4.6 Article

Modelling the cost-effectiveness of subepidermal moisture measurement as part of a process of assessment and intervention to prevent hospital-acquired pressure ulcers

Related references

Note: Only part of the references are listed.
Article Dermatology

Sub-epidermal moisture assessment as an adjunct to visual assessment in the reduction of pressure ulcer incidence

Karen Ousey et al.

Summary: This study assessed the effectiveness of sub-epidermal moisture (SEM) assessment technology as an adjunct to visual assessment to reduce pressure ulcer (PU) incidence. The results showed that the implementation of this technology was associated with a significant reduction in the incidence of Category 2 or above PUs across various clinical settings.

JOURNAL OF WOUND CARE (2022)

Review Dermatology

Measuring subepidermal moisture to detect early pressure ulcer development: a systematic review

Zena Moore et al.

Summary: Through a review of relevant studies, it was found that measuring subepidermal moisture (SEM) can detect the development of pressure ulcers (PUs) earlier, and when staff respond to abnormal SEM measurements, it can enhance PU prevention strategies, leading to a reduction in visible PU development.

JOURNAL OF WOUND CARE (2022)

Article Critical Care Medicine

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Sonia O. Labeau et al.

Summary: A study of 13,254 adults in 1117 ICUs across 90 countries found a high prevalence of pressure injuries, with 59.2% being ICU-acquired. Risk factors for ICU-acquired pressure injuries included age, sex, weight, comorbidities, and organ support. Increasing severity of pressure injuries was associated with higher mortality rates, highlighting the importance of prevention and proper care in ICU settings.

INTENSIVE CARE MEDICINE (2021)

Article Dermatology

Evaluating the sensitivity, specificity and clinical utility of algorithms of spatial variation in sub-epidermal moisture (SEM) for the diagnosis of deep and early-stage pressure induced tissue damage

Steve Gershon et al.

Summary: This study evaluated the sensitivity, specificity, and clinical utility of spatial variation in sub-epidermal moisture readings between healthy and damaged skin tissue for detecting early pressure-induced injuries. Results showed significant differences in SEM measures within damaged tissue anatomies, but not in healthy subjects. Algorithms indicated a sensitivity of 82-87% and a specificity of 51-88% at an SEM delta >= 0.6, exceeding clinical judgement.

JOURNAL OF WOUND CARE (2021)

Article Dermatology

Clinical impact of a sub-epidermal moisture scanner: what is the real-world use?

Louisa Musa et al.

Summary: In this study, the SEM Scanner device seamlessly integrated into routine skin assessments and facilitated early identification of tissue damage risk, leading to significant reductions in HAPU incidence rates across all participating sites. The device had a notable impact on clinical decision-making related to HAPU, with changes in decision-making reported in various care settings.

JOURNAL OF WOUND CARE (2021)

Review Engineering, Biomedical

Clinical profile of the SEM Scanner - Modernizing pressure injury care pathways using Sub-Epidermal Moisture (SEM) scanning

Ruth A. Bryant et al.

Summary: The SEM Scanner is the first device authorized by the FDA to objectively assess early-stage pressure-induced tissue damage, providing a way for healthcare professionals to intervene before visible signs of tissue damage develop. FDA clearance was based on bench studies and data from three foundational trials, demonstrating the device's diagnostic accuracy significantly exceeding clinical judgment.

EXPERT REVIEW OF MEDICAL DEVICES (2021)

Article Nursing

Evaluating the impact on hospital acquired pressure injury/ulcer incidence in a United Kingdom NHS Acute Trust from use of sub-epidermal scanning technology

Pippa Nightingale et al.

Summary: Implementing scanning technology into routine clinical practice achieves consistent reductions in pressure injury/ulcer incidence. Study results showed an 81% reduction in pressure injury/ulcer incidence across all four wards, with 83% of patients reporting improved clinical decisions based on Sub-Epidermal Moisture (SEM) Scanner data.

JOURNAL OF CLINICAL NURSING (2021)

Review Orthopedics

The global burden of pressure ulcers among patients with spinal cord injury: a systematic review and meta-analysis

Wondimeneh Shibabaw Shiferaw et al.

BMC MUSCULOSKELETAL DISORDERS (2020)

Article Health Care Sciences & Services

The cost-effectiveness of sub-epidermal moisture scanning to assess pressure injury risk in US health systems

William V. Padula et al.

JOURNAL OF PATIENT SAFETY AND RISK MANAGEMENT (2020)

Review Nursing

Pressure injuries in people with darker skin tones: A literature review

Neesha Oozageer Gunowa et al.

JOURNAL OF CLINICAL NURSING (2018)

Article Dermatology

Pressure ulcer and wounds reporting in NHS hospitals in England part 1: Audit of monitoring systems

Isabelle L. Smith et al.

JOURNAL OF TISSUE VIABILITY (2016)

Article Health Care Sciences & Services

The psychometric performance of generic preference-based measures for patients with pressure ulcers

Simon Palfreyman et al.

HEALTH AND QUALITY OF LIFE OUTCOMES (2015)

Article Geriatrics & Gerontology

Prevalence of Pressure Ulcers by Race and Ethnicity for Older Adults Admitted to Nursing Homes

Susan Harms et al.

JOURNAL OF GERONTOLOGICAL NURSING (2014)

Article Nursing

Subepidermal Moisture Is Associated With Early Pressure Ulcer Damage in Nursing Home Residents With Dark Skin Tones Pilot Findings

Barbara M. Bates-Jensen et al.

JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING (2009)

Article Economics

The NICE cost-effectiveness threshold - What it is and what that means

Christopher McCabe et al.

PHARMACOECONOMICS (2008)

Article Nursing

Risk assessment scales for pressure ulcer prevention: a systematic review

PL Pancorbo-Hidalgo et al.

JOURNAL OF ADVANCED NURSING (2006)

Article Geriatrics & Gerontology

Black/White differences in pressure ulcer incidence in nursing home residents

M Baumgarten et al.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2004)

Article Geriatrics & Gerontology

The cost of pressure ulcers in the UK

G Bennett et al.

AGE AND AGEING (2004)