{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:31:57Z","timestamp":1786383117373,"version":"build-2736575974"},"reference-count":48,"publisher":"Mark Allen Group","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2026,8,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Skin microclimate is a multidimensional construct comprised of temperature, humidity and airflow. Recently, microclimate has been conceptualised as an indirect risk factor for pressure injuries (PIs) because it can affect skin structure and function. The aim of this review was to determine the prognostic value of skin microclimate as an indirect risk factor for PI in adults in any clinical setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A prognostic factor systematic review and Cochrane\u2013Campbell framework synthesis methodology was conducted. This PROSPERO-registered (CRD42023430167) review included eligible full-text studies in any language, published between 1970\u20132023. Included designs were prospective or retrospective cohorts, case\u2013control or case series. Citations retrieved from four databases (PubMed, Embase, CINAHL and Cochrane Library) were independently screened by two authors, with adjudication as necessary. Data extraction and quality assessment were guided by tools developed for prognostic factors reviews and conducted independently by two reviewers, with adjudication if required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The review included nine papers from eight studies. Skin temperature was the only microclimate dimension measured and reported. In some studies, two factors influencing microclimate\u2014transepidermal water loss and ambient temperature\u2014were measured. Decrease and increase in skin temperature, measured by thermometers, probes and infrared thermography, were associated with an increased PI risk. The limited and uncertain evidence means no definitive conclusions could be drawn about the relationship between skin microclimate and PI development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Skin temperature change associated with PI development has been a primary focus of research. The type of device used to measure skin temperature should be considered when interpreting research findings. Further research is required to explore the contributions of humidity and airflow to improve our understanding of skin microclimate and PI development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/jowc.2024.0155","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:14:02Z","timestamp":1786382042000},"page":"676-690","source":"Crossref","is-referenced-by-count":0,"title":["Skin microclimate as an indirect risk factor for pressure injuries: a prognostic factor systematic review and framework synthesis"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2704-150X","authenticated-orcid":false,"given":"Sharon Leanne","family":"Latimer","sequence":"first","affiliation":[{"name":"NHMRC CRE Wiser Wounds Care, School of Nursing and Midwifery, Griffith University, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Fei","family":"Ou","sequence":"additional","affiliation":[{"name":"Nursing Department, Kaohsiung Medical University Hospital, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai Yang","family":"Huang","sequence":"additional","affiliation":[{"name":"College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan"},{"name":"Nursing Department, Chi Mei Hospital, Tainan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipuna Randini","family":"Kuruppu","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Griffith University, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bih-O","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy Pearl","family":"Chaboyer","sequence":"additional","affiliation":[{"name":"NHMRC CRE Wiser Wounds Care, School of Nursing and Midwifery, Griffith University, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13667"},{"key":"e_1_3_3_2_2","unstructured":"European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Panel Pan Pacific Pressure injury Alliance. Prevention and treatment of pressure ulcers\/injuries: clinical practice guidelines. The International Guideline 2019. Haesler E (ed). 2019. https:\/\/www.internationalguideline.com (accessed 1 July 2026)"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103546"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.5455\/medarh.2018.72.362-366"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12088"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy559"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06234-9"},{"issue":"11","key":"e_1_3_3_8_2","first-page":"30","article-title":"Pressure ulcers in the United States\u2019 inpatient population from 2008 to 2012: results of a retrospective nationwide study","volume":"62","author":"Bauer K","year":"2016","unstructured":"Bauer K, Rock K, Nazzal M et al. Pressure ulcers in the United States\u2019 inpatient population from 2008 to 2012: results of a retrospective nationwide study. Ostomy Wound Manage 2016; 62(11):30\u201338","journal-title":"Ostomy Wound Manage"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104191"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/2516043520914215"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000732732.23597.85"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2018.09.010"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2019.06.002"},{"issue":"1","key":"e_1_3_3_14_2","first-page":"8","article-title":"The roles of infrared thermography in pressure ulcer research with focus on skin microclimate induced by medical devices and prophylactic dressings","volume":"10","author":"Gefen A","year":"2019","unstructured":"Gefen A, Amrani G, Cohen LP et al. The roles of infrared thermography in pressure ulcer research with focus on skin microclimate induced by medical devices and prophylactic dressings. Wounds International 2019; 10(1):8\u201315","journal-title":"Wounds International"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.5114\/pdia.2015.48037"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.19162"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-1747.2005.23726.x"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1747.2003.12046.x"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0846.2007.00275.x"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2021.11.006"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17025"},{"key":"e_1_3_3_22_2","doi-asserted-by":"crossref","unstructured":"Maibach HI Honari G. Applied dermatotoxicology: clinical aspects (1st edn). Academic Press 2014","DOI":"10.1016\/B978-0-12-420130-9.00001-3"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/exd.14635"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/srt.12081"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.2741\/s94"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000833612.84272.da"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4597"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0965-206X(06)62002-0"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-4-201302190-00009"},{"key":"e_1_3_3_31_2","unstructured":"Brunton G Booth A Carroll C. Chapter 9: Framework synthesis. 2023. In: Noyes J Harden A (eds). The Cochrane-Campbell handbook for qualitative evidence synthesis. https:\/\/tinyurl.com\/3khc9bpy (accessed 1 July 2026)"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15576"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2020.08.001"},{"issue":"5","key":"e_1_3_3_34_2","first-page":"557","article-title":"Relationship between pressure ulcers in elderly people and physiological indices of the skin","volume":"75","author":"Kohara HT","year":"2021","unstructured":"Kohara HT, Ikeda M, Okawa M. Relationship between pressure ulcers in elderly people and physiological indices of the skin. Acta Med Okayama 2021; 75(5):557\u2013565","journal-title":"Acta Med Okayama"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12340"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000392"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000305496.15768.82"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.enfcli.2021.07.003"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2004.03.005"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.25270\/wmp.2019.8.3037"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1411"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12877"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000511535.31486.bb"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1109\/EMBC.2017.8037110"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12454"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15171"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2022.02.005"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2019.12.023"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2024.0155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:14:05Z","timestamp":1786382045000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2024.0155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,2]]},"references-count":48,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,2]]}},"alternative-id":["10.12968\/jowc.2024.0155"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2024.0155","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,2]]}}}