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
