Evidence

The Science is Clear

Extensive research demonstrates the validity and utility of non-invasive SEM scanning technology for early pressure injury prevention.

Trust the Science. Treat the Delta.

The science is clear: SEM = persistent focal edema = stage 1 pressure injury.1 Discover how this fact can translate into actionable prevention strategies across your care settings.

Key Results

220+
Publications Support SEM Technology
90
Peer-Reviewed Publications
7
Independent Systematic Reviews 
120+
Scientific Congress Presentations
12
Care Guidelines & Consensus Statements

SEM Scanning is Referenced in Clinical Practice Guidelines

SEM scanning is now referenced by leading clinical organizations worldwide.

All Evidence Resources

Topic

Care Setting

Evidence

Bedside Technologies to Enhance the Early Detection of Pressure Injuries – A Systematic Review.

March 1, 2020

Aim: The purpose of this systematic review was to determine whether sufficient research evidence exists to support the use of bedside technologies for early detection of pressure injures, which is inclusive of pressure-related blanchable erythema (PrBE), pressure-related nonblanchable erythema (PrNBE), and deep tissue pressure injury (DTPI).

Evidence

Identification of Increased Risk of Pressure Damage With a Sub-Epidermal Moisture Scanner: Clinical Outcomes and Cost-Effectiveness.

March 1, 2020

Aim: This article reviews the use of a sub-epidermal moisture (SEM) scanning device as an early and robust method of identifying the increased risk of pressure damage before it is visible on the surface of the skin. This could allow the implementation of early interventions and potentially decrease the frequency of hospital-acquired pressure injury.

Evidence

Modelling the Cost-Benefits Arising From Technology-Aided Early Detection of Pressure Ulcers.

February 27, 2020

Aim: In this study, implementation of the new SEM assessment technology (Bruin Biometrics, CA, US) as an adjunct to the current standard of care practice of visual skin assessments has been tested from probabilistic and cost benefit perspectives.

Evidence

Enhanced Skin Assessment Methodology to Detect Early Tissue Damage and Prevent Pressure Injuries

February 1, 2020

Evidence

Sensitivity and Laboratory Performances of a Second-Generation Sub-Epidermal Moisture Measurement Device.

February 1, 2020

Peko, L. et al. 2020. International Wound Journal Aim: We were interested in experimentally evaluating the sensitivity and laboratory performances of a second generation design of a new sub-epidermal moisture (SEM) measurement device that is able to identify localised fluid content changes in skin and subdermally, which may precede a pressure injury.

Evidence

A Blinded Clinical Study Using a Sub-Epidermal Moisture Biocapacitance Measurement Device for Early Detection of Pressure Injuries.

January 21, 2020

Aim: This study aimed to evaluate the sensitivity and specificity of subepidermal moisture (SEM), a biomarker employed for early detection of pressure injury, compared to the “Gold Standard” of clinical skin and tissue assessment (STA), and to characterize the timing of SEM changes relative to the diagnosis of a pressure injury.

Evidence

The Cost-Effectiveness of Sub-Epidermal Moisture Scanning to Access Pressure Injury in U.S. Health Systems.

January 1, 2020

Aim: Our objective was to evaluate the cost-effectiveness of adopting sub-epidermal moisture scanners in comparison to existing hospital-acquired pressure injury prevention guidelines structured around subjective risk assessments.

Evidence

Impaired Mobility and Pressure Ulcer Development in Older Adults: Excess Movement and Too Little Movement – Two Sides of the One Coin?

January 1, 2020

Aim: To identify how activity and mobility lead to pressure injury development, using two objective assessments, one for mobility and one for early pressure injury detection.

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