{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:53:11Z","timestamp":1781873591274,"version":"3.54.5"},"reference-count":30,"publisher":"International Society of Global Health","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Glob Health"],"DOI":"10.7189\/jogh.16.04175","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:55:07Z","timestamp":1781870107000},"source":"Crossref","is-referenced-by-count":0,"title":["Deep learning-based pressure injury staging: a multicentre study involving 59 hospitals"],"prefix":"10.7189","volume":"16","author":[{"given":"Lu","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Nursing, Peking University People\u2019s Hospital, Beijing, China"},{"name":"School of Nursing, Peking University, Beijing, China"},{"name":"School of Nursing, Sun Yat-Sen University, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengyang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Peking University People\u2019s Hospital, Beijing, China"},{"name":"School of Nursing, Peking University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junxia","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Zhang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changkun","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taohai","family":"Zong","sequence":"additional","affiliation":[{"name":"Huailai County Hospital, Zhangjiakou, Hebei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Libing","family":"Sun","sequence":"additional","affiliation":[{"name":"Trauma Centre, Peking University People\u2019s Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man","family":"Luo","sequence":"additional","affiliation":[{"name":"Wuhan Third Hospital, Wuhan, Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina","family":"Qiao","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Xi\u2019an Jiaotong University, Xi\u2019an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyang","family":"Hu","sequence":"additional","affiliation":[{"name":"Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hangzhou Yongliu Tech, Hangzhou, Zhejiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Can","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Peking University People\u2019s Hospital, Beijing, China"},{"name":"School of Nursing, Peking University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renhao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Peking University People\u2019s Hospital, Beijing, China"},{"name":"School of Nursing, Peking University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Zhou","sequence":"additional","affiliation":[{"name":"Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Peking University People\u2019s Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4223","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"key-10.7189\/jogh.16.04175-202606182334-R1","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1097\/WON.0000000000000281","article-title":"Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.","volume":"43","author":"Edsberg","year":"2016","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R2","doi-asserted-by":"publisher","first-page":"103546","DOI":"10.1016\/j.ijnurstu.2020.103546","article-title":"Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis.","volume":"105","author":"Li","year":"2020","journal-title":"Int J Nurs Stud"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R3","doi-asserted-by":"publisher","first-page":"484","DOI":"10.4103\/njcp.njcp_51_17","article-title":"An analysis of patients in palliative care with pressure injuries.","volume":"21","author":"Dincer","year":"2018","journal-title":"Niger J Clin Pract"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R4","doi-asserted-by":"publisher","first-page":"1494229","DOI":"10.3389\/fpubh.2025.1494229","article-title":"Global, regional and national burden of decubitus ulcers in 204 countries and territories from 1990 to 2021: a systematic analysis based on the global burden of disease study 2021.","volume":"13","author":"Zhang","year":"2025","journal-title":"Front Public Health"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R5","doi-asserted-by":"publisher","first-page":"104191","DOI":"10.1016\/j.ijnurstu.2022.104191","article-title":"Pressure injuries in Australian public hospitals: A cost of illness study.","volume":"130","author":"Nghiem","year":"2022","journal-title":"Int J Nurs Stud"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R6","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1097\/WON.0000000000000528","article-title":"Impact of Pressure Injuries on Patient Outcomes in a Korean Hospital: A Case-Control Study.","volume":"46","author":"Han","year":"2019","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R7","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1111\/iwj.13071","article-title":"The national cost of hospital-acquired pressure injuries in the United States.","volume":"16","author":"Padula","year":"2019","journal-title":"Int Wound J"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R8","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1016\/j.jaad.2018.12.068","article-title":"Pressure ulcers: Prevention and management.","volume":"81","author":"Mervis","year":"2019","journal-title":"J Am Acad Dermatol"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R9","doi-asserted-by":"publisher","first-page":"tkaa038","DOI":"10.1093\/burnst\/tkaa038","article-title":"Wound healing center establishment and new technology application in improving the wound healing quality in China.","volume":"8","author":"Fu","year":"2020","journal-title":"Burns Trauma"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R10","first-page":"167","article-title":"Qualitative study on needs of main caregivers of out-hospital pressure sore patients.","volume":"5","author":"Tao","year":"2019","journal-title":"Chinese Evidence-Based Nursing"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R11","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1111\/ced.14029","article-title":"Artificial intelligence, machine learning and deep learning: definitions and differences.","volume":"45","author":"Jakhar","year":"2020","journal-title":"Clin Exp Dermatol"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R12","doi-asserted-by":"publisher","first-page":"4246","DOI":"10.1111\/jocn.17645","article-title":"Development of a Deep Learning-Based Model for Pressure Injury Surface Assessment.","volume":"34","author":"Liu","year":"2025","journal-title":"J Clin Nurs"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R13","doi-asserted-by":"publisher","first-page":"3047","DOI":"10.1111\/jan.15584","article-title":"Visual classification of pressure injury stages for nurses: A deep learning model applying modern convolutional neural networks.","volume":"79","author":"Seo","year":"2023","journal-title":"J Adv Nurs"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R14","doi-asserted-by":"publisher","first-page":"e41530","DOI":"10.1097\/MD.0000000000041530","article-title":"Development of a pressure ulcer stage determination system for community healthcare providers using a vision transformer deep learning model.","volume":"104","author":"Cho","year":"2025","journal-title":"Medicine (Baltimore)"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R15","doi-asserted-by":"publisher","first-page":"1773031","DOI":"10.3389\/fphys.2026.1773031","article-title":"Construction and validation of a multi-function artificial intelligence-assisted system for pressure injury recognition.","volume":"17","author":"Wang","year":"2026","journal-title":"Front Physiol"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R16","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1016\/j.gerinurse.2024.10.046","article-title":"A novel technique for rapid determination of pressure injury stages using intelligent machine vision.","volume":"61","author":"Liu","year":"2025","journal-title":"Geriatr Nurs"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R17","doi-asserted-by":"publisher","first-page":"e62774","DOI":"10.2196\/62774","article-title":"Convolutional Neural Network Models for Visual Classification of Pressure Ulcer Stages: Cross-Sectional Study.","volume":"13","author":"Lei","year":"2025","journal-title":"JMIR Med Inform"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R18","doi-asserted-by":"publisher","first-page":"7166","DOI":"10.1038\/s41598-024-55639-9","article-title":"High-capacity data hiding for medical images based on the mask-RCNN model.","volume":"14","author":"Saidi","year":"2024","journal-title":"Sci Rep"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R19","doi-asserted-by":"publisher","first-page":"5305","DOI":"10.3390\/s25175305","article-title":"Multi-Scale Attention Networks with Feature Refinement for Medical Item Classification in Intelligent Healthcare Systems.","volume":"25","author":"Riaz","year":"2025","journal-title":"Sensors (Basel)"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R20","doi-asserted-by":"publisher","first-page":"39338","DOI":"10.1038\/s41598-025-23097-6","article-title":"Automated heart disease detection using Swin Transformer and ECG signal processing: a high-accuracy approach.","volume":"15","author":"Abrar","year":"2025","journal-title":"Sci Rep"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R21","doi-asserted-by":"publisher","first-page":"5318","DOI":"10.3390\/s25175318","article-title":"Instance Segmentation Method for Insulators in Complex Backgrounds Based on Improved SOLOv2.","volume":"25","author":"Chen","year":"2025","journal-title":"Sensors (Basel)"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R22","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1109\/TPAMI.2018.2844175","article-title":"Mask R-CNN.","volume":"42","author":"He","year":"2020","journal-title":"IEEE Trans Pattern Anal Mach Intell"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R23","unstructured":"Wang XL, Zhang RF, Kong T, Li L, Shen CH. SOLOv2: Dynamic and Fast Instance Segmentation. In: Larochelle H, Ranzato M, Hadsell R, Balcan MF, Lin H, editors. Neural Information Processing Systems: Proceedings of the 34th Conference on Neural Information Processing Systems (NeurIPS); 2020 Dec 06\u201312; Online; 2020. p. 17721\u201333."},{"key":"key-10.7189\/jogh.16.04175-202606182334-R24","doi-asserted-by":"crossref","unstructured":"He KM, Zhang XY, Ren SQ, Sun J. Deep Residual Learning for Image Recognition. In: IEEE Computer Society. Proceedings of the 29th IEEE Conference on Computer Vision and Pattern Recognition; 2016 Jun 26\u2013Jul 1; Las Vegas, Nevada, USA; 2016. p. 770\u20138.","DOI":"10.1109\/CVPR.2016.90"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R25","doi-asserted-by":"publisher","first-page":"1299","DOI":"10.1109\/TMI.2016.2535302","article-title":"Convolutional Neural Networks for Medical Image Analysis: Full Training or Fine Tuning?","volume":"35","author":"Tajbakhsh","year":"2016","journal-title":"IEEE Trans Med Imaging"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R26","doi-asserted-by":"crossref","unstructured":"Wu L, Wang MZ, Su WJ. The alignment property of SGD noise and how it helps select flat minima: A stability analysis. In: Oh A, Naumann T, Globerson A, Saenko K, Hardt M, Levine S, editors. 36th Conference on Neural Information Processing Systems (NeurIPS); 2022; Nov 28\u2013Dec 09; Virtual; 2022. 4680\u201393.","DOI":"10.52202\/068431-0338"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R27","doi-asserted-by":"publisher","first-page":"279","DOI":"10.3390\/electronics10030279","article-title":"A Comparative Analysis of Object Detection Metrics with a Companion Open-Source Toolkit.","volume":"10","author":"Padilla","year":"2021","journal-title":"Electronics (Basel)"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R28","doi-asserted-by":"publisher","first-page":"28","DOI":"10.25270\/wmp.22083","article-title":"Training and practice of wound ostomy continence nurse specialists in China.","volume":"69","author":"Yang","year":"2023","journal-title":"Wound Manag Prev"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R29","doi-asserted-by":"publisher","first-page":"e67356","DOI":"10.2196\/67356","article-title":"Fine-Grained Classification of Pressure Ulcers and Incontinence-Associated Dermatitis Using Multimodal Deep Learning: Algorithm Development and Validation Study.","volume":"4","author":"Brehmer","year":"2025","journal-title":"JMIR AI"},{"key":"key-10.7189\/jogh.16.04175-202606182334-R30","doi-asserted-by":"publisher","first-page":"1259756","DOI":"10.3389\/fsurg.2023.1259756","article-title":"Developing the surgeon-machine interface: using a novel instance-segmentation framework for intraoperative landmark labelling.","volume":"10","author":"Park","year":"2023","journal-title":"Front Surg"}],"container-title":["Journal of Global Health"],"original-title":[],"link":[{"URL":"https:\/\/jogh.org\/2026\/jogh-16-04175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:55:09Z","timestamp":1781870109000},"score":1,"resource":{"primary":{"URL":"https:\/\/jogh.org\/2026\/jogh-16-04175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":30,"URL":"https:\/\/doi.org\/10.7189\/jogh.16.04175","relation":{},"ISSN":["2047-2978","2047-2986"],"issn-type":[{"value":"2047-2978","type":"print"},{"value":"2047-2986","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"article-number":"04175"}}