Bladder Incontinence Detection for Pressure Injury Prevention

Microclimate and the application of technology were among the hot topics at the virtual National Pressure Injury Advisory Board (NPIAP) conference in early March 2021. Jake Tran, President & CEO of Toronto Grace Health Centre was lead author on the poster explored the bladder incontinence moisture detection from the Curiato PI-Connect bed sensor technology.

Bladder incontinence creates a humid microclimate at the skin. In combination with pressure these have been identified as critical risk factors in the development of pressure injuries. The poster concerns the latest analysis of a 104-patient study conducted at Toronto Grace Health Centre in Ontario. The study was enabled Centre for Aging + Brain Health Innovation (CABHI).
“As a health system, we need to be proactive in preventing skin injuries. Modern technologies allow us to be innovative in preventing skin injuries and better quality of life especially in our growing aging population. This poster presentation is a glimpse of that innovation and how we can make a difference,” comments Jake Tran, President & CEO of Toronto Grace Health Centre. “Thank you Curiato for the partnership and looking forward to more innovations,” he added.
The NPIAP conference including several sessions and clinical posters examining the role of technology in the early detection of pressure injuries and how repositioning can address this archaic problem. The Curiato PI Connect platform addresses both. Tran as lead author of the poster concludes that “the technology’s ability to accurately measure PI risk factors supports nursing practice. Supplementary data generated has the potential to improve resource allocation by improving targeted microclimate management strategies and decreasing unnecessary interventions. The large volume of data collected will be used as a basis for artificial intelligence applications with the potential to inform other clinical decision-making areas.”

A total of 132 nurse-recorded bladder incontinence observations were identified in the nurse observation data, and 125 bladder incontinence events were identified by the smart surface platform. The comparison resulted in matching 125 out of 132 bladder incontinence events with a 94.7% statistically significant agreement. 

The two graphs above show relating to smart surface platform sensor data for average surface temperature oC (top) and average surface relative humidity (bottom) over a time period of 18 hours. Average values for both surface temperature and surface relative humidity values were segmented based on the section of the bed surface. Average values were segmented into upper, centre, and lower bed regions. The centre of the bed surface was highlighted given the analysis was targeted for bladder incontinence events. Average surface moisture and temperature values over the time period were impacted by the presence of bladder incontinence.

“Curiato analyzes sensor technology data from the surface of the bed”, describes co-founder & co-CEO, Moazam Khan. “The platform can power an ecosystem of valuable clinical applications such as pressure injuries today and heart failure, infectious disease, and patient safety in the future. These provide nursing with clinical decision support to improve patient outcomes and lower health costs.”
In other news, Curiato co-founder and CEO, Moazam Khan has been featured in the University of Waterloo Innovation Arena adverts appearing in the Globe & Mail.

Curiato would like to express its gratitude and acknowledge the support it has received within the innovation ecosystem, including CABHI, University of Waterloo, Velocity Incubator, Communitech, OBIO, OCE, Berkeley Skydeck, Biomedical Zone, Ryerson University, St. Michael’s Hospital, CELS, NRC-Canada, Next Founders, MaRS, Accelerator Centre, St. Paul’s Greenhouse, H2i, and the Government of Ontario. NPIAP provides interprofessional leadership to improve patient outcomes in pressure injury prevention and management through education, public policy and research.


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