Standardizing the classification of skin tears: validity and
reliability testing of the International Skin Tear Advisory
Panel Classification System in 44 countries

J 2020

Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

VAN TIGGELEN, H.; K. LEBLANC; K. CAMPBELL; K. WOO; S. BARANOSKI et al.

Základní údaje

Originální název

Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

Autoři

Vydání

British Journal of Dermatology, Hoboken, Wiley-Blackwell, 2020, 0007-0963

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30216 Dermatology and venereal diseases

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 9.302

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/20:00115640

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

PRESSURE-ULCER; RISK-FACTORS; PREVALENCE; CARE; TRANSLATION; EXTREMITIES; VALIDATION; PREVENTION; AGREEMENT

Štítky

14110611, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 10. 8. 2020 13:00, Mgr. Tereza Miškechová

Anotace

V originále

Background Skin tears are acute wounds that are frequently misdiagnosed and under-reported. A standardized and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives To measure the validity and reliability of the International Skin Tear Advisory Panel (ISTAP) Classification System internationally. Methods A multicountry study was set up to validate the content of the ISTAP Classification System through expert consultation in a two-round Delphi procedure involving 17 experts from 11 countries. An online survey including 24 skin tear photographs was conducted in a convenience sample of 1601 healthcare professionals from 44 countries to measure diagnostic accuracy, agreement, inter-rater reliability and intrarater reliability of the instrument. Results A definition for the concept of a 'skin flap' in the area of skin tears was developed and added to the initial ISTAP Classification System consisting of three skin tear types. The overall agreement with the reference standard was 0 center dot 79 [95% confidence interval (CI) 0 center dot 79-0 center dot 80] and sensitivity ranged from 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75) to 0 center dot 88 (95% CI 0 center dot 87-0 center dot 88). The inter-rater reliability was 0 center dot 57 (95% CI 0 center dot 57-0 center dot 57). The Cohen's Kappa measuring intrarater reliability was 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75). Conclusions The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally. What's already known about this topic? Skin tears are common acute wounds that are misdiagnosed and under-reported too often. A skin tear classification system is needed to standardize documentation and description for clinical practice, audit and research. What does this study add? The International Skin Tear Advisory Panel Classification System was psychometrically tested in 1601 healthcare professionals from 44 countries. Diagnostic accuracy was high when differentiating between type 1, 2 and 3 skin tears using a set of validated photographs.

Citovat

VAN TIGGELEN, H.; K. LEBLANC; K. CAMPBELL; K. WOO; S. BARANOSKI; Y. Y. CHANG; A. M. DUNK; M. GLOECKNER; H. HEVIA; S. HOLLOWAY; P. IDENSOHN; P. KARADAG; E. KOREN; J. KOTTNER; D. LANGEMO; K. OUSEY; Andrea POKORNÁ; M. ROMANELLI; V. L. C. G. SANTOS; S. SMET; G. TARIQ; K. VAN DEN BUSSCHE; A. VAN HECKE; S. VERHAEGHE; H. VUAGNAT; A. WILLIAMS a D. BEECKMAN. Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. British Journal of Dermatology. Hoboken: Wiley-Blackwell, 2020, roč. 183, č. 1, s. 146-154. ISSN 0007-0963. Dostupné z: https://doi.org/10.1111/bjd.18604.

@article{1655456,
   author = {van Tiggelen, H. and LeBlanc, K. and Campbell, K. and Woo, K. and Baranoski, S. and Chang, Y. Y. and Dunk, A. M. and Gloeckner, M. and Hevia, H. and Holloway, S. and Idensohn, P. and Karadag, P. and Koren, E. and Kottner, J. and Langemo, D. and Ousey, K. and Pokorná, Andrea and Romanelli, M. and Santos, V. L. C. G. and Smet, S. and Tariq, G. and van den Bussche, K. and van Hecke, A. and Verhaeghe, S. and Vuagnat, H. and Williams, A. and Beeckman, D.},
   article_location = {Hoboken},
   article_number = {1},
   doi = {https://doi.org/10.1111/bjd.18604},
   keywords = {PRESSURE-ULCER; RISK-FACTORS; PREVALENCE; CARE; TRANSLATION; EXTREMITIES; VALIDATION; PREVENTION; AGREEMENT},
   language = {eng},
   issn = {0007-0963},
   journal = {British Journal of Dermatology},
   title = {Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries},
   url = {https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604},
   volume = {183},
   year = {2020}
}

TY  - JOUR
ID  - 1655456
AU  - van Tiggelen, H. - LeBlanc, K. - Campbell, K. - Woo, K. - Baranoski, S. - Chang, Y. Y. - Dunk, A. M. - Gloeckner, M. - Hevia, H. - Holloway, S. - Idensohn, P. - Karadag, P. - Koren, E. - Kottner, J. - Langemo, D. - Ousey, K. - Pokorná, Andrea - Romanelli, M. - Santos, V. L. C. G. - Smet, S. - Tariq, G. - van den Bussche, K. - van Hecke, A. - Verhaeghe, S. - Vuagnat, H. - Williams, A. - Beeckman, D.
PY  - 2020
TI  - Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries
JF  - British Journal of Dermatology
VL  - 183
IS  - 1
SP  - 146-154
EP  - 146-154
PB  - Wiley-Blackwell
SN  - 00070963
KW  - PRESSURE-ULCER
KW  - RISK-FACTORS
KW  - PREVALENCE
KW  - CARE
KW  - TRANSLATION
KW  - EXTREMITIES
KW  - VALIDATION
KW  - PREVENTION
KW  - AGREEMENT
UR  - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604
L2  - https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604
N2  - Background Skin tears are acute wounds that are frequently misdiagnosed and under-reported. A standardized and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives To measure the validity and reliability of the International Skin Tear Advisory Panel (ISTAP) Classification System internationally. Methods A multicountry study was set up to validate the content of the ISTAP Classification System through expert consultation in a two-round Delphi procedure involving 17 experts from 11 countries. An online survey including 24 skin tear photographs was conducted in a convenience sample of 1601 healthcare professionals from 44 countries to measure diagnostic accuracy, agreement, inter-rater reliability and intrarater reliability of the instrument. Results A definition for the concept of a 'skin flap' in the area of skin tears was developed and added to the initial ISTAP Classification System consisting of three skin tear types. The overall agreement with the reference standard was 0 center dot 79 [95% confidence interval (CI) 0 center dot 79-0 center dot 80] and sensitivity ranged from 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75) to 0 center dot 88 (95% CI 0 center dot 87-0 center dot 88). The inter-rater reliability was 0 center dot 57 (95% CI 0 center dot 57-0 center dot 57). The Cohen's Kappa measuring intrarater reliability was 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75). Conclusions The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally. What's already known about this topic? Skin tears are common acute wounds that are misdiagnosed and under-reported too often. A skin tear classification system is needed to standardize documentation and description for clinical practice, audit and research. What does this study add? The International Skin Tear Advisory Panel Classification System was psychometrically tested in 1601 healthcare professionals from 44 countries. Diagnostic accuracy was high when differentiating between type 1, 2 and 3 skin tears using a set of validated photographs.
ER  -

VAN TIGGELEN, H.; K. LEBLANC; K. CAMPBELL; K. WOO; S. BARANOSKI; Y. Y. CHANG; A. M. DUNK; M. GLOECKNER; H. HEVIA; S. HOLLOWAY; P. IDENSOHN; P. KARADAG; E. KOREN; J. KOTTNER; D. LANGEMO; K. OUSEY; Andrea POKORNÁ; M. ROMANELLI; V. L. C. G. SANTOS; S. SMET; G. TARIQ; K. VAN DEN BUSSCHE; A. VAN HECKE; S. VERHAEGHE; H. VUAGNAT; A. WILLIAMS a D. BEECKMAN. Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries. \textit{British Journal of Dermatology}. Hoboken: Wiley-Blackwell, 2020, roč.~183, č.~1, s.~146-154. ISSN~0007-0963. Dostupné z: https://doi.org/10.1111/bjd.18604.

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