Document Detail

Monitoring healing of pressure ulcers: a review of assessment instruments for use in the spinal cord unit.
MedLine Citation:
PMID:  19949418     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To identify the pressure ulcer healing assessment instrument that is the best choice for use in spinal cord injury rehabilitation.
METHODS: Articles were retrieved from PubMed. Inclusion criteria were written in English, published up to December 2008 and describing instruments evaluated in more than one study. Search terms were pressure ulcer, wound healing, severity of illness index, reproducibility of results, sensitivity and specificity. Articles describing pressure ulcer staging scales and articles not describing clinimetric properties of an instrument were excluded. Validity, reliability, responsiveness and feasibility for routine clinical use were described of all instruments evaluated in two or more studies.
RESULTS: Eleven instruments were described. Clinimetric information was incomplete for all instruments. Clinimetric information was most complete and promising for two instruments: 'ruler length and width' and the 'Sessing' scale. The ruler method showed good intra-rater and inter-rater reliability and good concurrent validity. The 'Sessing' scale has a moderate concurrent validity but was not tested for its responsiveness.
CONCLUSION: Further study of the clinimetric properties of pressure ulcer assessment instruments is necessary before the best instrument can be selected.
M S van Lis; F W A van Asbeck; M W M Post
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-12-01
Journal Detail:
Title:  Spinal cord     Volume:  48     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-05-13     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  92-9     Citation Subset:  IM    
Bovenij Ziekenhuis, Department of Rehabilitation, Amsterdam and Rehabilitation Centre, Amsterdam, The Netherlands.
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MeSH Terms
Monitoring, Physiologic / methods*
Outcome Assessment (Health Care) / methods
Pressure Ulcer / etiology,  physiopathology*
Reproducibility of Results
Spinal Cord Injuries / complications,  rehabilitation
Wound Healing / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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