Repeatability and clinical utility in stereophotogrammetric measurements of wounds.

Objective: To investigate the hypothesis that stereophotogrammetric wound size monitoring shows suitable inter-observer reliability and user acceptance for clinical practice use. Method: Veterans admitted for conservative management of severe pressure ulcers were eligible for inclusion in the study....

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Publicado en:Journal of Wound Care Vol. 22; no. 2; pp. 90 - 97
Autores principales: Davis, A. J., Nishimura, J., Seton, J., Goodman, B. L., Ho, C. H., Bogie, K. M.
Formato: equations & formulas research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Feb2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2013
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        atl: Repeatability and clinical utility in stereophotogrammetric measurements of wounds.
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          Davis, A. J.
          Nishimura, J.
          Seton, J.
          Goodman, B. L.
          Ho, C. H.
          Bogie, K. M.
        affil: School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA
      sug:
        subj:
          Photogrammetry Utilization
          Reproducibility of Results Evaluation
          Wound Assessment Methods
          Pressure Ulcer
          Human
          Interrater Reliability
          Veterans
          Expert Clinicians
          Nurses
          Intraclass Correlation Coefficient
          Double-Blind Studies
          Funding Source
          Male
          Female
          Adult
          Analysis of Variance
          Wilcoxon Signed Rank Test
          kappa Statistic
          Mann-Whitney U Test
          Convenience Sample
          Exploratory Research
          Descriptive Statistics
          Data Analysis Software
          Adult: 19-44 years
          Male
          Female
      ab: Objective: To investigate the hypothesis that stereophotogrammetric wound size monitoring shows suitable inter-observer reliability and user acceptance for clinical practice use. Method: Veterans admitted for conservative management of severe pressure ulcers were eligible for inclusion in the study. Three-dimensional (3D) digital wound images were independently captured by two expert and two non-expert nurse-observers using a commercially available stereophotogrammetry system, weekly for 6 weeks. A double-blinded analyst generated 3D wound reconstructions, using software to determine geometry. Clinical opinion of wound progression was provided by an expert physician. Results: Thirteen wounds were assessed with more than 80% of all images being readable. Interclass correlation of 0.9867 (p < 0.0001) was observed. Compared with clinical opinion, 3D wound measurement was sensitive between improving and static wounds for wound perimeter, volume, depth and length. Conclusion: These preliminary findings suggest that 3D wound measurement minimises differences in wound measurement between expert and non-expert observers, suggesting it could be implemented with high reliability in health-care settings where several observers are involved in wound care management. Declaration of interest: This study was funded in part by a grant from the Department of Veterans Affairs VISN10 Research Initiative Program. All study personnel contributed to the paper. AJD's effort was provided in partial fulfilment of the requirements for the MD degree from Case Western Reserve University School of Medicine. The authors declare they have no conflict of interests with regard to the information presented in this paper.
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        equations & formulas
        research
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      ougenre: Article
    language: English
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