Phase angle for assessing lesion risk or healing: A systematic review
HTML
HTML (Português (Brasil))
HTML (Español (España))
EPUB
EPUB (Português (Brasil))
EPUB (Español (España))
PDF
PDF (Português (Brasil))
PDF (Español (España))

Keywords

Ângulo de Fase
Lesão de Pele
Bioimpedância
Lesão Cutânea Phase Angle
Skin Lesion
Bioimpedance
Cutaneous Lesion Ángulo de Fase
Lesión de la Piel
Bioimpedancia
Lesión Cutánea

PlumX Metrics

Abstract

Objective: To assess the effectiveness of the phase angle measured
by electrical bioimpedance as a predictor for healing evaluation in patients with skin
lesions or risk of developing them. Method: A systematic review operationalized
according to Joanna Briggs Institute methodology, PRISMA checklist recommendations.
The sample included patients over 18 years old with varied skin lesions. Results: Four
studies demonstrated the use of phase angle for the healing outcome and one study
indicated a possible relationship between phase angle and the prediction of the onset
and risk of pressure ulcer. Cut-off points were obtained for certain lesions. As it was not
possible to perform a meta-analysis, it is proposed to conduct primary studies on the
theme of this study. Conclusion: Although there are few scientific papers with the theme
proposed, it was possible to demonstrate moderate evidence for the “healing” outcome
and low evidence for the “risk of lesion” outcome.

https://doi.org/10.17665/1676-4285.20216481
HTML
HTML (Português (Brasil))
HTML (Español (España))
EPUB
EPUB (Português (Brasil))
EPUB (Español (España))
PDF
PDF (Português (Brasil))
PDF (Español (España))

References

Pena NF, Mauricio SF, Rodrigues AMS, Carmo AS, Coury NC, Correia MITD et al. Association Between Standardized Phase Angle, Nutrition Status, and Clinical Outcomes in Surgical Cancer Patients. Nutr Clin Pract. 2019;34(3):381-386.

Alves FD, Souza GC, Clausell N, Biolo A. Papel prognóstico do ângulo de fase em pacientes hospitalizados com insuficiência cardíaca descompensada. Nutrição. 2016;35:1530-4.

Jansen AK, Gattermann T, Fink JC, Saldanha MF, Rocha CDN, Moreira THS et al. Low standardized phase angle predicts prolonged hospitalization in critically ill patients. Clin Nutr ESPEN. 2019;34:68-72.

Mattiello R, Amaral MA, Mundstock E, Ziegelmann PK. Reference values for the phase angle of the electrical bioimpedance: Systematic review and meta-analysis involving more than 250,000 subjects. Clin Nutr. 2020;39(5):1411-7.

Pileggi VN, Scalize ARH, Camelo Junior JS. Ângulo de fase e critérios da Organização Mundial de Saúde na avaliação do estado nutricional em crianças com osteogênese imperfeita. Rev Paul Pediatr. 2016;34(4):484-8.

Silva JG, Oliveira KF, Ferreira MBG, Pacheco FA, Calegari IB, Barbosa MH. Composição corporal e ocorrência de lesão por pressão: revisão integrativa. Rev Baiana Enferm. 2019;33:e28790.

Kekonen A, Bergelin M, Eriksson JE, Vaalasti A, Ylänen H, Viik J. Bioimpedance measurement based evaluation of wound healing. Physiol Meas. 2017;38(2017):1373-83.

Oliveira FP, Oliveira BGRB, Santana RF, Silva BP, Candido JSC. Classificações de intervenções e resultados de enfermagem em pacientes com feridas: mapeamento cruzado. Rev Gaúcha Enferm. 2016;37(2):e55033.

Zimmermann GS, Cremasco MF, Zanei SSV, Takahashi SM, Cohrs CR, Whitaker IY. Predição de risco de lesão por pressão em pacientes de unidade de terapia intensiva: revisão integrativa. Texto & Contexto Enferm. 2018;27(3):e3250017.

Borghardt AT, Prado TN, Araújo TM, Rogenski NMB, Bringuente MEO. Avaliação das escalas de risco para úlcera por pressão em pacientes críticos: uma coorte prospectiva. Rev Latino-Am Enferm. 2015; 23(1):28-35.

Kekoren A, Bergelin M, Johansson M, Joon NK, Bobacka J, Viik J. Bioimpedance Sensor Array for Long-Term Monitoring of Wound Healing from Beneath the Primary Dressings and Controlled Formation of H2O2 Using Low-Intensity Direct Current. Sensors (Basel). 2019;19(11):2505.

Vieira CPB, Araújo TME. Prevalence and factors associated with chronic wounds in older adults in primary care. Rev Esc Enferm USP. 2018;52:e03415.

Aromataris E, Munn Z. (Editors). JBI Manual for Evidence Synthesis. Adelaide: JBI; 2020.

Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiol Serv Saúde. 2015;24(2):335-42.

Moore MF, Dobson N, Castellino L, Kapp S. Phase Angle, an Alternative Physiological Tool to Assess Wound Treatment in Chronic Nonhealing Wounds. J Am Col Certif Wound Spec. 2011;3(1):2-7. [included in the review]

Gamerith C, Luschnig D, Ortner A, Pietrzik N, Guse J-H, Burnet M et al. Monitoring wound healing in minor burns: a novel approach. Burns. 2018;44(1):70-6. [included in the review]

Hengstermann S, Fischer A, Steinhagen-Thiessen E, Schulz RJ. Nutrition status and pressure ulcer: what we need for nutrition screening. JPEN J Parenter Enteral Nutr. 2007;31(4):288-94. [included in the review]

Gonzalez-Correa CA, Rivera-Garzón RA, Martínez-Táutiva S. Electric impedance and the healing of diabetic foot ulcers. J. Phys. 2019;1272:012009. [included in the review]

Mota RF, Christovam BP, Norberto ZN, Nascimento DC, Xavier MPSA, Nascimento Júnior SS et al. Há relação entre baixos valores de ângulo de fase e desenvolvimento de lesão por pressão? In: Strickler A. Ciência, tecnologia e inovação: desafio para um mundo global. Ponta Grossa, PR: Atena; 2019. [included in the review]

Vieira CPB, Pinheiro DMP, Luz MHBA, Araújo TME, Andrade EMLR. Wound care technologies used by nurses. Rev Enferm UFPI. 2017;6(1):65-70.

Silva DES, Waitzberg DL, Jesus RP, Oliveira LPM, Torrinhas RS, Belarmino G. Phase angle as a marker for sarcopenia in cirrhosis. Clin Nutr ESPEN. 2019;32:56-60.

Bosy-Westphal A, Danielzik S, Dörhöfer RP, Later W, Wiese S, Müller MJ. Phase angle from bioelectrical impedance analysis: population reference values by age, sex, and body mass index. JPEN J Parenter Enteral Nutr. 2006;30(4):309-16.

Barbosa-Silva MC, Barros AJ, Wang J, Heymsfield SB, Pierson RN Jr. Bioelectrical impedance analysis: population reference values for phase angle by age and sex. Am J Clin Nutr. 2005;82(1):49-52.

Silva TK, Perry IDS, Brauner JS, Weber OCB, Souza GC, Vieira SRR. Performance evaluation of phase angle and handgrip strength in patients undergoing cardiac surgery: Prospective cohort study. Aust Crit Care. 2018;31(5):284-290.

Martin L, Lagergren J, Blomberg J, Johar A, Bosaeus I, Lagergren P. Phase angle as a prognostic marker after percutaneous endoscopic gastrostomy (PEG) in a prospective cohort study. Scand J Gastroenterol. 2016;51(8):1013-6.

Gonzalez MC, Barbosa-Silva TG, Bielemann RM, Gallagher D, Heymsfield SB. Phase angle and its determinants in healthy subjects: influence of body composition. Am J Clin Nutr. 2016;103(3):712-6.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2021 Array