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Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Suspected deep tissue injury profile: a pilot study.

Jeremy Honaker1, Dorothy Brockopp, Krista Moe

  • 1Jeremy Honaker, BSN, RN, CWOCN • Wound Ostomy Continence Coordinator • Baptist Health Lexington • Lexington, Kentucky Dorothy Brockopp, PhD, RN • Evidence-Based Practice Consultant • Baptist Health Lexington • Lexington, Kentucky Krista Moe, PhD • Evidence-Based Practice Consultant • Baptist Health Lexington • Lexington, Kentucky.

Advances in Skin & Wound Care
|February 18, 2014
PubMed
Summary

Transfers were the most frequent cause of suspected deep tissue injury (SDTI), occurring within 1-5 days prior to manifestation. Anticoagulation and anemia were identified as significant physiological contributors to SDTI development.

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Area of Science:

  • Wound Care
  • Tissue Injury Research
  • Patient Safety

Background:

  • This study focuses on suspected deep tissue injury (SDTI), a critical concern in healthcare settings.
  • Understanding SDTI is vital for healthcare professionals, particularly physicians and nurses specializing in skin and wound care.

Purpose of the Study:

  • To investigate the incidence of precipitating events leading to suspected deep tissue injuries (SDTIs) within a 7-day period before visible signs.
  • To identify physiological variables associated with the development of SDTIs.
  • To determine the timeframe between precipitating events and the occurrence of SDTIs.

Main Methods:

  • A descriptive exploratory study utilizing a retrospective chart review.
  • Data was collected from 85 participants with SDTIs at a 348-bed community hospital between January 2008 and March 2010.
  • Evaluated precipitating events included tissue perfusion, surgery, transfers, mobility, and falls, alongside physiological variables like anticoagulation, hemoglobin, and HbA1c.

Main Results:

  • Transfers were the most frequent precipitating event (78.8%), followed by tissue perfusion (42.5%) and surgery (40.2%).
  • Significant physiological variables included anticoagulation (61.2%), anemia (hemoglobin 6-9 g/dL) (67.1%), and hemoglobin A1c < 7.5 mmol/L (74.4%).
  • The time between precipitating events and SDTI manifestation ranged from 1 to 5 days, averaging 2.41 days.

Conclusions:

  • Transfers emerged as the primary precipitating event for SDTIs in this study.
  • Anticoagulation and anemia were identified as key physiological factors contributing to SDTI development.
  • The findings highlight the importance of monitoring patients for SDTI risk factors, especially during transfers and in those with specific physiological profiles.