Evidence map›Paper›PMID 40237306›Full record

ArticleResearch in nursing & health2025

Controlled Pilot Intervention Study on the Effects of an AI-Based Application to Support Incontinence-Associated Dermatitis and Pressure Injury Assessment, Nursing Care and Documentation: Study Protocol.

Hannah Pinnekamp, Vanessa Rentschler, Khalid Majjouti, Alexander Brehmer, Michaela Tapp-Herrenbrück, Michael Aleithe, Jens Kleesiek, Bernadette Hosters, Uli Fischer

Abstract read
In one paragraph

Article in Research in nursing & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

9 authors.

Hannah PinnekampDepartment of Clinical Nursing Research and Quality Management, Nursing Department, Hospital of the Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.ORCID 0000-0003-1330-4372
Vanessa RentschlerDepartment of Clinical Nursing Research and Quality Management, Nursing Department, Hospital of the Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Khalid MajjoutiDepartment Nursing Development and Nursing Research, University Hospital of Essen, Essen, Germany.
Alexander BrehmerInstitute for Artificial Intelligence in Medicine (IKIM), Essen, Germany.
Michaela Tapp-HerrenbrückDepartment Nursing Development and Nursing Research, University Hospital of Essen, Essen, Germany.
Michael Aleithesciendis GmbH, Leipzig, Germany.
Jens KleesiekInstitute for Artificial Intelligence in Medicine (IKIM), Essen, Germany.
Bernadette HostersDepartment Nursing Development and Nursing Research, University Hospital of Essen, Essen, Germany.
Uli FischerDepartment of Clinical Nursing Research and Quality Management, Nursing Department, Hospital of the Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.

Funding

The study is funded by the German Federal Ministry of Education and Research (BMBF), reference number 16SV8813, following a peer-reviewed selection process.
6 · The paper itself

Abstract

Artificial Intelligence (AI)-based applications have significant potential to differentiate between pressure injuries (PI) and incontinence-associated dermatitis (IAD), common challenges in nursing practice. Within the KIADEKU overall project, we are developing an AI-based application to aid in the nursing care of PI and IAD and to facilitate personalized, evidence-based nursing interventions. The KIADEKU clinical sub-study described in this study protocol is a controlled, non-randomized clinical pilot intervention study investigating the effects of the AI-based application, fully developed in the KIADEKU overall project, on the duration of wound assessment, dressing change and documentation, guideline adherence, and nurse task load. The study utilizes a pre-post design with two data collection periods. During the initial phase, we will observe and survey nurses in the control group as they provide conventional wound care without AI support to adult patients with PI or IAD in the pelvic area across eight wards at the LMU University Hospital. In the following intervention phase, the AI-based application will assist nurses in wound assessment and deliver guideline-based nursing interventions for documented wound types. Observations and surveys will be repeated. Measurements will include the duration of wound assessment, dressing changes, and documentation, adherence to wound care guidelines, and the accuracy of AI predictions in clinical settings, validated by an on-site expert assessment. The survey will assess nurses' task load and other covariates, such as professional experience, overall workload during the shift, and wound severity. Linear regression models will be used to analyze the effects of AI usage on the aforementioned aspects, taking into account these covariates. The accuracy of AI predictions regarding wound type and classification will be measured using the on-site expert's assessment as the ground truth. The usability of the AI-based application and standard clinical documentation systems will be evaluated further. The deployment of the AI application in clinical settings aims to reduce the duration of wound assessments, dressing changes, and documentation; decrease nurse task load; enhance guideline adherence in wound care; and promote AI utilization in nursing. German Clinical Trials Register (DRKS) (DRKS00031355). Registered on April 5th, 2023.

trial registrationGerman Clinical Trials Register (DRKS) DRKS00031355. Registered on April 5

Indexed as

Artificial IntelligenceDermatitisFecal IncontinencePressure UlcerUrinary IncontinenceAdultDocumentationFemaleHumansMaleMiddle AgedNursing AssessmentPilot ProjectsArtificial Intelligenceincontinence‐associated dermatitispressure injurywound assessmentwound care

Identifiers

PMID40237306
PMCPMC12217424

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Registered trials

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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.