation, and reported results has reduced the homogeneity of outcomes. This review highlights the requirement for future research evidence to ascertain the role of skin hydration in pressure ulcer development.

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