The relationship between pressure ulcers and skin blood flow response after a local cold provocation

Rob J. Van Marum, Jan H. Meijer, Miel W. Ribbe

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To study the relationship between an impaired blood flow response after a local cold stimulus, testing nerve regulation of the local blood flow response, and an increased risk of developing pressure ulcers. Design: An observational, longitudinal, prospective study. Setting: Dutch nursing home. Patients: Eighty-two newly admitted somatic nursing home patients, age 60 years and older. Intervention: A local cold stimulus (17°C) applied to the trochanter major. Main Outcome Measures: On admission, blood flow response to a local cold stimulus. As the stimulus was withdrawn, the temperature measured at the skin increased asymptotically toward the final temperature, TfThe velocity of this rise was characterized by the time constant, τ, of the process. On admission, and weekly during a 4-week follow-up period, the presence or absence of pressure ulcers was verified. Results: The blood flow response time correlated significantly with the risk of developing pressure ulcers. The patients who developed pressure ulcers during the follow-up period had a significantly longer response time than the patients who did not. Conclusions: Malfunction of the nervous regulatory mechanisms of the local blood flow is partially responsible for an increased susceptibility to pressure ulcer formation.

Original languageEnglish
Pages (from-to)40-43
Number of pages4
JournalArchives of Physical Medicine and Rehabilitation
Volume83
Issue number1
DOIs
Publication statusPublished - 1 Jan 2002

Cite this

@article{840dbe1718eb4d839556ee56e0995d42,
title = "The relationship between pressure ulcers and skin blood flow response after a local cold provocation",
abstract = "Objective: To study the relationship between an impaired blood flow response after a local cold stimulus, testing nerve regulation of the local blood flow response, and an increased risk of developing pressure ulcers. Design: An observational, longitudinal, prospective study. Setting: Dutch nursing home. Patients: Eighty-two newly admitted somatic nursing home patients, age 60 years and older. Intervention: A local cold stimulus (17°C) applied to the trochanter major. Main Outcome Measures: On admission, blood flow response to a local cold stimulus. As the stimulus was withdrawn, the temperature measured at the skin increased asymptotically toward the final temperature, TfThe velocity of this rise was characterized by the time constant, τ, of the process. On admission, and weekly during a 4-week follow-up period, the presence or absence of pressure ulcers was verified. Results: The blood flow response time correlated significantly with the risk of developing pressure ulcers. The patients who developed pressure ulcers during the follow-up period had a significantly longer response time than the patients who did not. Conclusions: Malfunction of the nervous regulatory mechanisms of the local blood flow is partially responsible for an increased susceptibility to pressure ulcer formation.",
keywords = "Autonomic nervous system, Elderly, Pressure ulcers, Rehabilitation, Skin temperature",
author = "{Van Marum}, {Rob J.} and Meijer, {Jan H.} and Ribbe, {Miel W.}",
year = "2002",
month = "1",
day = "1",
doi = "10.1053/apmr.2002.26827",
language = "English",
volume = "83",
pages = "40--43",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "1",

}

The relationship between pressure ulcers and skin blood flow response after a local cold provocation. / Van Marum, Rob J.; Meijer, Jan H.; Ribbe, Miel W.

In: Archives of Physical Medicine and Rehabilitation, Vol. 83, No. 1, 01.01.2002, p. 40-43.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The relationship between pressure ulcers and skin blood flow response after a local cold provocation

AU - Van Marum, Rob J.

AU - Meijer, Jan H.

AU - Ribbe, Miel W.

PY - 2002/1/1

Y1 - 2002/1/1

N2 - Objective: To study the relationship between an impaired blood flow response after a local cold stimulus, testing nerve regulation of the local blood flow response, and an increased risk of developing pressure ulcers. Design: An observational, longitudinal, prospective study. Setting: Dutch nursing home. Patients: Eighty-two newly admitted somatic nursing home patients, age 60 years and older. Intervention: A local cold stimulus (17°C) applied to the trochanter major. Main Outcome Measures: On admission, blood flow response to a local cold stimulus. As the stimulus was withdrawn, the temperature measured at the skin increased asymptotically toward the final temperature, TfThe velocity of this rise was characterized by the time constant, τ, of the process. On admission, and weekly during a 4-week follow-up period, the presence or absence of pressure ulcers was verified. Results: The blood flow response time correlated significantly with the risk of developing pressure ulcers. The patients who developed pressure ulcers during the follow-up period had a significantly longer response time than the patients who did not. Conclusions: Malfunction of the nervous regulatory mechanisms of the local blood flow is partially responsible for an increased susceptibility to pressure ulcer formation.

AB - Objective: To study the relationship between an impaired blood flow response after a local cold stimulus, testing nerve regulation of the local blood flow response, and an increased risk of developing pressure ulcers. Design: An observational, longitudinal, prospective study. Setting: Dutch nursing home. Patients: Eighty-two newly admitted somatic nursing home patients, age 60 years and older. Intervention: A local cold stimulus (17°C) applied to the trochanter major. Main Outcome Measures: On admission, blood flow response to a local cold stimulus. As the stimulus was withdrawn, the temperature measured at the skin increased asymptotically toward the final temperature, TfThe velocity of this rise was characterized by the time constant, τ, of the process. On admission, and weekly during a 4-week follow-up period, the presence or absence of pressure ulcers was verified. Results: The blood flow response time correlated significantly with the risk of developing pressure ulcers. The patients who developed pressure ulcers during the follow-up period had a significantly longer response time than the patients who did not. Conclusions: Malfunction of the nervous regulatory mechanisms of the local blood flow is partially responsible for an increased susceptibility to pressure ulcer formation.

KW - Autonomic nervous system

KW - Elderly

KW - Pressure ulcers

KW - Rehabilitation

KW - Skin temperature

UR - http://www.scopus.com/inward/record.url?scp=0036141111&partnerID=8YFLogxK

U2 - 10.1053/apmr.2002.26827

DO - 10.1053/apmr.2002.26827

M3 - Article

VL - 83

SP - 40

EP - 43

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 1

ER -