A simple severity index for pressure ulcers.
A simple severity index for pressure ulcers.
复制标题
压疮的简单严重程度指数。
DOI：
10.12968/jowc.2000.9.2.25954
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发表时间：
2000
影响因子：
1.9
通讯作者：
E. Pérez
中科院分区：
文献类型：
--
作者：
J. Emparanza;P. Aranegui;M. M. Ruiz;E. Pérez
本研究的目的是设计和测试压疮严重程度评分的基础上评估有经验的临床医生。由7名经验丰富的临床医生分别对50个压疮进行独立评估，使用的量表范围从0（最轻微的损伤）到10（最严重的损伤）。分析溃疡特征以确定哪些因素与评估相关。第二组50个溃疡用于测试所得评分系统的有效性。在另外10个压疮中测试了观察者间和观察者内的可靠性。基于以下三个变量产生多变量线性模型：伤口基底中的颜色（CO匹配）;溃疡的深度（DE）;和伤口的平均直径（D）（“CODED”）。将每个变量的系数四舍五入，以产生加法方程（CODED评分）中的点。该评分与用于测试评分性能的第二组评价具有高度相关性（r = 0.92，P < 0.001）。CODED评分是量化压疮进展的简单有效工具。它与有经验的临床医生的严重程度评估具有高度相关性，并且在由无经验的观察者使用时是可靠的。
The aim of this study was to design and test a pressure ulcer severity score based on assessment by experienced clinicians. Fifty pressure ulcers were each evaluated independently by seven experienced clinicians, using a scale that ranged from 0 (mildest damage) to 10 (most severe). Ulcer characteristics were analysed to determine which factors related to the assessments. A second set of 50 ulcers was used to test the validity of the resulting scoring system. Inter- and intra-observer reliability were tested in a further 10 pressure ulcers. A multivariate linear model was produced, based on the following three variables: colour (CO-matched-matched) in the wound base; depth (DE) of the ulcer; and mean diameter (D) of the wound ('CODED'). The coefficients for each variable were rounded to yield points in an additive equation, the CODED score. This score had a high correlation (r = 0.92, P < 0.001) with the second set of evaluations, used to test the score performance. The CODED score is a simple and valid tool to quantify the progress of a pressure ulcer. It has a high correlation with the severity assessment of experienced clinicians and is reliable when used by non-experienced observers.