Development of tailored care protocol for skin tears among elderly people

• Project/Area Number: 25670990
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Gerontological nursing
• Research Institution: The University of Tokyo
• Principal Investigator: SANADA Hiromi 東京大学, 医学(系)研究科(研究院), 教授 (50143920)
• Co-Investigator(Kenkyū-buntansha): SUGAMA Junko 金沢大学, 保健学系, 教授 (00203307) ; KONYA Chizuko 金沢医科大学, 看護学部, 教授 (20303282) ; MURAYAMA Ryoko 東京大学, 医学部附属病院, 特任准教授 (10279854) ; MORI Taketoshi 東京大学, 大学院医学系研究科, 特任准教授 (20272586) ; MINEMATSU Takeo 東京大学, 大学院医学系研究科, 特任講師 (00398752) ; 飯坂 真司 東京大学, 医学(系)研究科(研究院), 助教 (40709630)
• Project Period (FY): 2013-04-01 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000); Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2013: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
• Keywords: スキンテア / 高齢者 / テーラーメイド / テーラーメード

Outline of Final Research Achievements

Skin tear is defined as the result of shearing, friction, or blunt trauma that causes separation of skin layers, which often occurs in extremities in the elderly. In this study, we clarified the prevalence and 3-months cumulative incidence among elderly patients in a long-term medical hospital and high risk skin properties. Furthermore, we revealed the net prevalence of 0.78% from nation-wide prevalence study including over 105,000 patients. With the aid of morphological analysis of skin tears by sketching method, some features including shape, direction of the flap, location, or purpura on surrounding skin, were revealed which can offer the clue for establishing algorithm to estimate the etiologic external force.

Research Products

• [Journal Article] Incidence of skin tears in the extremities among elderly patients at a long-term medical facility in Japan: A prospective cohort study. (2015)
  • Author(s): Sanada H, Nakagami G, Koyano Y, Iizaka S, Sugama J.
  • Journal Title: Geriatrics and Gerontology International Volume: - Issue: 8 Pages: 1058-1063
  • DOI: 10.1111/ggi.12405
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Exploring the prevalence of skin tears and skin properties related to skin tears in elderly patients at a long-term medical facility in Japan. (2014)
  • Author(s): Koyano Y, Nakagami G, Iizaka S, Minematsu T, Noguchi H, Tamai N, Mugita Y, Kitamura A, Tabata K, Abe M, Murayama R, Sugama J, Sanada H.
  • Journal Title: International Wound Journal Volume: - Issue: 2 Pages: 189-197
  • DOI: 10.1111/iwj.12251
  • Peer Reviewed
• [Presentation] Development of skin tear assessment tool based on morphological characteristics to estimate the source of external forces in elderly patients. (2015)
  • Author(s): Koyano Y, Nakagami G, Iizaka S, Oe M, Sugama J, Sanada H.
  • Organizer: 18th East Asian Forum of Nursing Scholars
  • Place of Presentation: NTUH International Convention Center (Taiwan, Taipei)
  • Year and Date: 2015-02-05 – 2015-02-06
• [Presentation] 療養病床病院における四肢のスキンテアの3か月累積発生率および関連因子の検討：前向きコホート研究. (2014)
  • Author(s): 真田弘美, 仲上豪二朗, 小谷野結衣子, 飯坂真司, 須釜淳子, 紺家千津子, 杉山徹, 田端恵子.
  • Organizer: 第23回日本創傷・オストミー・失禁管理学会学術集会
  • Place of Presentation: 大宮ソニックシティ（埼玉県大宮市）
  • Year and Date: 2014-05-16 – 2014-05-17
• [Presentation] 本邦の療養病床病院における高齢者のスキンテア(skin tear)有病率とスキンテア保有に関連する皮膚特性 (2013)
  • Author(s): 1.小谷野 結衣子, 仲上 豪二朗, 峰松 健夫, 野口 博史, 山本 裕子, 北村 言, 湯谷 和恵, 酒井 透江, 須釜 淳子, 真田 弘美
  • Organizer: 日本創傷・オストミー・失禁管理学会誌
  • Place of Presentation: グランシップ（静岡県）
• [Remarks] 東京大学大学院医学系研究科 健康科学・看護学専攻 老年看護学／創傷看護学分野
  • URL: http://www.rounenkango.m.u-tokyo.ac.jp/