TY - JOUR
T1 - Exploring the prevalence of skin tears and skin properties related to skin tears in elderly patients at a long-term medical facility in Japan
AU - Koyano, Yuiko
AU - Nakagami, Gojiro
AU - Iizaka, Shinji
AU - Minematsu, Takeo
AU - Noguchi, Hiroshi
AU - Tamai, Nao
AU - Mugita, Yuko
AU - Kitamura, Aya
AU - Tabata, Keiko
AU - Abe, Masatoshi
AU - Murayama, Ryoko
AU - Sugama, Junko
AU - Sanada, Hiromi
N1 - Funding Information:
The authors are thankful for the generous support received from the participants and staff members of Sengi Hospital, Ishikawa Prefecture, Japan. The authors state no conflict of interest.
Publisher Copyright:
© 2016 John Wiley & Sons Ltd and Medicalhelplines.com Inc.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - The identification of appropriate skin tear prevention guidelines for the elderly requires clinicians to focus on local risk factors such as structural alterations of the epidermis and dermis related to skin tears. The aim of this cross-sectional study is to explore the prevalence of skin tears and to explore skin properties related to skin tears in elderly Japanese patients at a long-term medical facility. After doing the prevalence study, 18 participants with skin tears and 18 without were recruited and an evaluation of their skin properties using 20-MHz ultrasonography, skin blotting and also Corneometer CM-825, Skin-pH-meterPH905, VapoMeter, Moisture Meter-D and CutometerMPA580 was undertaken. A total of 410 patients were examined, the median age was 87years and 73·2% were women. The prevalence of skin tears was 3·9%, and 50% of skin tears occurred on the dorsal forearm. The changes in skin properties associated with skin tears included increased low-echogenic pixels (LEP) by 20-MHz ultrasonography, decreased type IV collagen and matrix metalloproteinase-2, and increased tumour necrosis factor-α by skin blotting. In conclusion, this study suggests that increased dermal LEP, including solar elastosis, may represent a risk factor for skin tears; this indicates that skin tear risk factors might not only represent chronological ageing but also photoageing.
AB - The identification of appropriate skin tear prevention guidelines for the elderly requires clinicians to focus on local risk factors such as structural alterations of the epidermis and dermis related to skin tears. The aim of this cross-sectional study is to explore the prevalence of skin tears and to explore skin properties related to skin tears in elderly Japanese patients at a long-term medical facility. After doing the prevalence study, 18 participants with skin tears and 18 without were recruited and an evaluation of their skin properties using 20-MHz ultrasonography, skin blotting and also Corneometer CM-825, Skin-pH-meterPH905, VapoMeter, Moisture Meter-D and CutometerMPA580 was undertaken. A total of 410 patients were examined, the median age was 87years and 73·2% were women. The prevalence of skin tears was 3·9%, and 50% of skin tears occurred on the dorsal forearm. The changes in skin properties associated with skin tears included increased low-echogenic pixels (LEP) by 20-MHz ultrasonography, decreased type IV collagen and matrix metalloproteinase-2, and increased tumour necrosis factor-α by skin blotting. In conclusion, this study suggests that increased dermal LEP, including solar elastosis, may represent a risk factor for skin tears; this indicates that skin tear risk factors might not only represent chronological ageing but also photoageing.
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U2 - 10.1111/iwj.12251
DO - 10.1111/iwj.12251
M3 - Article
C2 - 24674027
AN - SCOPUS:84896690908
VL - 13
SP - 189
EP - 197
JO - International Wound Journal
JF - International Wound Journal
SN - 1742-4801
IS - 2
ER -