{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:49:57Z","timestamp":1788871797182,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,11,19]],"date-time":"2014-11-19T00:00:00Z","timestamp":1416355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["25670990"],"award-info":[{"award-number":["25670990"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      There is a lack of data from cohort studies for the incidence of skin tears among an elderly population in an\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      sian country. We estimated the cumulative incidence of skin tear, and identify its risk factor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The present prospective cohort study was carried out at a long\u2010term medical facility in\n                      <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>\n                      apan. Participants included patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009368) aged 65 years or older receiving hospital care. The 3\u2010month cumulative incidence of skin tears was estimated by identifying them using direct inspection of the extremities. In order to find the risk factors for the skin tear incidence, odds ratios and their 95% confidence intervals of skin tear development in association with the factors were estimated using logistic regression analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 14 patients developed skin tears, and their cumulative incidence was 3.8%. No patients with skin tears developed multiple wounds on their extremities. Half of the skin tears occurred on the outside of the right forearm, and just three skin tears were found in the lower legs. Multiple logistic analyses showed that pre\u2010existing skin tears (odds ratio 15.42, 95% confidence interval 3.53\u201367.43,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and a 6\u2010point decrease in the total score of the Braden Scale (odds ratio 0.10, 95% confidence interval 0.01\u20130.83,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.033) were significantly associated with skin tear development.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Patients with pre\u2010existing skin tears and a low score of the\n                      <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                      raden\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      cale have a higher risk of skin tear development during 3 months. These factors could be used to identify patients requiring prevention care for skin tears.\n                      <jats:bold>Geriatr Gerontol Int 2015; 15: 1058\u20131063.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.12405","type":"journal-article","created":{"date-parts":[[2014,11,19]],"date-time":"2014-11-19T04:49:20Z","timestamp":1416372560000},"page":"1058-1063","source":"Crossref","is-referenced-by-count":36,"title":["Incidence of skin tears in the extremities among elderly patients at a long\u2010term medical facility in\n                    <scp>J<\/scp>\n                    apan: A prospective cohort study"],"prefix":"10.1111","volume":"15","author":[{"given":"Hiromi","family":"Sanada","sequence":"first","affiliation":[{"name":"Department of Gerontological Nursing\/Wound Care Management Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gojiro","family":"Nakagami","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/Wound Care Management Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuiko","family":"Koyano","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/Wound Care Management Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Iizaka","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/Wound Care Management Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Sugama","sequence":"additional","affiliation":[{"name":"Wellness Promotion Science Center Institute of Medical Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,11,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000405316.99011.95"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.2005.tb00368.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3181c68c89"},{"key":"e_1_2_6_5_1","first-page":"38","article-title":"Preventing skin tears in a nursing and rehabilitation center: an interdisciplinary effort","volume":"52","author":"Bank D","year":"2006","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb03599.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03520.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200407000-00004"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2008.05.015"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2007.03455.x"},{"key":"e_1_2_6_11_1","first-page":"14S","article-title":"Skin tears in institutionalized elderly: an epidemiological study","volume":"44","author":"McGough\u2010Csarny J","year":"1998","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1891\/0739-6686.22.1.161","article-title":"African American and Asian American elders: an ethnogeriatric perspective","volume":"22","author":"McBride MR","year":"2004","journal-title":"Annu Rev Nurs Res"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/NHH.0b013e31827f458a"},{"key":"e_1_2_6_14_1","first-page":"16","article-title":"Defining and classifying skin tears: need for a common language","volume":"39","author":"Payne RL","year":"1993","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31822fc3e5"},{"key":"e_1_2_6_16_1","first-page":"18","article-title":"STAR: a consensus for skin tear classification","volume":"15","author":"Carville K","year":"2007","journal-title":"Prim Intent"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198707000-00002"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/exd.12116"},{"key":"e_1_2_6_19_1","first-page":"61","article-title":"Functional evaluation: the Barthel Index","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"Md State Med J"},{"key":"e_1_2_6_20_1","first-page":"6","article-title":"The functional independence measure: a new tool for rehabilitation","volume":"1","author":"Keith RA","year":"1987","journal-title":"Adv Clin Rehabil"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fggi.12405","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.12405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T06:18:47Z","timestamp":1695536327000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.12405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,19]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["10.1111\/ggi.12405"],"URL":"https:\/\/doi.org\/10.1111\/ggi.12405","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11,19]]}}}