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  1. Article ; Online: Medical Device Testing: Methods, Significance, and Clinical Applications.

    Solmos, Susan / Gefen, Amit / Black, Joyce / Orlov, Aleksei / Belo, Orel / Cuddigan, Janet

    Advances in skin & wound care

    2023  Volume 36, Issue 10, Page(s) 513–522

    Abstract: General purpose: To present a study conducting objective biomechanical testing of medical devices known to cause medical device-related pressure injuries (MDRPIs) in critically ill adults and comparing those results with clinical outcomes associated ... ...

    Abstract General purpose: To present a study conducting objective biomechanical testing of medical devices known to cause medical device-related pressure injuries (MDRPIs) in critically ill adults and comparing those results with clinical outcomes associated with each device.
    Target audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.
    Learning objectives/outcomes: After participating in this educational activity, the participant will:1. Explain the results of the study of the relationships between objective biomechanical tests of medical devices and clinical outcomes that help inform clinicians using these devices.2. Synthesize the background information that informed the study.
    MeSH term(s) Adult ; Humans ; Crush Injuries ; Education, Continuing ; Nurse Practitioners ; Physicians ; Skin
    Language English
    Publishing date 2023-09-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2012792-3
    ISSN 1538-8654 ; 1527-7941
    ISSN (online) 1538-8654
    ISSN 1527-7941
    DOI 10.1097/ASW.0000000000000037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3164: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Differentiating Deep Tissue Pressure Injury (DTPI) From Other Causes of Purpura in the Sacrococcygeal Area: A Multiple Case Series.

    Solmos, Susan / Radkevich-Brown, Olga / LaFond, Cynthia

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

    2019  Volume 46, Issue 3, Page(s) 256–262

    Abstract: Background: Recent revisions to the pressure injury staging system include guidance on differential diagnoses for deep tissue pressure injury (DTPI). Accurately identifying DTPI is critical; however, purpura in the setting of vascular disorders and ... ...

    Abstract Background: Recent revisions to the pressure injury staging system include guidance on differential diagnoses for deep tissue pressure injury (DTPI). Accurately identifying DTPI is critical; however, purpura in the setting of vascular disorders and systemic infectious processes can share similar features confounding diagnosis.
    Cases: In this three-case series, we describe suspected DTPI with an uncharacteristic shape or occurring in the presence of additional lesions distributed outside of typical pressure areas prompted further evaluation.
    Conclusions: The interdisciplinary approach we adapted was useful in determining the cause of purpura when the DTPI was ruled out by the certified wound care nurse.
    MeSH term(s) Adult ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Pressure Ulcer/classification ; Pressure Ulcer/complications ; Purpura/classification ; Purpura/etiology ; Sacrococcygeal Region/abnormalities ; Sacrococcygeal Region/blood supply
    Language English
    Publishing date 2019-05-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1188388-1
    ISSN 1528-3976 ; 1071-5754
    ISSN (online) 1528-3976
    ISSN 1071-5754
    DOI 10.1097/WON.0000000000000525
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2157: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Characteristics of Critically Ill Adults With Sacrococcygeal Unavoidable Hospital-Acquired Pressure Injuries: A Retrospective, Matched, Case-Control Study.

    Solmos, Susan / LaFond, Cynthia / Pohlman, Anne S / Sala, Jennifer / Mayampurath, Anoop

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

    2020  Volume 48, Issue 1, Page(s) 11–19

    Abstract: Purpose: To identify characteristics of critically ill adults with sacrococcygeal, unavoidable hospital-acquired pressure injuries (uHAPIs).: Design: Retrospective, matched, case-control design.: Subjects/setting: Patients admitted to adult ... ...

    Abstract Purpose: To identify characteristics of critically ill adults with sacrococcygeal, unavoidable hospital-acquired pressure injuries (uHAPIs).
    Design: Retrospective, matched, case-control design.
    Subjects/setting: Patients admitted to adult intensive care units (ICUs) at an urban academic medical center from January 2014 through July 2016.
    Methods: Thirty-four patients without uHAPI were matched to 34 patients with sacrococcygeal uHAPI. Time points of interest included admission to the ICU, the week preceding the definitive assessment date, and hospital discharge status. Variables of interest included length of stay, any diagnosis of sepsis, severity of illness, degree of organ dysfunction/failure, supportive therapies in use (eg, mechanical ventilation), and pressure injury risk (Braden Scale score).
    Results: All 34 sacrococcygeal pressure injuries were classified as uHAPI using the pressure injury prevention inventory instrument. No statistically significant differences were noted between patients for severity of illness, degree of organ dysfunction/failure, or pressure injury risk at ICU admission. At 1 day prior to the definitive assessment date and at discharge, patients with uHAPI had significantly higher mean Sequential Organ Failure Assessment (SOFA) scores (greater organ dysfunction/failure) and lower mean Braden Scale scores (greater pressure injury risk) than patients without uHAPI. Patients with uHAPI had significantly longer lengths of stay, more supportive therapies in use, were more often diagnosed with sepsis, and were more likely to die during hospitalization.
    Conclusion: Sacrococcygeal uHAPI development was associated with progressive multiorgan dysfunction/failure, greater use of supportive therapies, sepsis diagnosis, and mortality. Additional research investigating the role of multiorgan dysfunction/failure and sepsis on uHAPI development is warranted.
    MeSH term(s) Adult ; Case-Control Studies ; Critical Care/statistics & numerical data ; Critical Care Nursing ; Critical Illness ; Humans ; Intensive Care Units/organization & administration ; Intensive Care Units/statistics & numerical data ; Length of Stay ; Organ Dysfunction Scores ; Predictive Value of Tests ; Pressure Ulcer/diagnosis ; Pressure Ulcer/physiopathology ; Retrospective Studies ; Sacrococcygeal Region/pathology
    Language English
    Publishing date 2020-12-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1188388-1
    ISSN 1528-3976 ; 1071-5754
    ISSN (online) 1528-3976
    ISSN 1071-5754
    DOI 10.1097/WON.0000000000000721
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2157: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Predictors of pressure injury development in critically ill adults: A retrospective cohort study.

    Sala, Jennifer J / Mayampurath, Anoop / Solmos, Susan / Vonderheid, Susan C / Banas, Marianne / D'Souza, Alexandria / LaFond, Cynthia

    Intensive & critical care nursing

    2020  Volume 62, Page(s) 102924

    Abstract: Objective: The purpose of this research was to identify predictors of pressure injury, using data from the electronic health records of critically ill adults.: Methodology: A retrospective cohort study was conducted using logistic regression models ... ...

    Abstract Objective: The purpose of this research was to identify predictors of pressure injury, using data from the electronic health records of critically ill adults.
    Methodology: A retrospective cohort study was conducted using logistic regression models to examine risk factors adjusted for age, gender, race/ethnicity and length of stay.
    Setting: The study cohort included 1587 adults in intensive care units within an urban academic medical centre.
    Main outcome measures: The presence or absence of a hospital-acquired pressure injury was determined during monthly skin integrity prevalence surveys. All pressure injuries were independently confirmed by two Certified Wound Care Nurses.
    Results: Eighty-one (5.1%) of the 1587 cohort patients developed pressure injuries. After adjusting for confounders, the clinical variables associated with pressure injury development included mean arterial pressure <60 mmHg and lowest Total Braden score up to two weeks prior to the date of HAPI development or date of prevalence survey for the comparison group.
    Conclusions: This study provides a more comprehensive understanding about pressure injury risk in critically ill adults, identifying extrinsic and intrinsic factors associated with pressure injury development. Prospective multisite studies are needed to further examine these potential contributors to pressure injury development within the context of adherence to prevention interventions.
    MeSH term(s) Adult ; Cohort Studies ; Critical Care Nursing ; Critical Illness ; Humans ; Intensive Care Units ; Pressure Ulcer ; Prospective Studies ; Retrospective Studies ; Risk Factors ; Severity of Illness Index
    Language English
    Publishing date 2020-08-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1105892-4
    ISSN 1532-4036 ; 0964-3397
    ISSN (online) 1532-4036
    ISSN 0964-3397
    DOI 10.1016/j.iccn.2020.102924
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2818: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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