Thermography and Tissue Oximetry to Differentiate Acute Skin Failure from Pressure Injury

Overview

About this study

The purpose of this study is to determine if skin temperature and tissue oximetry changes can be detected over pressure points in patients experiencing acute skin failure

 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Inclusion criteria for the study includes a convenience sample of adult ICU patients with 2 or more identified risk factors with admission to ICU for 48 hours or longer. References for the risk factors are in the Study Protocol. Risk factors include the following:
    • 2 or more organ system failures as defined by:
      • Cardiac (Mechanical Cardiac Assist Devices);
      • Renal (Continuous Renal Replacement Therapy (CRRT);
      • Respiratory (Mechanical Ventilation);
      • Liver (Model for End-Stage Liver Disease (MELD) Score > 20)
    • 2 or more Vasoactive and inotrope medications infusions at time of enrollment:
      • Dobutamine;
      • Epinephrine;
      • Dopamine;
      • Milrinone;
      • Phenylephrine;
      • Norepinephrine;
      • Vasopressin.
  • Peripheral Arterial Disease listed on active problem list
  • Extracorporeal Membrane Oxygenation (ECMO) Support
  • Mechanical Ventilation for greater than 72 hours
  • Documented Sepsis or Septic Shock in Electronic Health Record

Exclusion Criteria: 

  • Patients with a pressure injury present on admission.
  • Patients admitted to the ICU less than 48 hours.
  • Patients with a provider “do not turn” order.
  • Patients under 18 years of age.
  • Patients not currently ICU status level of care.
  • Patients that cannot be assessed by devices due to technological limitations.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eligibility last updated 4/25/23. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Tracy Thomas, APRN, M.S.N., R.N.

Contact us for the latest status

Contact information:

Tracy Thomas APRN, M.S.N., R.N.

(480) 574-4322

Thomas.Tracy2@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20579446

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