{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:03:00Z","timestamp":1788357780481,"version":"build-2803163510"},"reference-count":45,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dermatology"],"abstract":"<jats:p>Introduction: Assessing the risk of incontinence-associated dermatitis (IAD) in clinical settings can be subjective, which makes early detection difficult. We aim to verify the ability of skin barrier monitoring technology (SBMT) in predicting IAD. Methods: This was a cohort study. Using a convenience sampling method, 282 patients who were admitted to adult intensive care units were included in the study and were monitored for 7 days or until the day of IAD (less than 7 days). The risk of IAD was assessed with the perineal assessment tool (PAT), and skin barrier indicators of the perianal area were measured with a skin barrier instrument once a day. Results: SBMT was better at predicting early IAD than the perineal assessment tool. Relative transepidermal water loss (R-TEWL) was positively correlated with the risk of IAD. Based on the optimal cutoff value for R-TEWL (47.5 g\/m2h), the Kaplan-Meier survival curve showed that the incidence of IAD in the high-risk group was 9.701-fold higher than that in the low-risk group (hazard ratio: 9.701, 95% confidence interval: 4.560\u201320.640; p &lt; 0.001). Conclusion: SBMT can objectively and accurately predict IAD.<\/jats:p>","DOI":"10.1159\/000548722","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T17:01:19Z","timestamp":1764867679000},"page":"215-224","source":"Crossref","is-referenced-by-count":1,"title":["Application of Skin Barrier Monitoring Technology in the Early Prediction of Incontinence-Associated Dermatitis: A Prospective Observational Study"],"prefix":"10.1159","volume":"242","author":[{"given":"Lulu","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jijie","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaying","family":"Lou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqiong","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qixia","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuman","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.14388"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16306"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000865"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2016.25.5.256"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000790484.36520.9a"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31822272d9"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000129"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31823fe246"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2020.10.002"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14102"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12900"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/pde.14305"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.20979"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21061958"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12711"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12599"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10020359"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000656"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000392"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000571"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14594"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1097\/won.0000000000000754"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12590"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000522161.13573.62"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000510"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.41.6.11691"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-475x.11.s2.1.x"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.16327"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1097\/00152192-200701000-00008"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13562"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14684"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12331"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.05.003"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000548"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12630"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1007\/s11356-021-13064-9"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12048"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000029975"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2018.09.001"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000549"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1159\/000522289"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.1080\/15569527.2016.1257637"},{"key":"ref43","doi-asserted-by":"publisher","DOI":"10.1016\/j.alit.2018.12.001"},{"key":"ref44","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.Sup9.S4"},{"key":"ref45","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000722752.86631.af"}],"container-title":["Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000548722","content-type"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