Development and preliminary clinical validation of a mobile health application for pressure injury staging in ICU patients
-
By
-
Han Sheng
-
Chen Hu
-
Danying Zhang
-
Zhihong Zhu
-
Dong Xu
-
May 28, 2026
Clinical Scorecard: Creation and initial clinical assessment of a mobile health tool for staging pressure injuries in intensive care unit patients
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Mobile health application for wound image acquisition and staging. |
| Target Population | |
| Care Setting | Intensive care units. |
Key Highlights
- High inter-rater agreement between mobile application and expert consensus (iOS: 0.769, Android: 0.821).
- Weighted kappa value of 0.872 between two wound care nurses indicating strong agreement.
- Excellent intra-rater reliability for wound measurements (iOS: 0.952–0.986, Android: 0.959–0.975).
- Application was well accepted by nursing staff.
Guideline-Based Recommendations
Diagnosis
- Accurate staging of pressure injuries is essential for guiding nursing interventions.
Management
- Use mobile health applications to support nursing assessments.
Monitoring & Follow-up
- Dynamic monitoring of pressure injury area is important for assessing healing.
Risks
- Inaccurate staging may delay appropriate intervention.
Patient & Prescribing Data
Accurate classification of pressure injuries is fundamental for effective management.
Clinical Best Practices
- Implement mobile health tools for assessment of pressure injuries.
Related Resources & Content
