Relevant bibliographies by topics / Sub epidermal Moisture

Academic literature on the topic 'Sub epidermal Moisture'

Author: Grafiati
Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Sub epidermal Moisture"

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Padula, William V., Shreena Malaviya, Ellen Hu, Sue Creehan, Barbara Delmore, and Jonothan C. Tierce. "The cost-effectiveness of sub-epidermal moisture scanning to assess pressure injury risk in U.S. health systems." Journal of Patient Safety and Risk Management 25, no. 4 (March 26, 2020): 147–55. http://dx.doi.org/10.1177/2516043520914215.

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Objective Hospital-acquired pressure injuries harm over 2.5 million patients at a U.S. cost of $26.8 billion. Sub-epidermal moisture scanning technology supports clinicians to anatomically identify locations at-risk of developing hospital-acquired pressure injuries. Our objective was to evaluate the cost-effectiveness of adopting sub-epidermal moisture scanners in comparison to existing hospital-acquired pressure injury prevention guidelines structured around subjective risk assessments. Methods A Markov cohort model was developed to analyze the cost-effectiveness of sub-epidermal moisture scanners in comparison to existing prevention guidelines, based on current clinical trial data from the U.S. health care sector perspective in the acute, acute rehabilitation and skilled nursing facility settings. A hypothetical cohort was simulated over a time horizon of one year. An incremental cost-effectiveness ratio was measured using U.S. dollars per quality-adjusted life year at a willingness-to-pay threshold of $100,000/quality-adjusted life year, and uncertainty was tested using probabilistic sensitivity analysis. Results Integration of sub-epidermal moisture scanners yielded cost-savings of $4054 and 0.35 quality-adjusted life years gained per acute care admission, suggesting that sub-epidermal moisture scanners are a dominant strategy compared to standard care and producing a net monetary benefit of $39,335. For every 1000 admissions in high-risk acute care, sub-epidermal moisture scanners could avert around seven hospital-acquired pressure injury-related deaths and decrease hospital-acquired pressure injury-related re-hospitalization by approximately 206 bed-days. Conclusions Acute care, acute rehabilitation and skilled nursing settings that adopt sub-epidermal moisture technology could achieve a return on investment in less than one year. Providers may want to consider these types of technology that aid clinical judgment with objective measures of risk in quality improvement bundles.
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Jayabal, Hemalatha, Barbara M. Bates-Jensen, Nkemjika S. Abiakam, Peter R. Worsley, and Dan L. Bader. "Anatomical variability of sub-epidermal moisture and its clinical implications." Journal of Tissue Viability 30, no. 3 (August 2021): 434–38. http://dx.doi.org/10.1016/j.jtv.2021.04.003.

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Ross, Graham, and Amit Gefen. "Assessment of sub-epidermal moisture by direct measurement of tissue biocapacitance." Medical Engineering & Physics 73 (November 2019): 92–99. http://dx.doi.org/10.1016/j.medengphy.2019.07.011.

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Peko, Lea, and Amit Gefen. "Sensitivity and laboratory performances of a second‐generation sub‐epidermal moisture measurement device." International Wound Journal 17, no. 3 (March 11, 2020): 864–67. http://dx.doi.org/10.1111/iwj.13339.

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Musa, Louisa, Nicky Ore, Gillian Raine, and Glenn Smith. "Clinical impact of a sub-epidermal moisture scanner: what is the real-world use?" Journal of Wound Care 30, no. 3 (March 2, 2021): 198–208. http://dx.doi.org/10.12968/jowc.2021.30.3.198.

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Objective: The presence of sub-epidermal moisture (SEM) over a bony prominence is indicative of incipient pressure ulcer (pressure injury/decubitus/bedsore) (PU). Early identification of patients at increased risk of PU can prompt interventions that reduce the incidence and severity of hospital (or community)-acquired PUs (HAPUs). This study evaluated the clinical utility of a SEM Scanner device in HAPU management. Method: The study used a pragmatic ‘real-world’ approach. HAPU data before and during SEM Scanner use were obtained through routine audit. Patients had regular visual and daily SEM Scanner skin assessments over the sacrum and heels. Nursing care otherwise followed standard of care according to the established protocols of individual participating sites. HAPU incidence rates were determined and feedback gathered from health professionals on how the device influenced HAPU-related clinical decision-making. Results: There were 15 participating sites: 13 acute care, one palliative care and one community care setting. The sample size was 1478 patients. All sites reported a substantial reduction in mean HAPU incidence: 87.2% in acute care settings; 46.7% in the palliative care setting and 26.7% in the community care setting. A 100% incidence reduction was reported in 10 (66.7%) sites. In the palliative care setting, SEM Scanner results changed HAPU-related clinical decision-making for 40% of patients scanned. The community care site demonstrated a 82% change in clinical decision-making. Conclusion: In this study, SEM analysis fitted seamlessly into routine skin assessment and enabled early identification of increased risk of tissue damage, with clinically important reductions in the incidence of HAPU across all participating sites.
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Park, Seungmi, Chul-Gyu Kim, and Ji Woon Ko. "The use of sub-epidermal moisture measurement in predicting blanching erythema in jaundice patients." Journal of Wound Care 27, no. 5 (May 2, 2018): 342–49. http://dx.doi.org/10.12968/jowc.2018.27.5.342.

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Budri, Aglecia. "Identification of increased risk of pressure damage with a sub-epidermal moisture scanner: clinical outcomes and cost-effectiveness." British Journal of Healthcare Management 26, no. 10 (October 2, 2020): 1–10. http://dx.doi.org/10.12968/bjhc.2020.0035.

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Hospital-acquired pressure ulcers and subsequent interventions are a substantial burden to patients. This article reviews the use of a sub-epidermal moisture (SEM) scanning device as an early and robust method of identifying the increased risk of pressure damage before it is visible on the surface of the skin. This could allow the implementation of early interventions and potentially decrease the frequency of hospital-acquired pressure ulcers.
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Bryant, Ruth A., Zena EH Moore, and Vignesh Iyer. "Clinical profile of the SEM Scanner — Modernizing pressure injury care pathways using Sub-Epidermal Moisture (SEM) scanning." Expert Review of Medical Devices 18, no. 9 (September 2, 2021): 833–47. http://dx.doi.org/10.1080/17434440.2021.1960505.

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Ousey, Karen, John Stephenson, and Joanna Blackburn. "Sub-epidermal moisture assessment as an adjunct to visual assessment in the reduction of pressure ulcer incidence." Journal of Wound Care 31, no. 3 (March 2, 2022): 208–16. http://dx.doi.org/10.12968/jowc.2022.31.3.208.

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Objective: To assess the effectiveness of sub-epidermal moisture (SEM) assessment technology as an adjunct to visual assessment to reduce pressure ulcer (PU) incidence alongside standard PU care pathways. Method: Data were obtained from wards located within 28 institutions in the UK, Canada, Belgium, Spain and Ireland. At each ward, the proportion of patients scanned who were observed to have one or more PUs of Category 2 or above during a pre-Pressure Ulcer Reduction Programme (PURP) implementation period starting between November 2017 and July 2018 was recorded. The proportion of patients scanned who were observed to have one or more PUs of Category 2 or above during a post-PURP implementation period starting between November 2018 and July 2019 was also recorded. A meta-analysis was conducted on the data using wards as the unit of analysis, to facilitate overall estimate of the PURP. A sensitivity study was also conducted to assess the sensitivity of results to data from specific institutions. Results: A synthesised estimate of the overall relative risk (RR) was calculated to be 0.38 (95% confidence interval 0.26 to 0.56). Hence the risk of PU in the post-PURP cohort was about one-third that of the corresponding risk in the pre-PURP cohort. The sensitivity analysis revealed no evidence that any individual ward exerted excessive influence on the findings. Conclusion: The analysis has revealed strong evidence that implementation of the PURP was associated with reduction in incidence of Category 2 or above PUs across a wide range of clinical settings.
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Martins de Oliveira, Ana Lúcia, Tom O'Connor, Declan Patton, Helen Strapp, and Zena Moore. "Sub-epidermal moisture versus traditional and visual skin assessments to assess pressure ulcer risk in surgery patients." Journal of Wound Care 31, no. 3 (March 2, 2022): 254–64. http://dx.doi.org/10.12968/jowc.2022.31.3.254.

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Objective: To compare the predictive ability of subepidermal moisture (SEM) measurement versus traditional risk assessment and visual skin assessment (VSA) as means of detecting early pressure ulcer (PU) damage development among adults undergoing surgery. Method: A non-experimental, comparative, descriptive cohort study design was used. Following ethical approval, participants who had given their informed written consent had their skin assessed over the areas that were weight-bearing during surgery, using VSA and the SEM measurement. Visual PUs were graded according to the European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel ulcer grading system. Assessments took place preoperatively, then daily on the ward, beginning on day one postoperatively and continuing for three days or until discharge. Results: Of the 231 participants, who had a mean age of 57.50 years, 55.8% (n=129) were male. The most common comorbidity was cardiology/vascular (n=42; 18.2%). Just over half (52.4%; n=121) underwent orthopaedic surgery and 47.6% (n=110) underwent non-orthopaedic surgery; 70% (n=163) received a general anaesthetic and 43% (n=100) were in the supine decubitus position during surgery. PU incidence was 51% (n=116), according to SEM measurement, and 3% (n=7) according to VSA. Among the seven participants who developed a visual PU, 10 PUs at stage 1 developed (31%); some patients developed more than one PU. Of the participants who had assessments for three days postoperatively, 94% (n=61) had a persistently high SEM delta on day three. The variables that emerged as statistically significantly related to abnormal SEM measurement deltas among these participants were: surgery duration (p=0.038); having orthopaedic surgery (p=0.020); supine surgical position (p=0.003); spinal anaesthetic type (p=0.0001); and Waterlow and Braden mobility subscale day one postoperatively (p=0.0001). None of the variables had a statistically significant influence on abnormal VSA. Conclusion: Surgical patients, because of immobility, are vulnerable to the action of compression and shear forces. These forces cause changes at a cellular level that trigger inflammation, which is a precursor to early tissue damage. SEM measurement can detect this tissue damage from the increase in the underlying tissue water content that results from inflammation. From the findings of this study, SEM measurement is very promising in the detection of early tissue damage in those at risk of PU development among the surgical population.
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Book chapters on the topic "Sub epidermal Moisture"

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Nedukha, Olena. "Tolerance of Plant Cell Wall to Environment." In Plant Response Mechanisms to Abiotic Stresses [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.105452.

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Drought and flooding of soil are negatively factors for growth and development of plants. Exogenous factors, including moisture of soil, intensity of sun light, temperature, salinization, the content and diffusion rate of CO2 and O2 is main that influence terrestrial and flood plants. Cell walls actively participate in the mechanisms of plant adaptation to drought and flooding. It has been established that the resistance of plants to unfavorable environmental conditions is due to the plasticity of the structural, biochemical and functional characteristics of plant cell walls, that manifests itself in a change of ultrastructure cell walls, density of stomata and wax in leaf epidermis, compacting or loosening of cell walls, presence of cuticle pores, change of content of crystalline and amorphous cellulose, hemicellulose, callose and lignin and change in a ratio of syringyl/quajacyl monolignols and also expression of the specific genes.
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