Evidence map›Paper›PMID 40994173›Full record

ArticleJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society

Skin Failure: Results of a Think Tank Hosted by the National Pressure Injury Advisory Panel.

Joyce Black, Jill Cox, Janet Cuddigan, Jessie Jenkins, Hadar Lev-Tov, Joshua Mervis, T Samuel Nwafor, Vicky Pontieri-Lewis, Marilyn Schallom, Carri Siedlik and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

13 authors.

Joyce BlackJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Jill CoxJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Janet CuddiganJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Jessie JenkinsJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Hadar Lev-TovJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Joshua MervisJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
T Samuel NwaforJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Vicky Pontieri-LewisJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Marilyn SchallomJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Carri SiedlikJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Nicole SiparskyJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Kathleen VollmanJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.
Nicole WalkowiakJoyce Black, PhD, RN, FAAN, CON, University of Nebraska Medical Center, Omaha, Nebraska.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term skin failure is used to describe multiple changes in the skin. This article summarizes a concept analysis and deliberations of a multidisciplinary think tank hosted by the National Pressure Injury Advisory Panel August 2024. The panel was tasked with addressing the topic of skin failure in the critically ill person. The term skin failure was introduced many years ago as one component of multi-organ system failure occurring in critically ill patients and those at end of life. However, until recently the phrase has had limited use. The think tank panel examined contemporary uses of the term skin failure and its proposed use in diagnosing and coding skin changes that may also be attributable to pressure. Panelists concluded that skin failure in critically ill adults should be considered non-pressure related. Instead, they defined skin failure as an injury that occurs despite standard preventive interventions and for which no other etiology has been identified. Panelists further acknowledged that a distinct etiology for non-pressure-related skin failure in critically ill patients has not been elucidated; particularly when it occurs on pressure bearing body areas. They recognized that while hypoperfusion is hypothesized to be a principal etiologic factor in non-pressure-related skin failure, the histopathology for non-pressure-related skin failure in the critically ill has not been fully elucidated, and no photographs have been published that depict acute skin failure. Think tank participants concurred that additional research is needed to establish a reproducible description of the etiology, pathophysiology, and natural history of non-pressure-related skin failure. Even though the term skin failure is frequently used in clinical settings, the concept has not been sufficiently well studied to support a specific diagnosis or diagnostic code.

Indexed as

Pressure UlcerSkinAdvisory CommitteesCritical IllnessHumansNon-pressure-related skin failurePressure injuryPressure ulcerSkin failureUnavoidable pressure ulcer

Identifiers

PMID40994173
PMCPMC12537035

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.