Evidence map›Paper›PMID 29250926›Full record

ArticleInternational wound journal2018

Subepidermal moisture detection of heel pressure injury: The pressure ulcer detection study outcomes.

Barbara M Bates-Jensen, Heather E McCreath, Gojiro Nakagami, Anabel Patlan

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International wound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04884737 (Decreasing Intraoperative Skin Damage in Prone Position Surgeries), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04884737 phase4completednot on this mapstarted 2021, after this paper: background citation

Decreasing Intraoperative Skin Damage in Prone Position Surgeries

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2023Enrolled107ConditionsPressure InjuryArmsMepilex Border Flex® (MBF) dressing
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. A blinded clinical study using a subepidermal moisture biocapacitance measurement device for early detection of pressure injuries.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2020
    Article
  10. Article
  11. Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2019
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Barbara M Bates-JensenSchool of Nursing, University of California, Los Angeles, California, Los Angeles.
Heather E McCreathDivision of Geriatrics, David Geffen School of Medicine, University of California, Los Angeles, California, Los Angeles.
Gojiro NakagamiUniversity of Tokyo, Tokyo, Japan.
Anabel PatlanSchool of Nursing, University of California, Los Angeles, California, Los Angeles.
University of California, Los Angeles · USThe University of Tokyo · JP

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
Biophysical Measure To Predict Pressure Ulcers In Nursing Home ResidentsR01NR010736 · NINR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BATES-JENSEN, BARBARA M. · 2009 to 2012
$1.2M
NIA NIH HHS P30 AG028748NINR NIH HHS R01 NR010736
6 · The paper itself

Abstract

We examined subepidermal moisture (SEM) and visual skin assessment of heel pressure injury (PrI) among 417 nursing home residents in 19 facilities over 16 weeks. Participants were older (mean age 77 years), 58% were female, over half were ethnic minorities (29% African American, 12% Asian American, 21% Hispanic), and at risk for PrI (mean Braden Scale Risk score = 15.6). Blinded concurrent visual assessments and SEM measurements were obtained at heels weekly. Visual skin damage was categorised as normal, erythema, stage 1 PrI, deep tissue injury (DTI) or stage 2 or greater PrI. PrI incidence was 76%. Off-loading occurred with pillows (76% of residents) rather than heel boots (21%) and often for those with DTI (91%). Subepidermal moisture was measured with a device where higher readings indicate greater moisture (range: 0-70 tissue dielectric constant), with normal skin values significantly different from values in the presence of skin damage. Subepidermal moisture was associated with concurrent damage and damage 1 week later in generalised multinomial logistic models adjusting for age, diabetes and function. Subepidermal moisture detected DTI and differentiated those that resolved, remained and deteriorated over 16 weeks. Subepidermal moisture may be an objective method for detecting PrI.

Indexed as

Early DiagnosisAdultAgedAged, 80 and overErythemaFemaleHeelHomes for the AgedHumansMaleMiddle AgedNursing HomesPhysical ExaminationPressure Ulcerdeep tissue injuryerythemaheel pressure injurynursing home residentssubepidermal moisture

Identifiers

PMID29250926
PMCPMC7950105
OpenAlexW2772399979

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.