Biomarkers for the early detection of pressure injury: A systematic review and meta-analysis

Wang, Ning; Lv, Lin; Yan, Fanghong; Ma, Yanhui; Miao, Lizhen; Chung, Loretta Yuet Foon; Han, Lin

doi:10.1016/j.jtv.2022.02.005

Cited by 21 publications

(24 citation statements)

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“…Raizman et al reported that the use of the SEM Scanner resulted in a 93% decrease in hospital-acquired pressure ulcers. 19 Moreover, efforts have been made to use biomarkers in identifying the risk of pressure injury before it 20 This study is meaningful because we investigated the epidemiology of pressure sores between the COVID-19 isolation and control groups and reported the results after proper sore management of a plastic surgeon. The most frequent stage of each group in which sores were detected was different.…”

Section: Discussionmentioning

confidence: 99%

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A relationship analysis of the effects of COVID‐19 isolation on pressure sores in a tertiary hospital

Kim,

Lee,

Mok

et al. 2024

International Wound Journal

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Management of pressure sores can have various environmental effects; moreover, the COVID‐19 pandemic notably affected efforts towards effective management of pressure sores. Some cases of COVID‐19 infections require long‐term hospitalization in the intensive care unit. Moreover, special protective equipment worn by physicians owing to the pandemic complicate wound management. In this study, we compared the pressure ulcer characteristics between isolated patients with and those without COVID‐19 and evaluated the effects of isolation on pressure sores. From November 2022 to February 2023, patients who had pressure sores were included and their medical records were reviewed retrospectively. The experimental group included patients with confirmed COVID‐19 infections, who received clinical treatment in an isolated unit. Wound characteristics in each group and associated risk factors were analysed. Fifty‐four isolated patients with COVID‐19 and 58 control patients were included. The Braden Scale score and Korea patient classification system‐1 did not vary significantly between the two groups. However, the number of Grade I pressure sores in the COVID‐19 isolation group was significantly lower than those in the control group (p < 0.001), while the number of lesions was significantly higher (p = 0.034). The mortality rate in the COVID‐19 isolation group was higher than that in the control group (p = 0.008), and more patients were discharged with unhealed wounds (p = 0.004). A higher treatment effect on pressure sores may be expected if the disease is more actively managed. Moreover, the wound care systems for isolated patients with COVID‐19 require further attention.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, efforts have been made to use biomarkers in identifying the risk of pressure injury before it is visible. Wang et al suggested a combination of haemoglobin, CRP, albumin, age and gender as biomarkers for early detection of pressure injury formation 20 …”

Section: Discussionmentioning

confidence: 99%

A relationship analysis of the effects of COVID‐19 isolation on pressure sores in a tertiary hospital

Kim,

Lee,

Mok

et al. 2024

International Wound Journal

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“…Although Stage 1 PIs are reversible, they will likely become more dangerous if left untreated (Smith et al., 2017). Thus, ICU nurses need new methods, such as biomarkers (Wang et al., 2022), to warn of PIs and prevent superficial stages from occurring or worsening. And the ‘Long Hu Hui’ we used in this study can alert ICU nurses to accomplish the skin check and risk assessment of PIs, which is reduced to a certain extent.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the predictive validity of the Braden and Waterlow scales in intensive care unit patients: A multicentre study

Tao,

Zhang,

et al. 2023

Journal of Clinical Nursing

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BackgroundThe first step in preventing pressure injuries (PIs), which represent a significant burden on intensive care unit (ICU) patients and the health care system, is to assess the risk for developing PIs. A valid risk assessment scale is essential to evaluate the risk and avoid PIs.ObjectivesTo compare the predictive validity of the Braden scale and Waterlow scale in ICUs.DesignA multicentre, prospective and cross‐sectional study.MethodsWe conducted this study among 6416 patients admitted to ICUs in Gansu province of China from April 2021 to October 2022. The incidence and characteristics of PIs were collected. The risk assessment of PIs was determined using the Braden and Waterlow scale. The sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve of the two scales were compared.ResultsOut of 5903 patients, 72 (1.2%) developed PIs. The sensitivity, specificity, positive and negative predictive, and the area under the curve of the Braden scale were 77.8%, 50.9%, 0.014 and 0.996, and 0.689, respectively. These values for the Waterlow scale were 54.2%, 71.1%, 0.017, 0.994 and 0.651.ConclusionsBoth scales could be used for risk assessment of PIs in ICU patients. However, the accuracy of visual inspection for assessment of skin colour, nursing preventive measures for patients and scales inter‐rater inconsistency may limited the predictive validity statistics.Relevance to Clinical PracticeBoth scales could be used for PIs risk assessment. The low specificity of the Braden scale and low sensitivity of the Waterlow scale remind medical staff to use them in combination with clinical judgement and other objective indicators.Patient or Public ContributionThis study was designed to enhance the management of PIs. Patients and the general public were not involved in the study design, analysis, and interpretation of the data or manuscript preparation.

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“…The global prevalence of PI in hospitalized adult participants is estimated to be 12.8% [13], while in SCI individuals could be up to 50% in the primary post-acute hospitalization [12]. Nonetheless, no clear biomarkers have been identified for risk estimation of PI [14]. Therefore, we believe that a non-invasive monitoring system could achieve an early detection system on the onset of PIs and thereby prevent the injury from progressing [15].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Monitoring for SCI Individuals: Learning Activities of Daily Living through a SlowFast Neural Network

Bensland

Paul

Grossmann

et al. 2023

2023 IEEE/SICE International Symposium on System Integration (SII)

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Continuous healthcare monitoring is a prevalent need for the spinal cord injured (SCI) population to mitigate the risk of secondary health conditions and develop preventive methods. In this paper, we developed an embodied system for remote monitoring and classification of activities of daily living (ADL). We propose a framework for sensor transfer learning to recognize these activities from simple and short samples through label transferring from a deep SlowFast network on video data. Multiple wearable devices were included and synchronized in this study to capture physiological data as well as posture and movement from acceleration and pressure distribution. Furthermore, we propose a pipeline of data capturing for automatically creating a ground truth dataset of different ADLs. Results from a pilot training with eight users in 15 minutes task recordings over eight different tasks produced a weighted accuracy on F1-score of 77% in correctly classifying ADLs. Although extending the data is required to increase precision, we showed a successful method for monitoring and classification of specific activities in SCI with up to 91% in accuracy. Further work will focus on extending to multi-class soft labelling for achieving usability in complex situations.

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Biomarkers for the early detection of pressure injury: A systematic review and meta-analysis

Cited by 21 publications

References 50 publications

A relationship analysis of the effects of COVID‐19 isolation on pressure sores in a tertiary hospital

A relationship analysis of the effects of COVID‐19 isolation on pressure sores in a tertiary hospital

Comparison of the predictive validity of the Braden and Waterlow scales in intensive care unit patients: A multicentre study

Healthcare Monitoring for SCI Individuals: Learning Activities of Daily Living through a SlowFast Neural Network

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