{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:39:45Z","timestamp":1792719585281,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients undergoing prolonged complex surgery are vulnerable to perioperative pressure injuries. The clinical value of adjunctive pressure\u2010mapping systems in this setting remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate whether real\u2010time intraoperative pressure\u2010sensing monitoring, used in addition to standard pressure injury prevention care, was associated with differences in perioperative pressure injury incidence and related outcomes among adults undergoing prolonged high\u2010risk surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 250 adults undergoing prolonged cardiac, hepatobiliary, neurosurgical, or orthopaedic procedures were enrolled. Participants received either standard institutional pressure injury prevention care alone or standard care plus real\u2010time pressure\u2010sensing monitoring, with group allocation determined by device availability and operating\u2010room scheduling logistics. The primary outcome was newly identified perioperative pressure injury through postoperative day 7. Secondary clinical outcomes were time from surgery to injury onset and hospital length of stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Pressure injuries occurred more frequently in the monitoring group than in the standard\u2010care group (68.0% vs. 53.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02), whereas injury severity and anatomical distribution were comparable. Time to documented injury was shorter, and postoperative pain scores and hospital stay were lower and shorter in the monitoring group. Interface\u2010pressure data were available for the monitoring group only and are reported descriptively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Real\u2010time pressure\u2010sensing monitoring, when added to standard preventive care, was associated with improved selected secondary outcomes but did not reduce pressure injury incidence and was associated with a higher injury frequency in this cohort. These findings should be interpreted cautiously given the non\u2010randomised design and baseline differences between groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijn.70185","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:17:46Z","timestamp":1791519466000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Real\u2010Time Pressure\u2010Sensing Monitoring Added to Standard Intraoperative Pressure Injury Prevention in High\u2010Risk Surgical Patients: A Prospective Non\u2010Randomised Comparative Study"],"prefix":"10.1111","volume":"32","author":[{"given":"Heng","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5839-9939","authenticated-orcid":false,"given":"Xiaofeng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meijuan","family":"Zhen","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binbin","family":"Luo","sequence":"additional","affiliation":[{"name":"Minimally Invasive Surgery Center The Second Affiliated Hospital of Guangzhou Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1537-0748","authenticated-orcid":false,"given":"Qiaofang","family":"He","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Zhujiang Hospital, Southern Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970\u20100358.101287"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2018.02.008"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.08.006"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.13767"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.9.496"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12994"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0297588"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000835"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.5435\/jaaosglobal\u2010d\u201017\u201000088"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.asw.0000931808.23779.44"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2021.10.007"},{"key":"e_1_2_13_13_1","volume-title":"Prevention and Treatment of Pressure Ulcers\/Injuries: Clinical Practice Guideline. 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