Wearable Prophylaxis Tool for AI-Driven Identification of Early Warning Patterns of Pressure Ulcers

Author:

Gruenerbel Lorenz1ORCID,Heinrich Ferdinand1ORCID,Böhlhoff-Martin Jonathan2ORCID,Röper Lynn2ORCID,Machens Hans-Günther2ORCID,Gruenerbel Arthur3ORCID,Schillinger Moritz4ORCID,Kist Andreas4ORCID,Wenninger Franz1ORCID,Richter Martin1ORCID,Steinbacher Leonard2ORCID

Affiliation:

1. Fraunhofer Institute for Electronic Microsystems and Solid State Technologies EMFT, 80686 Munich, Germany

2. Department for Plastic Surgery and Hand Surgery, Technical University Munich, Hospital Rechts der Isar MRI, 81675 Munich, Germany

3. Bavarian Foot Network, 81477 Munich, Germany

4. Artificial Intelligence in Communication Disorders, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany

Abstract

As today’s society ages, age-related diseases become more frequent. One very common but yet preventable disease is the development of pressure ulcers (PUs). PUs can occur if tissue is exposed to a long-lasting pressure load, e.g., lying on tissue without turning. The cure of PUs requires intensive care, especially for the elderly or people with preexisting conditions whose tissue needs longer healing times. The consequences are heavy suffering for the patient and extreme costs for the health care system. To avoid these consequences, our objective is to develop a pressure ulcer prophylaxis device. For that, we built a new sensor system able to monitor the pressure load and tissue vital signs in immediate local proximity at patient’s predilection sites. In the clinical study, we found several indicators showing correlations between tissue perfusion and the risk of PU development, including strongly reduced SpO2 levels in body tissue prior to a diagnosed PU. Finally, we propose a prophylaxis system that allows for the prediction of PU developments in early stages before they become visible. This work is the first step in generating an effective system to warn patients or caregivers about developing PUs and taking appropriate preventative measures. Widespread application could reduce patient suffering and lead to substantial cost savings.

Funder

German Federal Ministry of Health

Publisher

MDPI AG

Subject

Bioengineering

Reference70 articles.

1. Pressure ulcers;Grey;BMJ (Clin. Res. Ed.),2006

2. Gruenerbel, L. (2023, May 04). Project KIPRODE: AI-Assisted Prophylaxis of Pressure Ulcers. Available online: https://www.emft.fraunhofer.de/en/projects-fraunhofer-emft/AI-assisted-prophylaxis-pressure-ulcers.html.

3. (2021, November 01). MONKS-Aerzte im Netz. Available online: https://www.monks.de/monks-aerzte-im-netz/.

4. Destatis—Statistisches Bundesamt Germany (2023, July 17). 5 Million People in Need of Long-Term Care at the End of 2021. Available online: https://www.destatis.de/EN/Press/2022/12/PE22_554_224.html.

5. IQTIG (2023, July 17). DeQS-RL Dekubitusprophylaxe EJ 2021 Jahresbericht. Available online: https://iqtig.org/downloads/auswertung/2021/dek/DeQS_DEK_2021_BUAW_V01_2022-10-21.pdf.

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