Risk scoring tool for forearm skin tears in Japanese older adults: A prospective cohort study

Minematsu, Takeo; Dai, Misako; Tamai, Nao; Nakagami, Gojiro; Urai, Tamae; Nakai, Ayano; Nitta, Shiori; Kataoka, Yukie; Kuang, Weijie; Kunimitsu, Mao; Tsukatani, Toshihiro; Oyama, Hajime; Yoshikawa, Tomohiro; Takada, Chika; Kuwata, Miyoko; Sanada, Hiromi

doi:10.1016/j.jtv.2021.02.010

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…For skin blotting, the biomarkers were albumin for skin barrier function (17), nerve growth factor β (NGFβ) for epidermal inflammation (18), interleukin (IL) 2 for Th1 inflammation (19) and TSLP for Th2 inflammation (20). The presence of those biomarkers on the blotting membrane has been validated previously (7,14,17,21,22). We confirmed the validity of skin blotting for measuring albumin and NGFβ to detect itching of the skin in older adults (7).…”

Section: Discussionsupporting

confidence: 65%

Skin properties of itching without symptoms and associated factors among older adults in long-term care facilities

Sari

Minematsu

Yoshida

et al. 2023

DD&T

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Health service, hygiene care, health care quality, itching, long-term care, prevalence Since itching without rash frequently among older adults' population, study about skin properties of itching without rash is important to develop prevention methods. Therefore, this study explored the skin properties related to itching without rash and the factors associated with them. A correlation, predictive designs study was conducted at Indonesian Long-term Care (LTC) facilities. Skin properties including skin barrier function and skin inflammation were examined by photographs (macroscopic and microscopic), stratum corneum (SC) hydration, skin Potential of Hydrogen (pH), and skin blotting. Itching experience and skincare behavior were obtained by questionnaire. The itching-related skin properties and associated factors were analyzed. A total of 405 residents participated in this study, with mean age was 74 years. The prevalence of itching on the whole body was 69.1%, and 50.3% of those manifesting itching on the left forearm involved itching without macroscopic abnormalities (itching without rash). SC hydration, skin pH, albumin and nerve growth factor β (NGFβ) were associated with itching without rash (p = 0.007, 0.012, < 0.001, and < 0.001, respectively). Additionally, factors associated with skin properties were age, sex, sun exposure experience, skincare, and hygiene care in the linear regression analysis. Measurement of skin biomarkers using skin blotting was a possible objective measurement of itching skin properties without rash regardless of the environmental condition.

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Section: Discussionsupporting

confidence: 65%

Skin properties of itching without symptoms and associated factors among older adults in long-term care facilities

Sari

Minematsu

Yoshida

et al. 2023

DD&T

Self Cite

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“…According to guidelines and expert consensus (Broadhurst et al, 2017 ; Fumarola et al, 2020 ; Gorski et al, 2021 ), risk assessment and prevention are key to MARSI management. At present, MARSI risk assessment tools for children (Huang et al, 2019 ; Vance et al, 2015 ) and elderly patients (Minematsu et al, 2021 ) have been developed and widely used, but few risk assessment scales for PICC insertion sites for oncology patients have been established. This study aims to construct a scientific and evidence‐based MARSI risk assessment scale at PICC insertion sites for oncology patients, which will provide a foundation for clinical caregivers to identify patients at risk of MARSI in an early stage and carry out targeted interventions so as to reduce the incidence of MARSI.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of medical adhesive‐related skin injury risk assessment scale at peripherally inserted central catheter insertion site in oncology patients

Zhang

et al. 2023

Nursing Open

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Peripherally inserted central catheters (PICCs) are widely used in chemotherapy for oncology patients (Liao et al., 2019;Santos et al., 2020).However, given that insertion sites need to be maintained using disinfectants and medical adhesives weekly (Ullman et al., 2019), the skin under a dressing becomes sensitive (Zhao, He, Huang, et al., 2018), and is prone to medical adhesive-related skin injury (MARSI), which is any skin damage associated with the use of medical adhesive products, including film dressings (Fumarola et al., 2020).Studies have shown that the incidence of MARSI at the PICC insertion sites of oncology patients is 19.70% to 31.50% (Wang

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“…The simplified classification devised by the International Skin Tear Advisory Panel (ISTAP) focused on three categories of degree of tissue damage, and not discolouration of flap or surrounding skin 4,22 . However, skin discolouration related to purpura and senile purpura (ecchymosis) as well as haematoma 2,12,13,15,16 as aligned to STAR 1b and 2b definitions is commonly associated with skin tears 19,[24][25][26][27][28] . These discoloured skin manifestations can arise from trauma or underlying pathological processes.…”

Section: Introductionmentioning

confidence: 99%

The STAR classification: utility for determining healing times and dressing costs associated with skin tear management

Rayner¹,

Carville²,

Smith³

et al. 2021

WPR

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Risk scoring tool for forearm skin tears in Japanese older adults: A prospective cohort study

Cited by 6 publications

References 26 publications

Skin properties of itching without symptoms and associated factors among older adults in long-term care facilities

Skin properties of itching without symptoms and associated factors among older adults in long-term care facilities

Development and validation of medical adhesive‐related skin injury risk assessment scale at peripherally inserted central catheter insertion site in oncology patients

The STAR classification: utility for determining healing times and dressing costs associated with skin tear management

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