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 ,Revised 15 March 2004 ,Accepted 22 March 2004.

References 

  1. Armstrong DG, Lavery LA, Liswood PJ, Todd WF, Tredwell JA. Infrared dermal thermometry for the high-risk diabetic foot. Physical Therapy. 1997;77:169–175
  2. Ayello EA, Henderson CT, Bennett A, Sprigle S, Sussman C, Leiby DL, et al. NPUAP statement on reverse staging of pressure ulcers. Retrieved February 28, 2002, from http://www.NPUAP.org/archive/positn2.htm1998;
  3. Baggerly J, DiBlasi M. Pressure sores and pressure sore prevention in a rehabilitation setting: Building information for improving outcomes and allocating resources. Rehabilitation Nursing. 1996;21:321–325
  4. Baldwin KM. Transcutaneous oximetry and skin surface temperature as objective measures of pressure ulcer risk. Advances in Skin and Wound Care. 2001;14:26–31
  5. Baldwin KM, Ziegler SM. Pressure ulcer risk following critical traumatic injury. Advances in Wound Care. 1998;11:168–173
  6. Bennett L, Kavner D. Skin blood flow in seated geriatric patients. Archives of Physical Medicine and Rehabilitation. 1981;62:392–398
  7. Bergquist S, Frantz R. Pressure ulcers in community based older adults receiving home health care. Prevalence, incidence, and associated risk factors. Advances in Wound Care. 1999;12:339–351
  8. Bergstrom, N., Allman, R. M., Carlson, C. E., Eaglstein, W., Frantz, R. A., Garber, S. L. et al. (1992). Pressure ulcers in adults: Prediction and prevention. Clinical practice guideline, number 3. Agency for Health Care Policy and Research. Rockville, MD: US Department of Health and Human Services. Public Health Service. (AHCPR Publication No. 92–0047).
  9. Bergstrom N, Braden BJ. Predictive validity of the Braden scale among black and white subjects. Nursing Research. 2002;51:398–403
  10. Bergstrom N, Braden BJ, Laguzza A, Holma V. The Braden scale for predicting pressure sore risk. Nursing Research. 1987;36:205–210
  11. Berne RM, Levy MN. Cardiovascular physiology. 8th ed.. St. Louis, MO: Mosby; 2001;
  12. Braden B, Bergstrom N. A conceptual schema for the study of the etiology of pressure sore. Rehabilitation Nursing. 1987;12:8–16
  13. Burns N, Grove SK. The practice of nursing research: Conduct, critique, & utilization. Philadelphia: Saunders; 2001;
  14. Cuddigan, J. (1999). Pressure ulcer risk in the critical care population. Unpublished doctoral dissertation, University of Nebraska.
  15. Defloor T. The risk of pressure ulcers: A conceptual scheme. Journal of Clinical Nursing. 1999;8:206–216
  16. Dubois EF. Basal metabolism in health and disease. 3rd ed.. Philadelphia: Lea & Febiger; 1936;
  17. Ek AC, Gustavsson G, Lewis DH. Skin blood flow in relation to external pressure and temperature in the supine position on standard hospital mattress. Scandinavian Journal of Rehabilitation Medicine. 1987;19:121–126
  18. Ek AC, Lewis DH, Zetterqvist H. Skin blood flow in an area at risk for pressure sore. Scandinavian Journal of Rehabilitation Medicine. 1984;16:85–89
  19. Fife C, Otto G, Capsuto EG, Brandt K, Lussy K. Incidence of pressure ulcers in neurologic intensive care unit. Critical Care Medicine. 2001;29:283–290
  20. Harding-Okimoto MB. Pressure ulcers, self-concept and body image in spinal cord injury patients. Sci Nurs. 1997;14:111–117
  21. Jantawises U, Yeesakul C. Discharge planning for stroke patients: Preliminary report. Songklanakarind Medical Journal. 2000;18:155–160
  22. Kelechi TJ, Haight BK, Herman J, Michel Y, Brothers T, Edlund B. Skin temperature and chronic venous insufficiency. Journal of Wound, Ostomy, and Continence Nursing. 2003;1:17–24
  23. Knox DM. Core body temperature, skin temperature and interface pressure. Advances in Wound Care. 1999;12:246–252
  24. Knox DM, Anderson TM, Anderson PS. Effects of different turn intervals on skin of healthy older adults. Advances in Wound Care. 1994;7:48–56
  25. Lehman CA. Risk factors for pressure ulcers in the spinal cord injured in the community. Sci Nurs. 1995;12:110–114
  26. Luevanich C, Luevanich R, Phon-Ploy W, Wongjunlachat W, Tewsakul C. Factors related to pressure sore development of hospitalized patients in Vachira Phuket Hospital. The Thai Journal of Nursing Council. 1999;14:17–29
  27. National Pressure Ulcer Advisory Panel. Consumers education guide on pressure ulcers: What are pressure ulcers?. Retrieved April 27, 2002, from http://www.NPUAP.org1998;
  28. Newman P, Davis NH. Thermography as a predictor of sacral pressure sores. Age and Ageing. 1981;10:14–18
  29. Pieper B, Sugrue M, Weiland M, Sprague K, Heiman C. Risk factors, prevention methods, and wound care for patients with pressure ulcers. Clinical Nurse Specialist. 1998;12:7–13
  30. Renkin EM. Control of microcirculation and blood–tissue exchange. In:  Renkin EM,  Michel CC editor. Handbook of physiology: The cardiovascular system. Vol IV, Part 2:Bethesda, MD: American Physiological Society; 1984;p. 627–687
  31. Saeheng S, Oearsakul T, Sripairojkul B, Ratanalert S, Phuenpathom N. Outcomes of cervical spine injury. Songklanakarind Medical Journal. 1998;16:187–195
  32. Sae-Sia W, Wipke-Tevis DD. Pressure ulcer prevention and treatment practices in inpatient rehabilitation facilities. Rehabilitation Nursing. 2002;27:192–197
  33. Samantha M, Thomas W. Predicting pressure sore risk the Norton, Braden, and Waterlow scales in a Hong Kong rehabilitation hospital. Nursing Research. 1998;47:147–153
  34. Sawka MN. Physiological consequences of hypohydration: Exercise performance and thermoregulation. Medicine and Science in Sports and Exercise. 1992;24:657–670
  35. Sawka MN, Montain SJ, Latzka WA. Hydration effects on thermoregulation and performance in the heat. Comparative Biochemistry and Physiology Part A. 2001;128:679–690
  36. Schubert V, Fagrell B. Postocclusive reactive hyperemia and thermal response in the skin microcirculation of subjects with spinal cord injury. Scandinavian Journal of Rehabilitation. 1991;23:33–40
  37. Schubert V, Fagrell B. Evaluation of the dynamic cutaneous post-ischemic hyperemia and thermal response in elderly subjects and in an area at risk for pressure sore. Clinical Physiology. 1991;11:169–182
  38. Schubert V, Héraud J. The effects of pressure and shear on skin microcirculation in elderly stroke patients lying in supine or semi-recumbent positions. Age and Ageing. 1994;23:405–410
  39. Schue RM, Langemo D. Prevalence, incidence, and prediction of pressure ulcers on a rehabilitation unit. Journal of Wound Ostomy and Continence Nursing. 1999;26:121–129
  40. Spoltore TA, O'Brien AM. Rehabilitation of the spinal cord injured patient. Orthopaedic Nursing. 1995;14:7–14
  41. Stewart SFC, Eng M, Palmieri V, Cochran MD. Wheelchair cushion effect on skin temperature, heat reflux, and relative humidity. Archives of Physical Medicine and Rehabilitation. 1980;61:229–233
  42. Suntken, G., Starr, B., Ermer-Seltun, J., Hopkins, L., & Preftakes, D. (1996). Implementation of a comprehensive skin care program across care settings using the AHCPR pressure ulcer prevention and treatment guidelines. Ostomy/Wound Management, 42, 20–22, 24–26.
  43. Wakefield B, Mentes J, Culp K. Monitoring hydration status in elderly veterans. Western Journal of Nursing Research. 2002;24:132–142
  44. Yamvong C, Intarasombat P, Kanjanajaree S, Wongwiwat J, Krungthongjun S, Choakpichit P, et al. Incidence and risk factors of pressure ulcers among hospitalized medical patients. Thai Journal Nursing Research. 1999;3:12–26

☆ 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

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