{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T04:39:58Z","timestamp":1785559198876,"version":"3.56.0"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T00:00:00Z","timestamp":1531699200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hautarzt"],"published-print":{"date-parts":[[2018,10]]},"DOI":"10.1007\/s00105-018-4230-6","type":"journal-article","created":{"date-parts":[[2018,7,16]],"date-time":"2018-07-16T01:19:05Z","timestamp":1531703945000},"page":"839-847","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Dekubitus erkennen und richtig klassifizieren: ein Positionspapier","Recognition and correct classification of pressure ulcers: a\u00a0position paper"],"prefix":"10.1007","volume":"69","author":[{"given":"J.","family":"Kottner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Kr\u00f6ger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Gerber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Schr\u00f6der","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Dissemond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2018,7,16]]},"reference":[{"key":"4230_CR1","first-page":"4","volume":"15","author":"Anonymous","year":"1988","unstructured":"Anonymous (1988) Dermal wounds: pressure sores. Philosophy of the IAET. J\u00a0Enterostomal Ther 15:4\u201317","journal-title":"J Enterostomal Ther"},{"key":"4230_CR2","first-page":"e3","volume":"19","author":"D Beeckman","year":"2010","unstructured":"Beeckman D, Schoonhoven L, Fletcher J et al (2010) Pressure ulcers and incontinence-associated dermatitis: effectiveness of the pressure ulcer classification education tool on classification by nurses. Qual Saf Health Care 19:e3","journal-title":"Qual Saf Health Care"},{"key":"4230_CR3","first-page":"34","volume":"53","author":"DR Berlowitz","year":"2007","unstructured":"Berlowitz DR, Brienza DM (2007) Are all pressure ulcers the result of deep tissue injury? A review of the literature. Ostomy Wound Manage 53:34\u201338","journal-title":"Ostomy Wound Manage."},{"key":"4230_CR4","first-page":"28","volume":"56","author":"J Black","year":"2010","unstructured":"Black J, Baharestani M, Black S et\u00a0al (2010) An overview of tissue types im Druckure ulcers: a\u00a0consensus panel recommendation. Ostomy Wound Manage 56:28\u201344","journal-title":"Ostomy Wound Manage."},{"key":"4230_CR5","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1097\/01.ASW.0000269314.23015.e9","volume":"20","author":"J Black","year":"2007","unstructured":"Black J, Baharestani MM, Cuddigan J et\u00a0al (2007) National Pressure Ulcer Advisory Panel\u2019s updated pressure ulcer staging system. Adv Skin Wound Care 20:269\u2013274","journal-title":"Adv. Skin. Wound Care."},{"key":"4230_CR6","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1111\/iwj.12471","volume":"13","author":"JM Black","year":"2016","unstructured":"Black JM, Brindle CT, Honaker JS (2016) Differential diagnosis of suspected deep tissue injury. Int Wound\u00a0J 13:531\u2013539","journal-title":"Int Wound J"},{"key":"4230_CR7","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1053\/apmr.2003.50038","volume":"84","author":"CV Bouten","year":"2003","unstructured":"Bouten CV, Oomens CW, Baaijens FP et\u00a0al (2003) The etiology of pressure ulcers: skin deep or muscle bound? Arch Phys Med Rehabil 84:616\u2013619","journal-title":"Arch Phys Med Rehabil"},{"key":"4230_CR8","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1097\/WON.0000000000000102","volume":"42","author":"D Brienza","year":"2015","unstructured":"Brienza D, Antokal S, Herbe L et al (2015) Friction-induced skin injuries-are they pressure ulcers? An updated NPUAP white paper. J Wound Ostomy Continence Nurs 42:62\u201364","journal-title":"J. Wound Ostomy Continence Nurs."},{"key":"4230_CR9","doi-asserted-by":"publisher","first-page":"2222","DOI":"10.1111\/jan.12405","volume":"70","author":"S Coleman","year":"2014","unstructured":"Coleman S, Nixon J, Keen J et\u00a0al (2014) A new pressure ulcer conceptual framework. J\u00a0Adv Nurs 70:2222\u20132234","journal-title":"J Adv Nurs"},{"key":"4230_CR10","volume-title":"Wozu wird mit der ICD-10-GM kodiert?","author":"Deutsches Institut f\u00fcr Medizinische Dokumentation und Information","year":"2018","unstructured":"Deutsches Institut f\u00fcr Medizinische Dokumentation und Information (2018) Wozu wird mit der ICD-10-GM kodiert? \n                    http:\/\/www.dimdi.de\/static\/de\/klassi\/icd-10-gm\/anwendung\/zweck\/index.htm\n                    \n                  . Zugegriffen: 28.02.2018"},{"key":"4230_CR11","doi-asserted-by":"publisher","first-page":"727","DOI":"10.12968\/jowc.2017.26.12.727","volume":"26","author":"J Dissemond","year":"2017","unstructured":"Dissemond J, B\u00fcltemann A, Gerber V et\u00a0al (2017) Diagnosis and treatment of chronic wounds: current standards of Germany\u2019s Initiative for Chronic Wounds e.\u202fV. J\u00a0Wound Care 26:727\u2013732","journal-title":"J Wound Care"},{"key":"4230_CR12","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/s00105-016-3761-y","volume":"67","author":"J Dissemond","year":"2016","unstructured":"Dissemond J, B\u00fcltemann A, Gerber V et\u00a0al (2016) Definitionen f\u00fcr die Wundbehandlung. Hautarzt 67:265\u2013266","journal-title":"Hautarzt"},{"key":"4230_CR13","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1007\/s00105-017-3956-x","volume":"68","author":"J Dissemond","year":"2017","unstructured":"Dissemond J, B\u00fcltemann A, Gerber V et\u00a0al (2017) Weitere Definitionen und Schreibweisen f\u00fcr die Wundbehandlung. Hautarzt 68:415\u2013417","journal-title":"Hautarzt"},{"key":"4230_CR14","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1111\/wrr.12259","volume":"23","author":"G Dobos","year":"2015","unstructured":"Dobos G, Gefen A, Blume-Peytavi U et al (2015) Weight-bearing-induced changes in the microtopography and structural stiffness of human skin in vivo following immobility periods. Wound Repair Regen 23:37\u201343","journal-title":"Wound Repair Regen"},{"issue":"26","key":"4230_CR15","first-page":"28","volume":"25","author":"FP Garcia-Fernandez","year":"2016","unstructured":"Garcia-Fernandez FP, Soldevilla Agreda JJ, Pancorbo-Hidalgo PL et al (2016) Classification of dependence-related skin lesions: a\u00a0new proposal. J\u00a0Wound Care 25(26):28\u201332","journal-title":"J Wound Care"},{"key":"4230_CR16","first-page":"26","volume":"59","author":"A Gefen","year":"2013","unstructured":"Gefen A, Farid KJ, Shaywitz I (2013) A review of deep tissue injury development, detection, and prevention: shear savvy. Ostomy Wound Manage 59:26\u201335","journal-title":"Ostomy Wound Manage."},{"key":"4230_CR17","volume-title":"Klinische Beobachtungen und experimentelle Studien \u00fcber die Entstehung des Decubitus","author":"K-E Groth","year":"1942","unstructured":"Groth K\u2011E (1942) Klinische Beobachtungen und experimentelle Studien \u00fcber die Entstehung des Decubitus. Almqvist & Wiksell, Uppsala"},{"key":"4230_CR18","first-page":"860","volume":"53","author":"J Kottner","year":"2014","unstructured":"Kottner J, Burchhardt K (2014) Druckgeschw\u00fcr oder oberfl\u00e4chliche L\u00e4sion. Schwest Pfleger 53:860\u2013862","journal-title":"Schwest Pfleger"},{"key":"4230_CR19","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1016\/j.ijnurstu.2011.04.011","volume":"48","author":"J Kottner","year":"2011","unstructured":"Kottner J, Gefen A, Lahmann N (2011) Weight and pressure ulcer occurrence: a\u00a0secondary data analysis. Int J Nurs Stud 48:1339\u20131348","journal-title":"Int J Nurs Stud"},{"key":"4230_CR20","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1111\/j.1365-2702.2009.03109.x","volume":"19","author":"J Kottner","year":"2010","unstructured":"Kottner J, Halfens R (2010) Moisture lesions: interrater agreement and reliability. J\u00a0Clin Nurs 19:716\u2013720","journal-title":"J Clin Nurs"},{"key":"4230_CR21","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1111\/j.1365-2702.2008.02569.x","volume":"18","author":"J Kottner","year":"2009","unstructured":"Kottner J, Raeder K, Halfens R et\u00a0al (2009) A systematic review of interrater reliability of pressure ulcer classification systems. J\u00a0Clin Nurs 18:315\u2013336","journal-title":"J Clin Nurs"},{"key":"4230_CR22","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1055\/s-0031-1299778","volume":"74","author":"N Lahmann","year":"2012","unstructured":"Lahmann N, Dassen T, Kottner J (2012) Die H\u00e4ufigkeit von Dekubitus in deutschen Krankenh\u00e4usern. Gesundheitswesen 74:793\u2013797","journal-title":"Gesundheitswesen"},{"key":"4230_CR23","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.1016\/j.ijnurstu.2011.07.004","volume":"48","author":"NA Lahmann","year":"2011","unstructured":"Lahmann NA, Kottner J (2011) Relation between pressure, friction and pressure ulcer categories: a\u00a0secondary data analysis of hospital patients using CHAID methods. Int J Nurs Stud 48:1487\u20131494","journal-title":"Int J Nurs Stud"},{"key":"4230_CR24","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1097\/WON.0b013e31828f1a2e","volume":"40","author":"M Mahoney","year":"2013","unstructured":"Mahoney M, Rozenboom B, Doughty D (2013) Challenges in classification of gluteal cleft and buttocks wounds: consensus session reports. J\u00a0Wound Ostomy Continence Nurs 40:239\u2013245","journal-title":"J. Wound Ostomy Continence Nurs."},{"key":"4230_CR25","volume-title":"Prevention and treatment of pressure ulcers: clinical practice guideline","author":"National Pressure Ulcer Advisory Panel","year":"2014","unstructured":"National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Alliance. PPPI (2014) Prevention and treatment of pressure ulcers: clinical practice guideline"},{"key":"4230_CR26","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1007\/s10439-014-1202-6","volume":"43","author":"CW Oomens","year":"2015","unstructured":"Oomens CW, Bader DL, Loerakker S et\u00a0al (2015) Pressure induced deep tissue injury explained. Ann Biomed Eng 43:297\u2013305","journal-title":"Ann Biomed Eng"},{"key":"4230_CR27","volume-title":"The facts about reverse staging in 2000: the NPUAP position statement","author":"Panel NPUA","year":"2000","unstructured":"Panel NPUA (2000) The facts about reverse staging in 2000: the NPUAP position statement"},{"key":"4230_CR28","first-page":"409","volume":"54","author":"JT Rowling","year":"1961","unstructured":"Rowling JT (1961) Pathological changes in mummies. Proc R Soc Med 54:409\u2013415","journal-title":"Proc R Soc Med"},{"key":"4230_CR29","first-page":"84","volume":"72","author":"WO Seiler","year":"1979","unstructured":"Seiler WO, Sthelin HB (1979) Dekubitus: Pathogenese, Pr\u00e4vention und Theorie. Z\u00a0Krankenpfl 72:84\u201389","journal-title":"Z Krankenpfl"},{"key":"4230_CR30","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1097\/00003086-197510000-00012","volume":"112","author":"JD Shea","year":"1975","unstructured":"Shea JD (1975) Pressure sores: classification and management. Clin Orthop Relat Res 112:89\u2013100","journal-title":"Clin Orthop Relat Res"},{"key":"4230_CR31","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1097\/01.ASW.0000408467.26999.6d","volume":"24","author":"RG Sibbald","year":"2011","unstructured":"Sibbald RG, Krasner DL, Woo KY (2011) Pressure ulcer staging revisited: superficial skin changes & deep pressure ulcer framework. Adv Skin Wound Care 24:571\u2013580","journal-title":"Adv. Skin. Wound Care."},{"key":"4230_CR32","first-page":"329","volume":"18","author":"T Ohura","year":"2006","unstructured":"Ohura T, Ohura N (2006) Pathogenetic mechanisms and classification of undermining im Druckure ulcers \u2013 elucidation of relationship with deep tissue injuries. Wounds 18:329\u2013339","journal-title":"Wounds"},{"key":"4230_CR33","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-122069","author":"T Tomova-Simitchieva","year":"2018","unstructured":"Tomova-Simitchieva T, Akdeniz M, Blume-Peytavi U, Lahmann N, Kottner J (2018) Die Epidemiologie des Dekubitus in Deutschland: eine systematische \u00dcbersicht. Gesundheitswesen. \n                    https:\/\/doi.org\/10.1055\/s-0043-122069","journal-title":"Gesundheitswesen"},{"key":"4230_CR34","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.jtv.2016.02.007","volume":"25","author":"H Twilley","year":"2016","unstructured":"Twilley H, Jones S (2016) Heel ulcers \u2013 pressure ulcers or symptoms of peripheral arterial disease? An exploratory matched case control study. J\u00a0Tissue Viability 25:150\u2013156","journal-title":"J Tissue Viability"},{"key":"4230_CR35","volume-title":"WOCN society position statement: pressure ulcer staging","author":"Wound, Ostomy and Continence Society","year":"2011","unstructured":"Wound, Ostomy and Continence Society (2011) WOCN society position statement: pressure ulcer staging (\n                    https:\/\/c.ymcdn.com\/sites\/www.wocn.org\/resource\/collection\/E3050C1A-FBF0-44ED-B28B-C41E24551CCC\/Position_Statement_-_Pressure_Ulcer_Staging_\n                    \n                  (2011).pdf)"}],"container-title":["Der Hautarzt"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00105-018-4230-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00105-018-4230-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00105-018-4230-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,7,15]],"date-time":"2019-07-15T19:35:53Z","timestamp":1563219353000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00105-018-4230-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,16]]},"references-count":35,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["4230"],"URL":"https:\/\/doi.org\/10.1007\/s00105-018-4230-6","relation":{},"ISSN":["0017-8470","1432-1173"],"issn-type":[{"value":"0017-8470","type":"print"},{"value":"1432-1173","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,16]]},"assertion":[{"value":"16 July 2018","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"J.\u00a0Kottner, K.\u00a0Kr\u00f6ger, V.\u00a0Gerber, G.\u00a0Schr\u00f6der und J.\u00a0Dissemond geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Dieser Beitrag beinhaltet keine von den Autoren durchgef\u00fchrten Studien an Menschen oder Tieren.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics"}}]}}