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Suspected deep tissue injury evaluated by North Carolina WOC nurses: a descriptive study
Leanne Richbourg1, June Smith, Susan Dunzweiler
1Duke University Medical Center, Durham, North Carolina 27710, USA. leanne.richbourg@duke.edu
Summary
Twenty-six percent of suspected deep tissue injuries (sDTI) progressed to full-thickness skin loss despite preventive care. However, many sDTI lesions stabilized or healed, indicating potential effectiveness of interventions for these early-stage pressure injuries.
Area of Science:
- Wound care research
- Dermatology
- Clinical nursing
Background:
- Suspected deep tissue injury (sDTI) is an early indicator of potential pressure-related tissue damage.
- Understanding the progression of sDTI is crucial for effective prevention and management strategies.
Purpose of the Study:
- To determine the percentage of suspected deep tissue injuries (sDTI) that evolve into full-thickness skin loss.
- To describe the progression patterns of sDTI.
- To explore associated risk factors and comorbid conditions.
Main Methods:
- Prospective exploratory study conducted by WOC nurses across 6 North Carolina acute care facilities.
- Inclusion criteria: patients aged 21+ with an sDTI lesion.
- Data collected via a validated 2-part tool at initial consult and follow-up (1-20 days later).
Main Results:
- Of 42 sDTI assessed at follow-up, 26% (11/42) progressed to full-thickness skin loss.
- 17% (7/42) evolved from discoloration to blisters over dark wound beds.
- 48% (20/42) showed no change, and 5% (2/42) healed within 6-8 days.
Conclusions:
- Despite preventive measures, a significant percentage of sDTI lesions can progress to more severe stages.
- The high rate of stabilization and healing suggests that current preventive care may be effective for many sDTI.
- Further research is needed to optimize interventions for sDTI to prevent progression.
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