Applied Nursing Research
Volume 18, Issue 1 , Pages 29-35, February 2005

Elevated sacral skin temperature (Ts): a risk factor for pressure ulcer development in hospitalized neurologically impaired Thai patients

This article was presented in a poster session at the Midwest Nursing Research Society's 27th Annual Conference, April 4 to 7, 2003, Grand Rapids, MI, and at the 16th Annual Symposium on Advanced Wound Care, April 28 to May 1, 2003, Las Vegas, NV. A portion of these data was published in an abstract [Sae-Sia, W., Wipke-Tevis, D. D., & Williams, D. A. (2003). Skin temperature and pressure ulcer development in hospitalized neurologically impaired Thai patients. Ostomy/Wound Management, 49(4), 76].

  • Wipa Sae-Sia, MSN

      Affiliations

    • Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA
  • ,
  • Deidre D. Wipke-Tevis, PhD, RN, BC

      Affiliations

    • Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 573 884 8441; fax: +1 573 884 4544.
  • ,
  • Donna A. Williams, PhD

      Affiliations

    • Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO 65211, USA

Received 22 August 2003; received in revised form 15 March 2004; accepted 22 March 2004.

Abstract 

Pressure ulcer incidence and sacral skin temperature (Ts) were measured in hospitalized neurologically impaired Thai patients (n = 17) positioned supine and then laterally. Pressure ulcer incidence within 2 weeks of admission was 47%. Regardless of reclining position, mean sacral Ts in subjects who developed a pressure ulcer was higher (p < .01) than those who did not develop an ulcer. The data suggest that Ts may increase at least 1.2 °C 24–96 hr before sacral pressure ulcer development. Sacral Ts may be an objective predictor of sacral pressure ulcer development in hospitalized neurologically impaired Thai patients.

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 Supported by the Thai government to W.S.S. This project also was supported partially by the following research grants: AHA 0160286Z and NINR 1 R01 NR05280 to D.W.T. and R01 HL63125 NIH to D.A.W.

PII: S0897-1897(04)00088-6

doi:10.1016/j.apnr.2004.03.005

Applied Nursing Research
Volume 18, Issue 1 , Pages 29-35, February 2005