At the University of Malta, Msida, Tiziana Mifsud, MSc, MPodA, and Chiara Mondestini, BSc, MPodA, are Research Support Officers, Mater Dei Hospital; Annabelle Mizzi, PhD, FFPM RCPS (Glasg), is Lecturer, Faculty of Health Science; Owen Falzon, PhD, is Senior Lecturer and Researcher, Centre for Biomedical Cybernetics; Kevin Cassar, MD, FRCS (Edin), MMed (Dund), MD (Aberd), FRCS, FFStEd, is Professor and Vascular Surgeon, Mater Dei Hospital; and Stephen Mizzi, PhD, FFPM RCPS (Glasg), is Lecturer and Researcher, Faculty of Health Science.
Adv Skin Wound Care. 2022 Oct 1;35(10):555-565. doi: 10.1097/01.ASW.0000833612.84272.da. Epub 2022 Jul 4.
To determine whether changes in skin temperature can affect the integrity of skin.
The authors conducted a systematic literature search as per the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. They searched the CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane, MEDLINE Complete, Academic Search Ultimate, and HyDi databases for articles examining the effects of skin temperature on skin integrity published through April 2020. Two independent reviewers scored the methodologic quality of the 13 included studies.
Only 11 studies were included in the qualitative analysis, as the other two articles had a critical risk of bias. There is strong evidence to indicate that an increase in skin temperature leads to changes in skin structure and function. However, ulcer formation was more affected by intrinsic and extrinsic factors, rather than by temperature alone.
Further high-quality randomized controlled trials are required to investigate the direct effect of skin temperature on ulceration.
确定皮肤温度的变化是否会影响皮肤的完整性。
作者按照 PRISMA(系统评价和荟萃分析的首选报告项目)指南进行了系统的文献检索。他们在 CINAHL(护理与联合健康文献累积索引)、Cochrane、MEDLINE Complete、Academic Search Ultimate 和 HyDi 数据库中搜索了截至 2020 年 4 月发表的关于皮肤温度对皮肤完整性影响的文章。两位独立的评审员对 13 项纳入研究的方法学质量进行了评分。
只有 11 项研究被纳入定性分析,因为另外两项文章存在严重的偏倚风险。有强有力的证据表明,皮肤温度的升高会导致皮肤结构和功能的变化。然而,溃疡的形成更多地受到内在和外在因素的影响,而不仅仅是温度。
需要进一步进行高质量的随机对照试验,以研究皮肤温度对溃疡形成的直接影响。