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Featured Articles

November 7, 2018

Efforts to Prevent Pressure Ulcers in Hospitals May Not be Making Headway on the Worst Kind

In a new paper in the November issue of Health Affairs, the research team from the University of Michigan recommends better ways of tracking HAPUs for value-based purchasing policies. The program should use the same approach hospitals already use to track infections that patients develop during their stay, and adjust rates and penalties based on patients' underlying risk. Better data will mean more valid penalties for HAPUs, which affect 2.5 million patients in the U.S. alone, lead to the deaths of about 60,000 of them a year, and cost about $10 billion to treat. Read More

Machine Learning Yields Fresh Insights Into Pressure Injury Risks

Big data and machine learning helped develop a model for predicting risk for pressure injuries in critical care patients, according to new research published in the November issue of American Journal of Critical Care (AJCC). In “Predicting Pressure Injury in Critical Care Patients: A Machine-Learning Model,” the research team examined five years of data on patients admitted to the adult surgical or surgical cardiovascular intensive care units at the University of Utah Hospital in Salt Lake City. Among the sample of 6,376 patients, hospital-acquired pressure injuries of stage 1 or greater developed in 516 patients, and injuries of stage 2 or greater developed in 257 patients. Read More

Risk Factors of Intraoperative Pressure Injuries in Patients Undergoing Digestive Surgery: A Retrospective Study

Basic information and the results of 3S intraoperative risk assessment scale of pressure injury were obtained from the information system. And the patients with intraoperative blanchable erythema or pressure injuries were followed up for 72 hours by the information system. The clinical data were collected to analyze risk factors of intraoperative blanchable erythema and pressure injuries by univariate analysis and logistic regression analysis. STROBE checklist for cohort studies was applied in the preparation of the paper. Of 5136 surgical cases, 134 (2.61%) had blanchable erythema, 37 (0.72%) had intraoperative pressure injuries, and 8 (0.16%) had pressure injuries at 72h follow-up. Preoperative skin under compression, preoperative physical activity, surgical position, and extra intraoperative pressure were considered independent risk factors of intraoperative pressure injuries.  Read More

Evaluation of Fluorescence Biomodulation in the Real-Life Management of Chronic Wounds: the EUREKA Trial.

Fluorescence biomodulation (FB), a form of photobiomodulation (PBM) that is also known as low energy level light (LELL), has become an increasingly used clinical tool to induce wound healing in wounds that remain recalcitrant to treatment. Read More