Assessing the feasibility of subepidermal moisture to predict erythema and stage 1 pressure ulcers in persons with spinal cord injury: A pilot study

Journal of Spinal Cord Medicine

Volumn 35, Issue 1, 2012, Pages 46-52

  Guihan, Marylou ^a   Bates Jenson, Barbara M ^b,c   Chun, Sophia ^d,e   Parachuri, Rama ^a   Chin, Amy S ^a   McCreath, Heather ^c  

^a HINES VA HOSPITAL   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d VA LONG BEACH HEALTHCARE SYSTEM   (United States)

^e UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Health care costs; Outcomes; Physical; Physical examination; Pressure ulcer; Prevalence; Prevention; Rehabilitation; Spinal cord injuries; Staging; Wound care

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CLINICAL ASSESSMENT TOOL; DECUBITUS; DISEASE SEVERITY; EDEMA; ERYTHEMA; FEASIBILITY STUDY; HUMAN; MALE; MOISTURE; NURSING HOME; OBSERVATIONAL STUDY; PILOT STUDY; PROSPECTIVE STUDY; SPINAL CORD INJURY; SUBEPIDERMAL MOISTURE; VISUAL SKIN ASSESSMENT;

AGED; AGED, 80 AND OVER; BIOPHYSICS; DISEASE PROGRESSION; EARLY DIAGNOSIS; EPIDERMIS; ERYTHEMA; FEASIBILITY STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; PILOT PROJECTS; PRESSURE ULCER; PROSPECTIVE STUDIES; SPINAL CORD INJURIES;

EID: 84555195459     PISSN: 10790268     EISSN: 20457723     Source Type: Journal    
DOI: 10.1179/204577211X13209212104141     Document Type: Article

References (25)

1. Mawson AR, Biundo JJ, Neville P, Linares HA, Winchester Y, Lopez A. Risk factors for early occurring pressure ulcers following spinal cord injury. Am J Phys Med Rehabil 1988;67(3):123-7.
2. Young JS, Burns PE. Pressure sores and the spinal cord injured. SCI Digest 1981;3:9-25.
3. Young JS, Burns PE. Pressure sores and the spinal cord injured, Part II. SCI Digest 1981;3:11-48.
4. Chen D, Apple DF, Hudson MF, Bode R. Medical complications during acute rehabilitation following spinal cord injury. Arch Phys Med Rehabil 1999;80(11):1397-401.
5. Fuhrer MJ, Garber SL, Rintala DH, Clearman R, Hart KA. Pressure ulcers in community-resident persons with spinal cord injury: prevalence and risk factors. Arch Phys Med Rehabil 1993;74(11):1172-7. (Pubitemid 23315102)
6. Stroupe K, Manheim LM, Evans CT, Guihan M, Ho C, Li K, et al. Cost of treating pressure ulcers for persons with spinal cord injury. Top Spinal Cord Inj Rehabil 2011;16(4):62-73.
7. Rintala DH, Garber SL, Friedman JD, Holmes SA. Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention. Arch Phys Med Rehabil 2008;89(8):1429-41.
8. Consortium for Spinal Cord Medicine. Pressure ulcer prevention and treatment following spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med 2001; 24(Suppl 1):S40-101.
9. Garber SL, Rintala DH, Rossi CD, Hart KA, Fuhrer MJ. Reported pressure ulcer prevention and management techniques in persons with spinal cord injury. Arch Phys Med Rehabil 1996; 77(8):744-9. (Pubitemid 26262371)
10. NPUAP Stage I Assessment in Darkly Pigmented Skin. National Pressure Ulcer Advisory Panel (NPUAP), 1998. [last accessed Jun 6]. Available from: www.npuap.org/positn4.html.
11. Bennett MA. Report of the task force on the implications for darkly pigmented skin in the prediction and prevention of pressure ulcers. Adv Wound Care 1995;8(6):34-5.
12. Garber SL, Rintala DH, Rossi KA, Hart KA, Fuhrer M. Reported pressure ulcer prevention and management techniques by person with spinal cord injury. Arch Phys Med Rehabil 1996; 77(8):744-9. (Pubitemid 26262371)
13. Walker PM. Ischemia/reperfusion injury in skeletal muscle. Ann Vasc Surg 1991;5(4):399-402.
14. Schubert V, Fagrell B. Local skin pressure and its effects on skin microcirculation as evaluated by laser-Doppler fluxmetry. Clin Physiol 1989;9(6):535-45. (Pubitemid 20014993)
15. Huether SE. The cellular environment: Fluids and electrolytes, acids and bases. In: McCance KL, Huether SE (eds.) Pathophysiology: the biologic basis for disease in adults and children. 5th edn. St Louis, MO: Elsevier Mosby; 2006.
16. Parish LC, Witkowski JA, Crissey JT, editors. The decubitus ulcer in clinical practice. Berlin, Germany: Springer-Verlag; 1997.
17. Shea JD. Pressures sores: classification and management. Clin Orthop 1975;112:89-100.
18. Sprigle S, Linden M, McKenna D, Davis K, Riordan B. Clinical skin temperature measurement to predict incipient pressure ulcers. Adv Skin Wound Care 2001;14(3):133-7.
19. Schubert V, Perbeck L, Schubert PA. Skin microcirculatory and thermal changes in elderly subjects with early stage of pressure sores. Clin Physiol 1994;14(1):1-13. (Pubitemid 24030636)
20. Bates-Jensen BM, McCreath HE, Kono A, Apeles NC, Howell L, Alessi C. Sub-epidermal moisture predicts erythema and stage i pressure ulcers in nursing home residents: a pilot study. J Am Geriatr Soc 2007;55(8):1199-205. (Pubitemid 47106691)
21. Bergstrom N, Braden B, Laguzza A, Holman A. The Braden Scale for predicting pressure sore risk. Nurs Res 1987;36(4):205-10. (Pubitemid 17100035)
22. Schnelle JF, Adamson GM, Cruise PA, al-Samarrai N, Sarbaugh FC, Uman G, et al. Skin disorders and moisture in incontinent nursing home residents: intervention implications. J Am Geriatr Soc 1997;45(10):1182-8. (Pubitemid 27430482)
23. Bergstrom N, Braden B, Kemp M, Champagne M, Ruby E. Multisite study of incidence of pressure ulcers and the relationship between risk level, demographic characteristics, diagnoses, and prescription of preventive interventions. J Am Geriatr Soc 1996;44(1): 22-30. (Pubitemid 26017762)
24. Vanderwee K, Grypdonck M, Defloor T. Non-blanchable erythema as an indicator for the need for pressure ulcer prevention: a randomized-controlled trial. J Clin Nurs 2007; 16(2):325-35.
25. Bergstrom N, Braden B, Kemp M, Champagne M, Ruby E. Predicting pressure ulcer risk: a multisite study of the predictive validity of the Braden Scale. Nurs Res 1998;47(5):261-9. (Pubitemid 128452907)