United Wound Healing

Today, we're continuing the conversation around pressure injuries. An educational lesson from Pamela Scarborough,PT,DPT,CWS,FAAWC. Do you know how many risk factors there are for pressure injuries (PI)? Pick the best answer below: The 6 risk factors scored on the Braden Risk Assessment tool Twenty-Four risk factors per CMS Over 100 Immobility only The answer is there are “over 100” potential risk factors for PIs. If you only use the Braden risk assessment tool, you will miss many important comorbidities that put your patient at risk for pressure injuries and skin failure. Ensure you capture and document ALL risk factors including issues such as organ impairments/failure. This will help you identify patients at risk for pressure injuries and those at risk for skin failure. Differentiating PI from skin failure is of paramount importance, requiring comprehensive assessments and thorough documentation of ALL risk factors. #healfearlessly #pressureinjury

Big news for wound care! We’re thrilled to announce our collaboration with Venture Medical to take on the challenge of pressure ulcers through cutting-edge research. By diving into real-world data, this partnership will evaluate how CAMPS products compare to traditional treatments, with the goal of discovering more effective ways to heal complex wounds and enhance patient care. With top-tier expertise and a shared commitment to innovation, we’re eager to see the impact of this work. Stay tuned for updates on our findings! ?? Read the full story here: https://lnkd.in/dHzWsfMJ

Optimal trial design has been top of mind in the run up to Journal of Wound Care (JWC)'s CAMPs 2025 Wound Care Summit?(#CAMPS2025). The result of any trial should be robust estimates of treatment effect. Hierarchical models (aka multilevel, mixed-effects, random-effects models) are powerful tools to evaluate clinical trial data, especially with multisite trials with different providers and subjects. The FDA recognizes Bayesian hierarchical models as a powerful tool for improving the reliability of treatment outcome estimates—particularly in studies with diverse patient populations. A FDA "Impact Story" highlights how these models make better use of data and generate more interpretable results (https://lnkd.in/ecbhq8j2) Wound care studies—especially those evaluating skin substitutes and advanced therapies—often face challenges in standardizing care across multiple study sites. Differences in: ??? Patient populations (e.g., diabetes severity, vascular status) ??? Provider expertise (e.g., experienced vs novice, MD vs NP, certified vs non-certified) ??? Standard-of-care (SOC) practices (e.g., variation in debridement, offloading, or dressing protocols) This can introduce heterogeneity that traditional statistical models struggle to handle effectively. Adding to this complexity, high dropout rates are common in chronic wound care trials, whether due to slow healing, loss to follow-up, or treatment switching. Ignoring missing data can introduce bias, while naive methods like last observation carried forward (LOCF) or complete case analysis can misrepresent true treatment effects. Bayesian hierarchical models (BHMs) provide a more data-efficient, structured approach by: ? Borrowing strength across sites to improve treatment effect estimation ? Using Bayesian imputation techniques to appropriately model missing data due to dropout ? Providing probability-based interpretations instead of rigid p-values ? Allowing site-specific and overall treatment effects to be estimated simultaneously Better Decision-Making for Wound Care Trials In chronic wound RCTs, where healing rates depend on both patient factors and site practices, Bayesian models allow us to: ?? Handle dropout more effectively by integrating uncertainty into missing data imputation ?? Estimate an overall treatment effect while accounting for site variability ?? Provide clinically relevant estimates for individual providers without overfitting ?? Improve inference in small-site studies where standalone estimates would be too uncertain With Medicare coverage decisions increasingly requiring robust evidence, Bayesian approaches provide a data-driven, efficient, and clinically relevant way to analyze wound care trials—especially in the presence of missing data. These models can improve study design, regulatory decisions, and real-world application. Open Wound Research

Join us! https://lnkd.in/gC4aMqpW #healfearlessly

We have some great positions open on our team! Check them out and all of the details here: https://lnkd.in/g29WDNvq ??Shares appreciated!!

A big thank you to PAWSIC for hosting Zwelithini Tunyiswa and Ryan P. Dirks on the webinar "Transforming Wound Care: Guerilla Research Strategies for Real-World Solutions." It was an incredible opportunity to share insights, strategies, and actionable ideas for advancing wound care. We’re excited to collaborate with like-minded professionals dedicated to driving impactful innovation in this space! United Wound Healing

So proud to work with my team at United Wound Healing!

This week's Pearl with Pamela Scarborough,PT,DPT,CWS,FAAWC is a true or false question: The term blister?is a lay term and NOT a medical term. The answer is True! The medical terminology for blisters is either a vesicle?or a bulla, depending on its size: ? A vesicle?is a small, fluid-filled lesion that is ≤0.5 cm?in diameter ? A bulla?is a larger, fluid-filled lesion that is >0.5 cm?in diameter. Both vesicles and bullae are caused by separation within the layers of the epidermis or between the epidermis and dermis, often due to friction, burns, infections, or inflammatory conditions. #healfearlessly #blister

Please join us in giving a warm welcome to our newest team member Tiffany Brown PA. She will be healing, educating, protecting, preventing in the Walla Walla/Tri-Cities area in Washington state! You can learn more about this exceptional human being and healer here: https://lnkd.in/gvWscUPp #healfearlessly

Winter requires its own set of skills to navigate the rhythms and cycles of life. Here is a fast and fun read that will help to inspire you and guide your mindset this season: https://lnkd.in/gSx366Ky #mindsetmonday #healfearlessly