{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:06:31Z","timestamp":1790622391164,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T00:00:00Z","timestamp":1611619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>To verify the ability of infrared thermography in objectively identifying pressure injury and its application value in the early warning of pressure injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is subjectivity in assessing the risk of pressure injury as well as diagnosis in clinical settings, which makes early detection and prevention difficult.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Four hundred and fifteen patients admitted to the adult intensive care units were enrolled by a convenience sampling method, and they received a follow\u2010up monitoring for 10\u00a0days. The risk of pressure injury was assessed via Braden scale, and thermal images of sacral area were obtained by infrared thermal imager once a day. The predictive effects of infrared thermography and Braden scale on pressure injury were compared by the receiver operating characteristic curve from which the optimal cut\u2010off value of skin temperature for predicting pressure injury was determined. The effect of skin temperature on pressure injury was described and compared, using Kaplan\u2013Meier curve and Cox proportional hazard regression model, respectively. We followed STROBE checklist for reporting the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The relative temperature of sacral area was negatively correlated with the risk of pressure injury. The efficiency of infrared thermography for diagnosing pressure injury was better than that of Braden scale. Based on the relative temperature optimal cut\u2010off value (\u22120.1\u00b0C), Kaplan\u2013Meier curve and Cox proportional hazard regression model analysis showed the incidence of pressure injury with relative temperature below \u22120.1\u00b0C was higher than the group with relative temperature above \u22120.1\u00b0C.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Infrared thermography can objectively and accurately identify local hypothermia warnings of pressure injury before visual recognition. The application of infrared thermography into routine pressure injury risk assessment provides a timely and reliable method for nursing practitioners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Infrared thermography has great value of clinical application in daily pressure injury assessment. It is of great significance to make a faster and more objective clinical judgement for patients at risk of pressure injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.15576","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T03:23:46Z","timestamp":1606793026000},"page":"559-571","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Application of infrared thermography in the early warning of pressure injury: A prospective observational study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9271-5032","authenticated-orcid":false,"given":"Fuman","family":"Cai","sequence":"first","affiliation":[{"name":"School of Nursing Xi'an Jiaotong University Health Science Centre Xi'an China"},{"name":"School of Nursing Wenzhou Medical University Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqiong","family":"Jiang","sequence":"additional","affiliation":[{"name":"School of Nursing Wenzhou Medical University Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangqing","family":"Hou","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Macau Macau China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duolao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Liverpool School of Tropical Medicine Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Medical Engineering Office The First Affiliated Hospital of Wenzhou Medical University Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haisong","family":"Deng","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Wenzhou Medical University Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailei","family":"Guo","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Wenzhou Medical University Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haishuang","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Wenzhou Medical University Wenzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomei","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Xi'an Jiaotong University Health Science Centre Xi'an China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15054"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.Sup12.S9"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.8.512"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1088\/1361-6579\/ab031a"},{"key":"e_1_2_14_6_1","first-page":"1461","article-title":"Long term monitoring of a pressure ulcer risk patient using thermal images","volume":"2017","author":"Bennett S. L.","year":"2017","journal-title":"Conference Proceedings IEEE Engineering in Medicine and Biology Society"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.09.015"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000522161.13573.62"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2016.12.001"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0309364611424614"},{"issue":"10","key":"e_1_2_14_11_1","first-page":"14","article-title":"A prospective, observational study to assess the use of thermography to predict progression of discolored intact skin to necrosis among patients in skilled nursing facilities","volume":"62","author":"Cox J.","year":"2016","journal-title":"Ostomy\/Wound Management"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1269-x"},{"issue":"10","key":"e_1_2_14_13_1","first-page":"274","article-title":"Correlation between wound temperature obtained with an infrared camera and clinical wound bed score in venous leg ulcers","volume":"27","author":"Dini V.","year":"2015","journal-title":"Wounds"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000281"},{"issue":"8","key":"e_1_2_14_15_1","first-page":"20","article-title":"Using temperature of pressure\u2010related intact discolored areas of skin to detect deep tissue injury an observational, retrospective, correlational study","volume":"58","author":"Farid K. J.","year":"2012","journal-title":"Ostomy\/Wound Manage"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12266"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13414"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14091"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1179\/204577211X13209212104141"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13241"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2012.01117.x"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.03.287"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000392925.83594.50"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12454"},{"issue":"8","key":"e_1_2_14_25_1","first-page":"20","article-title":"Use of smartphone attached mobile thermography assessing subclinical inflammation a pilot study","volume":"58","author":"Kanazawa T.","year":"2012","journal-title":"Journal of Wound Care"},{"issue":"2","key":"e_1_2_14_26_1","first-page":"16","article-title":"Relative contributions of interface pressure, shear stress, and temperature on ischemic\u2010induced, skin\u2010reactive hyperemia in healthy volunteers: A repeated measures laboratory study","volume":"61","author":"Lachenbruch C.","year":"2015","journal-title":"Ostomy\/Wound Management"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000511535.31486.bb"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0954411919851387"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000392"},{"key":"e_1_2_14_30_1","first-page":"CD006471","article-title":"Risk assessment tools for the prevention of pressure ulcers","volume":"1","author":"Moore Z. E.","year":"2019","journal-title":"Cochrane Database Systematic Review"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12604"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000305"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.5.199"},{"issue":"2","key":"e_1_2_14_34_1","first-page":"122","article-title":"Assessing predictive validity of pressure ulcer risk scales\u2010 a systematic review and meta\u2010analysis","volume":"45","author":"Park S. H.","year":"2016","journal-title":"Iranian Journal of Public Health"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945915602259"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12262"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12499"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccw.2016.07.001"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13438"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000292"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtherbio.2019.04.008"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000321"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12340"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12048"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15576","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.15576","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.15576","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T22:49:13Z","timestamp":1693694953000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.15576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,26]]},"references-count":43,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/jocn.15576"],"URL":"https:\/\/doi.org\/10.1111\/jocn.15576","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,26]]},"assertion":[{"value":"2020-03-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}