Elevated sacral skin temperature (Ts): a risk factor for pressure ulcer development in hospitalized neurologically impaired Thai patients

Sae-Sia, Wipa; Wipke‐Tevis, Deidre D.; Williams, Donna A.

doi:10.1016/j.apnr.2004.03.005

Cited by 62 publications

(64 citation statements)

References 21 publications

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“…The incidence rate of pressure ulcers in their patient group was 47% within two weeks of admission [5]. They found that the T s in patients who developed pressure ulcers during this follow-up period were significantly greater, by w1.2 C, compared to those in the patients who did not develop ulcers [5], which is in full agreement with the present findings (Fig. 2).…”

Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 98%

“…Sae-Sia and colleagues, for example, measured sacral skin temperatures in 17 neurologically-impaired patients who were positioned supine and laterally, in a Thai hospital [5]. The incidence rate of pressure ulcers in their patient group was 47% within two weeks of admission [5]. They found that the T s in patients who developed pressure ulcers during this follow-up period were significantly greater, by w1.2 C, compared to those in the patients who did not develop ulcers [5], which is in full agreement with the present findings (Fig.…”

Section: Discussionmentioning

confidence: 98%

“…The relationship in Eq. (5) indicates that accumulation of perspiration on the skin over time will consequently increase the shear forces f between the skin and the covering sheet or clothing over time. Specifically, considering that f ¼ mN where N is the bodyweight force applied perpendicularly to the skinesupport or skineclothing contact area at the weight-bearing region, then despite that N is assumed here to be constant over time (i.e.…”

Section: Mathematical Model Of the Skin Tolerance To Superficial Presmentioning

confidence: 99%

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Section: Mathematical Model Of the Skin Tolerance To Superficial Presmentioning

confidence: 99%

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“…Elevated skin temperature seems to a play a major role in PU aetiology [28,39]. Experimental results indicate for instance a reduction of the cohesive strength of the SC integrity [29] and empirical evidence shows a strong association between increased skin temperature and the risk of skin breakdown [36,40,41].…”

Section: Discussionmentioning

confidence: 99%

Skin response to sustained loading: A clinical explorative study

Kottner

Dobos

Andruck

et al. 2015

Journal of Tissue Viability

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Battery‐Free, Wireless, Ionic Liquid Sensor Arrays to Monitor Pressure and Temperature of Patients in Bed and Wheelchair

Han

Cho

et al. 2022

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Panel (NPIAP), involve repositioning at regular intervals for patients confined in clinical bed or wheelchair. [6] However, an appropriate guideline for the repositioning, typically every 2 h, can depend on not only types of mattresses, including air pockets, memory foams and pocket spring, but also critical locations of skin prone to developing pressure injuries. In addition, frequent repositioning leads to decreasing the quality of sleep in patients, interfering with physical activities of patients, and increasing a high risk for back pain or musculoskeletal injuries for patients or caregivers.Recent advances in technologies of wireless platform offer physiological signals for prevention, diagnosis, and treatment of diseases at early stage. In particular, the wireless platforms with multimodal sensors, including Near Field Communication (NFC) or Bluetooth Low Energy (BLE) platforms, have great potential for continuous monitoring of pressure and temperature at interfaces between the skin and various media, including bed mattresses, [7,8] prosthetic sockets [9] and therapeutic compression garments. [10] However, it is challenging to continuously measure pressures with high accuracy and reliability on locations of interest due to a mismatch between the effective area of body weight and the interfacial area of the single sensor. A few reports suggest several pressure sensor arrays for measurement of pressure distribution at locations of interest. [11][12][13][14] Integration of this sensor array with the Bluetooth Low Energy (BLE) platform needs a large number of bulky batteries for long-term monitoring, which pose a risk for developing secondary injuries at skin interfaces. [15] In this context, multiple sensors integrated with the NFC platforms and systems can support capabilities for continuous monitoring of pressure distribution at skin interfaces over full body coverage for long term monitoring without bulky batteries. [7,8] Previous studies have introduced pressure sensors based on various mechanisms such as piezoresistive, [16][17][18] capacitive, [19][20][21] piezoelectric, [22,23] and triboelectric effects. [24,25] In particular, piezoresistive pressure sensors using metal film, CNT, graphene, ionic liquid, and liquid metal have great potential for integrating the wireless platforms owing to simple device design and readout circuit. For real clinical applications, the pressure sensor should have a thin, soft form factor for conformal, irritation-free contact to skin, excellent sensitivity, negligible hysteresis, high linearity and cyclic stability over required pressure range. [7,8] Furthermore, by collecting the pressure sen-

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Elevated sacral skin temperature (Ts): a risk factor for pressure ulcer development in hospitalized neurologically impaired Thai patients

Cited by 62 publications

References 21 publications

How do microclimate factors affect the risk for superficial pressure ulcers: A mathematical modeling study

How do microclimate factors affect the risk for superficial pressure ulcers: A mathematical modeling study

Skin response to sustained loading: A clinical explorative study

Battery‐Free, Wireless, Ionic Liquid Sensor Arrays to Monitor Pressure and Temperature of Patients in Bed and Wheelchair

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