ArticleInternational wound journal2020
How patient migration in bed affects the sacral soft tissue loading and thereby the risk for a hospital-acquired pressure injury.
Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 33 citations in OpenAlex.
- Moisture-Responsive Friction Adaptability: Rethinking the Conventional Skin Silicone Interfaces in Pressure Injury Prevention Dressing Designs.International wound journal · 2026Article
- Timing of rehabilitation and pressure ulcers requiring treatment during acute hospitalization in patients with cervical spinal cord injuries.Spinal cord · 2025Article
- Detecting Patient Position Using Bed-Reaction Forces for Pressure Injury Prevention and Management.Sensors (Basel, Switzerland) · 2024Article
- Article
- Inter-device agreement of sacral subepidermal oedema measurement in healthy adults during prolonged 60° head of bed elevation.Nursing open · 2024Article
- Evaluation of the Effect of Gluteus Maximus Contraction by Electrical Stimulation on Interfacial Pressure in Supine Bed Positions.Progress in rehabilitation medicine · 2024Article
- The effect of prolonged 60° head of bed elevation on sacral subepidermal oedema in healthy adults: A quantitative prospective exploratory study.International wound journal · 2023Article
- The biomechanical efficacy of a hybrid support surface in protecting supine patients from sacral pressure ulcers.International wound journal · 2023Article
- Computational studies of the biomechanical efficacy of a minimum tissue deformation mattress in protecting from sacral pressure ulcers in a supine position.International wound journal · 2022Article
- Evaluation of facial tissue stresses under medical devices post application of a cyanoacrylate liquid skin protectant: An integrated experimental-computational study.International wound journal · 2022Article
- Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries.International wound journal · 2022Article
- Ultrasonic Intelligent Diagnosis of Papillary Thyroid Carcinoma Based on Machine Learning.Journal of healthcare engineering · 2022Article
- Evaluation System of Smart Logistics Comprehensive Management Based on Hospital Data Fusion Technology.Journal of healthcare engineering · 2022Article
- The sorptivity and durability of gelling fibre dressings tested in a simulated sacral pressure ulcer system.International wound journal · 2021Article
- Prevention Effects of Chain Management on Pressure Ulcers of Hospitalized Patients.Journal of healthcare engineering · 2021Article
- The biomechanical efficacy of a dressing with a soft cellulose fluff core in prophylactic use.International wound journal · 2020Article
- Critical biomechanical and clinical insights concerning tissue protection when positioning patients in the operating room: A scoping review.International wound journal · 2020Article
- How patient migration in bed affects the sacral soft tissue loading and thereby the risk for a hospital-acquired pressure injury.International wound journal · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
Head-of-bed (HOB) elevation is a common clinical practice in hospitals causing the patient's body to slide down in bed because of gravity. This migration effect likely results in tissue shearing between the sacrum and the support surface, which increases the risk for pressure injuries. StayInPlace (HillRom Inc.) is a commercial migration-reduction technology (MRT) incorporated in intensive care bedframes. Yet, the effects of migration-reduction on tissue shear stresses during HOB elevation are unknown. We analysed relationships between migration and resulting sacral soft tissue stresses by combining motion analysis and three-dimensional finite element modelling of the buttocks. Migration data were collected for 10 subjects, lying supine on two bedframe types with and without MRT, and at HOB elevations of 45°/65°. Migration data were used as displacement boundary conditions for the modelling to calculate tissue stress exposures. Migration values for the conventional bed were 1.75- and 1.6-times greater than those for the migration-reduction bed, for elevations of 45° and 65°, respectively (P < .001). The modelling showed that the farther the migration, the greater the tissue stress exposures. Internal stresses were 1.8-fold greater than respective skin stresses. Our results, based on the novel integrated experimental-computational method, point to clear biomechanical benefits in minimising migration using MRT.
Indexed as
Identifiers
What OpenQuestion holds
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.