IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v30y2021i3-4p559-571.html
   My bibliography  Save this article

Application of infrared thermography in the early warning of pressure injury: A prospective observational study

Author

Listed:
  • Fuman Cai
  • Xiaoqiong Jiang
  • Xiangqing Hou
  • Duolao Wang
  • Yu Wang
  • Haisong Deng
  • Hailei Guo
  • Haishuang Wang
  • Xiaomei Li

Abstract

Aims and objectives To verify the ability of infrared thermography in objectively identifying pressure injury and its application value in the early warning of pressure injury. Background There is subjectivity in assessing the risk of pressure injury as well as diagnosis in clinical settings, which makes early detection and prevention difficult. Design Prospective, cohort study. Method Four hundred and fifteen patients admitted to the adult intensive care units were enrolled by a convenience sampling method, and they received a follow‐up monitoring for 10 days. The risk of pressure injury was assessed via Braden scale, and thermal images of sacral area were obtained by infrared thermal imager once a day. The predictive effects of infrared thermography and Braden scale on pressure injury were compared by the receiver operating characteristic curve from which the optimal cut‐off value of skin temperature for predicting pressure injury was determined. The effect of skin temperature on pressure injury was described and compared, using Kaplan–Meier curve and Cox proportional hazard regression model, respectively. We followed STROBE checklist for reporting the study. Results The relative temperature of sacral area was negatively correlated with the risk of pressure injury. The efficiency of infrared thermography for diagnosing pressure injury was better than that of Braden scale. Based on the relative temperature optimal cut‐off value (−0.1°C), Kaplan–Meier curve and Cox proportional hazard regression model analysis showed the incidence of pressure injury with relative temperature below −0.1°C was higher than the group with relative temperature above −0.1°C. Conclusions Infrared thermography can objectively and accurately identify local hypothermia warnings of pressure injury before visual recognition. The application of infrared thermography into routine pressure injury risk assessment provides a timely and reliable method for nursing practitioners. Relevance to clinical practice Infrared thermography has great value of clinical application in daily pressure injury assessment. It is of great significance to make a faster and more objective clinical judgement for patients at risk of pressure injury.

Suggested Citation

  • Fuman Cai & Xiaoqiong Jiang & Xiangqing Hou & Duolao Wang & Yu Wang & Haisong Deng & Hailei Guo & Haishuang Wang & Xiaomei Li, 2021. "Application of infrared thermography in the early warning of pressure injury: A prospective observational study," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(3-4), pages 559-571, February.
    • Handle: RePEc:wly:jocnur:v:30:y:2021:i:3-4:p:559-571
    DOI: 10.1111/jocn.15576
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15576
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15576?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ingrid Johansen Skogestad & Liv Martinsen & Tove Elisabet Børsting & Tove Irene Granheim & Eirin Sigurdssøn Ludvigsen & Caryl L Gay & Anners Lerdal, 2017. "Supplementing the Braden scale for pressure ulcer risk among medical inpatients: the contribution of self‐reported symptoms and standard laboratory tests," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 202-214, January.
    2. Seyma Adibelli & Fatos Korkmaz, 2019. "Pressure injury risk assessment in intensive care units: Comparison of the reliability and predictive validity of the Braden and Jackson/Cubbin scales," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4595-4605, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Seol‐Heui Han & Yoon‐Sook Kim & Jeonghae Hwang & Jongmin Lee & Mi Ryeong Song, 2018. "Predictors of hospital‐acquired pressure ulcers among older adult inpatients," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3780-3786, October.
    2. Mercedes Fernández-Castro & José-María Jiménez & Belén Martín-Gil & María-Fé Muñoz-Moreno & María-José Castro & María-José Cao & María López, 2021. "The Impact of COVID-19 on Levels of Adherence to the Completion of Nursing Records for Inpatients in Isolation," IJERPH, MDPI, vol. 18(21), pages 1-8, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:30:y:2021:i:3-4:p:559-571. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.