{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:07:09Z","timestamp":1778864829850,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T00:00:00Z","timestamp":1628640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We sought to assess health professionals\u2019 satisfaction with the National Pressure Injury Advisory Panel staging system (NPUAP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A paper survey assessing the satisfaction with the NPUAP was distributed to participants of a national wound care meeting. A total of 88 surveys were completed. Results were tabulated using SPSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The survey response rate was 50%. Nearly all respondents (95.0%) used NPAUP for documentation. 75.3% indicated that a better staging system was needed. When participants were asked to evaluate their current staging system, 63.5% stated that the system does not adequately reflect patient\u2019s clinical condition, 61.6% felt that the current staging system was not easily reproducible, 58.0% believed that the current staging system was generally easy-to-use, and 43.9% indicated that it is unable to suggest management recommendations. When asked about an ideal classification system, the respondents proposed incorporating tissue necrosis (97.6%), depth of tissue involvement (96.3%), discharge documentation (92.5%), presence of osteomyelitis (90%), local infection (88.8%), and systemic infection (80.0%). Overall, 67.0% of the participants wanted to use a classification system that would reflect the progress of injury healing and could be used to indicate the need for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Health care workers caring for pressure injury patients indicated dissatisfaction with the NPAUP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348211038574","type":"journal-article","created":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T05:35:14Z","timestamp":1628660114000},"page":"665-670","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of Current Pressure Ulcer Staging"],"prefix":"10.1177","volume":"89","author":[{"given":"Stavros","family":"Stefanopoulos","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiong","family":"Qiu","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid","family":"Alshaibani","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munier","family":"Nazzal","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed F.","family":"Osman","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Toledo, College of Medicine and Life Sciences, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,11]]},"reference":[{"issue":"4","key":"bibr1-00031348211038574","first-page":"208","volume":"14","author":"Pressure ulcers in America: prevalence, incidence, and implications for the future","year":"2001","journal-title":"Adv Skin Wound Care"},{"issue":"11","key":"bibr2-00031348211038574","first-page":"30","volume":"62","author":"Bauer K","year":"2016","journal-title":"Ostomy Wound Manage"},{"key":"bibr3-00031348211038574","volume-title":"Healthcare Cost and Utilization Project (HCUP) Statistical Briefs","author":"Russo CA","year":"2006"},{"key":"bibr4-00031348211038574","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000413597.20438.d2"},{"issue":"2","key":"bibr5-00031348211038574","first-page":"24","volume":"2","author":"Pressure ulcers prevalence, cost and risk assessment: consensus development conference statement","year":"1989","journal-title":"Decubitus"},{"key":"bibr6-00031348211038574","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000281"},{"key":"bibr7-00031348211038574","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03439.x"},{"key":"bibr8-00031348211038574","doi-asserted-by":"publisher","DOI":"10.1097\/CNQ.0b013e31823b1f22"},{"key":"bibr9-00031348211038574","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-60509-3_3"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211038574","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348211038574","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211038574","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:34:10Z","timestamp":1777379650000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348211038574"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,11]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1177\/00031348211038574"],"URL":"https:\/\/doi.org\/10.1177\/00031348211038574","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,11]]}}}