Wound Expo 2021 highlights: wound assessment

Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.

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Validation and inter-rater reliability of inexpensive, mini, no-touch infrared surface thermometry devices as an assessment tool for prediction of wound-related deep and surrounding infection

WCET Journal ◽

10.33235/wcet.39.1.18-22 ◽

2019 ◽

pp. 18-22

Author(s):

Hiske Smart ◽

Eman Al Al Jahmi ◽

Ebrahim Buhiji ◽

Sally-Anne Smart

Keyword(s):

Temperature Difference ◽

Assessment Tool ◽

Predictive Ability ◽

Skin Surface ◽

Infrared Thermometry ◽

Health Care Clinics ◽

Primary Health ◽

Wound Assessment ◽

The Times ◽

Assessment Modality

Industrial infrared thermometry devices are large and, despite being less expensive than the current gold standard Exergen Dermatemp medical infrared thermometer, are still not affordable enough to ensure unrestricted and consistent use of this assessment modality in regular wound-related day-to-day practice. An increased skin surface temperature differentiation of 3°F associated with a wound has a positive predictive ability to detect deep or surrounding wound infection. This study hypothesised that inexpensive, pen- or pocket-sized, no-touch surface infrared thermometry devices will be equal in ability to detect a 3oF increased skin temperature compared to the Exergen Dermatemp infrared device and be reliable in the hands of any wound assessor. The odds of the control and other thermometers to detect a 3oF temperature difference, irrespective of the raters, were achieved in all five of the mini thermometers tested, with a correct temperature difference prediction that occurred in 90.933% of the times (odds determined 9/10). As a result of this study mini, no-touch infrared thermometry, to detect a 3oF temperature difference in wound assessment to determine tendency, could be implemented into primary health care clinics, rural clinics, day-to-day hospital practice and standard outpatients departments at a small financial cost, regardless of which thermometer is put to use.

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Feasibility and diagnostic accuracy of Telephone Administration of an adapted wound heaLing QuestiONnaire for assessment for surgical site infection following abdominal surgery in low and middle-income countries (TALON): protocol for a study within a trial (SWAT)

Trials ◽

10.1186/s13063-021-05398-z ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

◽

James Glasbey ◽

Victoria Adeyeye ◽

Adesoji Ademuyiwa ◽

Alisha Bhatt ◽

...

Keyword(s):

Wound Healing ◽

Abdominal Surgery ◽

Diagnostic Accuracy ◽

Surgical Site Infection ◽

Hospital Discharge ◽

Site Infection ◽

Middle Income ◽

Middle Income Countries ◽

Wound Assessment ◽

Study Within A Trial

Abstract Background Surgical site infection is the most common complication of abdominal surgery, with a global impact on patients and health systems. There are no tools to identify wound infection that are validated for use in the global setting. The overall aim of the study described in this protocol is to evaluate the feasibility and validity of a remote, digital pathway for wound assessment after hospital discharge for patients in low- and middle-income countries (LMICs). Methods A multi-centre, international, mixed-methods study within a trial, conducted in two stages (TALON-1 and TALON-2). TALON-1 will adapt and translate a universal reporter outcome measurement tool (Bluebelle Wound Healing Questionnaire, WHQ) for use in global surgical research (SWAT store registration: 126) that can be delivered over the telephone. TALON-2 will evaluate a remote wound assessment pathway (including trial retention) and validate the diagnostic accuracy of this adapted WHQ through a prospective cohort study embedded within two global surgery trials. Embedded community engagement and involvement activities will be used to optimise delivery and ensure culturally attuned conduct. TALON-1 and TALON-2 are designed and will be reported in accordance with best practice guidelines for adaptation and validation of outcome measures, and diagnostic test accuracy studies. Discussion Methods to identify surgical site infection after surgery for patients after hospital discharge have the potential to improve patient safety, trial retention, and research efficiency. TALON represents a large, pragmatic, international study co-designed and delivered with LMIC researchers and patients to address an important research gap in global surgery trial methodology.

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Use of the Polaroid Macro 3 SLR camera in wound assessment

British Journal of Community Nursing ◽

10.12968/bjcn.2001.6.6.7079 ◽

2001 ◽

Vol 6 (6) ◽

pp. 318-319

Author(s):

Kate Ballard

Keyword(s):

Wound Assessment

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A low-cost flexible pH sensor array for wound assessment

Sensors and Actuators B Chemical ◽

10.1016/j.snb.2015.12.082 ◽

2016 ◽

Vol 229 ◽

pp. 609-617 ◽

Cited By ~ 55

Author(s):

Rahim Rahimi ◽

Manuel Ochoa ◽

Tejasvi Parupudi ◽

Xin Zhao ◽

Iman K. Yazdi ◽

...

Keyword(s):

Sensor Array ◽

Low Cost ◽

Ph Sensor ◽

Wound Assessment

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Noninvasive imaging technologies for cutaneous wound assessment: A review

Wound Repair and Regeneration ◽

10.1111/wrr.12262 ◽

2015 ◽

Vol 23 (2) ◽

pp. 149-162 ◽

Cited By ~ 51

Author(s):

Dereck W. Paul ◽

Pejhman Ghassemi ◽

Jessica C. Ramella-Roman ◽

Nicholas J. Prindeze ◽

Lauren T. Moffatt ◽

...

Keyword(s):

Noninvasive Imaging ◽

Cutaneous Wound ◽

Imaging Technologies ◽

Wound Assessment

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Wounds: an overlooked burden (Part 1) – effective wound management starts with proper wound assessment

South African General Practitioner ◽

10.36303/sagp.2020.1.5.0045 ◽

2020 ◽

pp. 196-198

Author(s):

H Parkar ◽

AD Cromarty

Keyword(s):

Wound Healing ◽

General Practice ◽

Healthcare Professionals ◽

Chronic Wound ◽

Treatment Strategies ◽

Daily Basis ◽

Wound Management ◽

Wound Treatment ◽

Wound Assessment ◽

Wound Type

Healthcare professionals in general practice are tasked with treatment and management of wounds on a daily basis. The prognoses of these wounds are directly affected by the ability of the clinician to assess these wounds according to several parameters, including the wound type and the features which determine whether a wound is acute or transforming to a chronic wound. This can be achieved by proper and continuous wound assessment, which should guide wound treatment strategies to ensure optimal wound healing and prevent progression to complicated wounds.

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Evaluation of the efficacy of hyperbaric oxygen therapy in the management of diabetic ulcer using Bates-Jensen wound assessment tool

Anesthesia Essays and Researches ◽

10.4103/aer.aer_68_20 ◽

2020 ◽

Vol 14 (2) ◽

pp. 335

Author(s):

S Anushapreethi ◽

Usha Shukla ◽

Atit Kumar ◽

ShaileneraPal Singh

Keyword(s):

Hyperbaric Oxygen ◽

Hyperbaric Oxygen Therapy ◽

Oxygen Therapy ◽

Assessment Tool ◽

Diabetic Ulcer ◽

Wound Assessment

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The role of honey in healing of bedsores in cancer patients

South Asian Journal of Cancer ◽

10.4103/2278-330x.103714 ◽

2012 ◽

Vol 01 (02) ◽

pp. 66-71 ◽

Cited By ~ 12

Author(s):

Aramita Saha ◽

Subrata Chattopadhyay ◽

Md. Azam ◽

Prabir Kr. Sur

Keyword(s):

Wound Healing ◽

Cancer Patients ◽

Assessment Tool ◽

Low Cost ◽

Critical Difference ◽

Visual Analogue Pain ◽

Wound Assessment ◽

Significant Difference ◽

Bacteria And Fungi ◽

And Control

Abstract Bacground: Honey was used to treat infected wounds as long as 2000 years before bacteria were discovered. It has been reported to have inhibitory action to around 50 species of bacteria and fungi (aspergillus, penicillium). Usually, Metronidazole powder is used in our palliative clinic for wound healing due to low cost & effectivity. Honey is cheap, easily available ingredient with high astringent activity. Objective: Objectives of the study were to find out the effectiveness of Honey in terms of rate of wound healing & pain control in bedsores of cancer patients. Materials and Methods: 40 cancer patients with bedsore wounds were randomly assigned (1:1 ratio i.e. 20 in each arm) for Study Arm (Honey plus Metronidazole powder) and Control Arm (only Metronidazole powder), attending Palliative clinic of our department in between July 2010 to September 2011. Washing of the wound with normal saline done daily before application of above medicaments. Change of posture & soft bed were encouraged in both groups. A pre designed interview proforma, standardised Bates Jensen Wound Assessment Tool and Visual Analogue Pain assessment scale were used to collect and assess data. Results: There was significant difference in wound healing status (F value = 6.523; Critical Difference =14.03, P&nit;0.05) from day 10 and pain reduction also (F value = 6.638 and Critical Difference = 1.667, P&nit;0.05) from day 7 in study arm. Conclusion: Application of honey dressing provides a better wound healing, rapid pain relief in cancer patients with bedsores in palliative settings.

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