{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:42:43Z","timestamp":1790602963972,"version":"4.1.0"},"reference-count":71,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012921","name":"Royal College of Surgeons in Ireland","doi-asserted-by":"publisher","award":["19657A01"],"award-info":[{"award-number":["19657A01"]}],"id":[{"id":"10.13039\/100012921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There is growing interest in the roles of temperature, epidermal hydration (EH) and pain in pressure ulcer (PU) development. Investigating correlations between these measures and sub\u2010epidermal moisture (SEM) will address this knowledge deficit. A prospective observational study enrolled 60 surgical patients from February to November 2021. SEM, temperature, EH and pain were assessed using a SEM scanner, thermography imaging, skin hydration device and numeric pain intensity scale, respectively. Measurements were taken at the sacrum, both heels and a control site, before and after surgery for 3\u2009days. Data were analysed using Pearson or Spearman's correlation. Of the participants, 50% were male with a mean age of 58\u2009years (\u00b113.46). Low positive\/negative correlations between SEM and temperature were found at the sacrum. However, after removing outliers, these results were not statistically significant. Other sites and follow\u2010up days showed negligible correlations. No evidence of a correlation, to low correlations between SEM and EH were observed, but unreliable due to little variation in EH at the heels. Pain showed negligible correlations with SEM. This study did not find consistent evidence of a correlation between SEM, temperature, EH and pain, highlighting the unreliability of temperature and EH for early PU detection. Post\u2010operative pain may also confound accurate pain assessments.<\/jats:p>","DOI":"10.1111\/iwj.70058","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T01:40:57Z","timestamp":1728438057000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The correlation between sub\u2010epidermal moisture assessment and other early indicators of pressure ulcer development: A prospective cohort observational study. Part 2. The correlation between sub\u2010epidermal moisture assessment, temperature, epidermal hydration and pain"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7336-8218","authenticated-orcid":false,"given":"Hannah Jane Elizabeth","family":"Wilson","sequence":"first","affiliation":[{"name":"Skin Wounds and Trauma Research Centre RCSI University of Medicine and Health Sciences  Dublin Ireland"},{"name":"School of Nursing and Midwifery RCSI University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1018-2605","authenticated-orcid":false,"given":"Declan","family":"Patton","sequence":"additional","affiliation":[{"name":"Skin Wounds and Trauma Research Centre RCSI University of Medicine and Health Sciences  Dublin Ireland"},{"name":"School of Nursing and Midwifery RCSI University of Medicine and Health Sciences  Dublin Ireland"},{"name":"Fakeeh College of Health Sciences  Jeddah Saudi Arabia"},{"name":"School of Nursing and Midwifery Griffith University  Nathan Australia"},{"name":"Honorary Senior Fellow, Faculty of Science, Medicine and Health University of Wollongong  Wollongong Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0741-9926","authenticated-orcid":false,"given":"Aglecia Moda Vitoriano","family":"Budri","sequence":"additional","affiliation":[{"name":"Skin Wounds and Trauma Research Centre RCSI University of Medicine and Health Sciences  Dublin Ireland"},{"name":"School of Nursing and Midwifery RCSI University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3228-0046","authenticated-orcid":false,"given":"Fiona","family":"Boland","sequence":"additional","affiliation":[{"name":"Data Science Centre, School of Population Health RCSI University of Medicine and Health Sciences  Dublin 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