| Monitoring healing of pressure ulcers: a review of assessment instruments for use in the spinal cord unit. | |
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MedLine Citation:
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PMID: 19949418 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: Review. 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. |
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Authors:
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M S van Lis; F W A van Asbeck; M W M Post |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-12-01 |
Journal Detail:
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Title: Spinal cord Volume: 48 ISSN: 1476-5624 ISO Abbreviation: Spinal Cord Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-04 Completed Date: 2010-05-13 Revised Date: 2011-06-06 |
Medline Journal Info:
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Nlm Unique ID: 9609749 Medline TA: Spinal Cord Country: England |
Other Details:
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Languages: eng Pagination: 92-9 Citation Subset: IM |
Affiliation:
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Bovenij Ziekenhuis, Department of Rehabilitation, Amsterdam and Rehabilitation Centre, Amsterdam, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Humans Monitoring, Physiologic / methods* Outcome Assessment (Health Care) / methods Pressure Ulcer / etiology, physiopathology* Reproducibility of Results Spinal Cord Injuries / complications, rehabilitation Wound Healing / physiology* |
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