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Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept

People with spinal cord injury (SCI) are at high risk of developing a pressure injury. It is unclear why some people with SCI develop pressure injury while others with similar predisposing risk factors do not during acute hospitalisation. This may hinder healthcare utilisation to prevent pressure in...

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Autores principales: Tzen, Yi‐Ting, Champagne, Patricia T., Rao, Varsha, Wang, Jijia, Tan, Wei‐Han, Klakeel, Merrine, Jain, Nitin B., Wukich, Dane K., Koh, Timothy J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705160/
https://www.ncbi.nlm.nih.gov/pubmed/35543296
http://dx.doi.org/10.1111/iwj.13829
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author Tzen, Yi‐Ting
Champagne, Patricia T.
Rao, Varsha
Wang, Jijia
Tan, Wei‐Han
Klakeel, Merrine
Jain, Nitin B.
Wukich, Dane K.
Koh, Timothy J.
author_facet Tzen, Yi‐Ting
Champagne, Patricia T.
Rao, Varsha
Wang, Jijia
Tan, Wei‐Han
Klakeel, Merrine
Jain, Nitin B.
Wukich, Dane K.
Koh, Timothy J.
author_sort Tzen, Yi‐Ting
collection PubMed
description People with spinal cord injury (SCI) are at high risk of developing a pressure injury. It is unclear why some people with SCI develop pressure injury while others with similar predisposing risk factors do not during acute hospitalisation. This may hinder healthcare utilisation to prevent pressure injuries. The purpose of the study was to examine the proof‐of‐concept objective bedside skin blood flow measurements before a pressure injury develops in spinal cord injured patients during acute hospitalisation. This was an observational study. All participants had acute traumatic SCI and were pressure injury‐free upon enrollment. Skin blood flow patterns were collected at both heels under two circumstances: localised pressure for reactive hyperemia, and localised heating for heat hyperemia. Our results showed that reactive and heat hyperemia were successfully induced in all eleven participants. Two participants developed pressure injury and nine did not have pressure injury at discharge. Heat hyperemia was smaller in participants with pressure injury. No difference was observed in reactive hyperemia between the groups. In conclusion, skin blood flow measurements could be obtained at bedside during acute hospitalisation of SCI for the purpose of research. Further examination of a larger group is warranted to determine clinical use of heat hyperemia pattern as predictor for pressure injury development.
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spelling pubmed-97051602022-11-29 Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept Tzen, Yi‐Ting Champagne, Patricia T. Rao, Varsha Wang, Jijia Tan, Wei‐Han Klakeel, Merrine Jain, Nitin B. Wukich, Dane K. Koh, Timothy J. Int Wound J Original Articles People with spinal cord injury (SCI) are at high risk of developing a pressure injury. It is unclear why some people with SCI develop pressure injury while others with similar predisposing risk factors do not during acute hospitalisation. This may hinder healthcare utilisation to prevent pressure injuries. The purpose of the study was to examine the proof‐of‐concept objective bedside skin blood flow measurements before a pressure injury develops in spinal cord injured patients during acute hospitalisation. This was an observational study. All participants had acute traumatic SCI and were pressure injury‐free upon enrollment. Skin blood flow patterns were collected at both heels under two circumstances: localised pressure for reactive hyperemia, and localised heating for heat hyperemia. Our results showed that reactive and heat hyperemia were successfully induced in all eleven participants. Two participants developed pressure injury and nine did not have pressure injury at discharge. Heat hyperemia was smaller in participants with pressure injury. No difference was observed in reactive hyperemia between the groups. In conclusion, skin blood flow measurements could be obtained at bedside during acute hospitalisation of SCI for the purpose of research. Further examination of a larger group is warranted to determine clinical use of heat hyperemia pattern as predictor for pressure injury development. Blackwell Publishing Ltd 2022-05-11 /pmc/articles/PMC9705160/ /pubmed/35543296 http://dx.doi.org/10.1111/iwj.13829 Text en © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Tzen, Yi‐Ting
Champagne, Patricia T.
Rao, Varsha
Wang, Jijia
Tan, Wei‐Han
Klakeel, Merrine
Jain, Nitin B.
Wukich, Dane K.
Koh, Timothy J.
Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept
title Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept
title_full Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept
title_fullStr Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept
title_full_unstemmed Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept
title_short Utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: A proof of concept
title_sort utilisation of skin blood flow as a precursor for pressure injury development in persons with acute spinal cord injury: a proof of concept
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705160/
https://www.ncbi.nlm.nih.gov/pubmed/35543296
http://dx.doi.org/10.1111/iwj.13829
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