Classification of pressure ulcers

Yarkony, G. M.

doi:10.1001/archderm.126.9.1218

Cited by 15 publications

(5 citation statements)

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“…The phenomenon of severe soft tissue destruction under innocent looking skin ('closed pressure sore' [26]) was also excluded. However, many subsequently published PU/PI classifications followed the same approach, focussing on visible clinical signs and the deepest visible anatomical limit [28][29][30].…”

Section: A Brief History Of Pressure Ulcer/injury Classificationmentioning

confidence: 99%

Pressure ulcer/injury classification today: An international perspective

Kottner

Cuddigan

Carville

et al. 2020

Journal of Tissue Viability

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Section: A Brief History Of Pressure Ulcer/injury Classificationmentioning

confidence: 99%

Pressure ulcer/injury classification today: An international perspective

Kottner

Cuddigan

Carville

et al. 2020

Journal of Tissue Viability

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“…In human medicine, attempts have been made to achieve consensus with regard to a definition at the macroscopic level in order to be able to commence adequate and timely therapy and to be able to categorize pressure ulcers for clinical comparison and testing (e.g. Shea, 1975;Yarkony et al, 1990;Haoli, 1998;Russell, 2002;Black, 2005). Thus, in humans, the classification of pressure ulcers is exclusively used in live patients.…”

Section: Classification Of Decubital Shoulder Ulcers In Sowsmentioning

confidence: 99%

Decubital shoulder ulcers in sows: a review of classification, pain and welfare consequences

Herskin

Bonde

Jørgensen

et al. 2011

Animal

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Decubital shoulder ulcers are lesions on the shoulders of sows kept in production systems, reported to have a relatively high prevalence, and to some extent be comparable with human pressure ulcers. In sows, the ulcers are caused by pressure inflicted by the flooring, leading to oxygen deficiency in the skin and the underlying tissue. This paper reviews existing knowledge about decubital shoulder ulcers in sows, focusing on the pathogenesis, classification and consequences in terms of pain and animal welfare. On the basis of available human as well as animal literature, we describe the primary causal factors, underlying mechanisms, suggested direction of progression as well as temporal development. We review suggested scales for the classification of decubital shoulder ulcers, and argue that none of these are useful for the classification of decubital shoulder ulcers in live sows. The knowledge of the welfare consequences of decubital shoulder ulcers is limited. On the basis of the tissue structures that are involved, we assume that the development and presence of decubital shoulder ulcers in sows are a painful and prolonged condition. It is concluded that the extent of the welfare problem related to decubital shoulder ulcers cannot be fully determined until a valid ante-mortem classification system is available, and knowledge about the duration of the condition (including the various stages), as well as the possible consequences in terms of pain or discomfort have been established.

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“…They are mainly due to the ischemia of both superficial and deep tissues, which is caused by high and/or prolonged capillary compression [1–5]. Studies performed to date have confirmed that the sacral area is the most frequently involved one [6].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Early-Stage Pressure Ulcers by Using Autologous Adipose Tissue Grafts

Marangi

Pallara

Cagli

et al. 2014

Plastic Surgery International

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Assessing pressure ulcers (PUs) in early stages allows patients to receive safer treatment. Up to now, in addition to clinical evaluation, ultrasonography seems to be the most suitable technique to achieve this goal. Several treatments are applied to prevent ulcer progression but none of them is totally effective. Furthermore, the in-depth knowledge of fat regenerative properties has led to a wide use of it. With this study the authors aim at introducing a new approach to cure and prevent the worsening of early-stage PUs by using fat grafts. The authors selected 42 patients who showed clinical and ultrasonographic evidence of early-stage PUs. Values of skin thickness, fascial integrity, and subcutaneous vascularity were recorded both on the PU area and the healthy trochanteric one, used as control region. Fat grafting was performed on all patients. At three months, abnormal ultrasonographic findings, such as reduction of cutaneous and subcutaneous thickness, discontinuous fascia, and decrease in subcutaneous vascularity, all were modified with respect to almost all the corresponding parameters of the control region. Results highlight that the use of fat grafts proved to be an effective treatment for early-stage PUs, especially in the care of neurological and chronic bedridden patients.

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Classification of pressure ulcers

Cited by 15 publications

References 0 publications

Pressure ulcer/injury classification today: An international perspective

Pressure ulcer/injury classification today: An international perspective

Decubital shoulder ulcers in sows: a review of classification, pain and welfare consequences

Treatment of Early-Stage Pressure Ulcers by Using Autologous Adipose Tissue Grafts

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