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首页> 外文期刊>Burns: Including Thermal Injury >A modified Vancouver Scar Scale linked with TBSA (mVSS-TBSA): Inter-rater reliability of an innovative burn scar assessment method
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A modified Vancouver Scar Scale linked with TBSA (mVSS-TBSA): Inter-rater reliability of an innovative burn scar assessment method

机译：与TBSA（MVSS-TBSA）相关的改进的温哥华瘢痕秤：创新烧伤瘢痕评估方法的帧间可靠性

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摘要

Background: Current scar assessment methods do not capture variation in scar outcome across the burn scar surface area. A new method (mVSS-TBSA) using a modified Vancouver Scar Scale (mVSS) linked with %TBSA was devised and inter-rater reliability was assessed. Method: Three raters performed scar assessments on thirty patients with burn scars using the mVSS-TBSA. Scoring on pigmentation, vascularity, pliability and height was undertaken for the 'best' and 'worst' areas of each scar. Raters allocated the total body surface area of the scar (%TBSA) to three mVSS categories (5, 5-10, 10). Intra-class correlation coefficient (ICC) and weighted kappa statistic (kw) were used to assess inter-rater reliability. The data were also analysed for clinically relevant misclassifications between pairs of raters. Results: Total mVSS scores showed 'fair to good' agreement (ICC 0.65-0.73) in the 'best' area of the scar while there was 'excellent' agreement in the 'worst' scar area (ICC 0.85-0.88). The kw of the individual mVSS components ranged from 0.44 to 0.84 and 0.02 to 0.86 for 'best' and 'worst' scar areas, respectively. Determination of scar %TBSA had 'excellent' reliability (ICC 0.91-0.96). Allocation of scar %TBSA to severity category 5 mVSS demonstrated 'good to excellent' reliability (ICC 0.63-0.80) and 'fair to good' reliability (ICC 0.42-0.74) for 5-10 mVSS category. However, misclassifications were observed for the total mVSS score in the 'worst' scar area and the allocation of scar %TBSA in the 5 mVSS category. Conclusion: Inter-rater reliability of mVSS scores depends on the severity of the scar area being assessed. The mVSS-TBSA method of allocation of scar %TBSA to two broad mVSS categories, namely 5 and ≥5 mVSS, has 'good to excellent' reliability. The mVSS-TBSA has demonstrated utility for both clinical and research purposes; however, there is potential to misclassify scar outcome in some cases.
机译：背景：目前的瘢痕评估方法不会捕获烧伤瘢痕表面区域的瘢痕结果的变化。使用与％TBSA相关的改进的温哥华瘢痕秤（MVSS）进行了一种新的方法（MVSS-TBSA），并评估了帧间间可靠性。方法：使用MVSS-TBSA的三十名患者对三十名患者进行了瘢痕评估。对颜色沉着，血管性，柔韧性和高度进行评分，为每条瘢痕的“最佳”和“最糟糕的”区域进行。评估者将瘢痕（％TBSA）的总体表面积分配给三个MVSS类别（＆ 5,5-10，＆ 10）。使用阶级相关系数（ICC）和加权κ统计（KW）来评估帧间的可靠性。还分析了数据，用于对成对的重子之间的临床相关的错误分类。结果：总MVSS分数显示出“良好”协议（ICC 0.65-0.73）在“最佳”区域中的疤痕区域，而“最糟糕”疤痕区域（ICC 0.85-0.88）中有“出色”一致。为“最佳”和“最差”和“最差”和“最差”的瘢痕区域分别为0.44至0.84和0.02至0.86的kW。瘢痕％TBSA的测定具有“优异”可靠性（ICC 0.91-0.96）。 SCAR％TBSA分配到严重程度类别＆LT; 5 MVSS展示了5-10个MVSS类别的“良好的优异”可靠性（ICC 0.63-0.80）和“良好”可靠性（ICC 0.42-0.74）。然而，在“最差”瘢痕面积中的MVSS分数和SCAR％TBSA的分配中，观察到错误分类。结论：MVSSS分数的帧间间可靠性取决于评估瘢痕区域的严重程度。 SCAR％TBSA分配的MVSS-TBSA至两种广泛的MVSS类别，即<5且≥5mVS，具有“良好的优异”可靠性。 MVSS-TBSA已经证明了临床和研究目的的效用;然而，在某些情况下存在潜在的瘢痕结果。

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  • 来源
    《Burns: Including Thermal Injury》 |2013年第6期|共8页
  • 作者

    GankandeT.U.; WoodF.M.; EdgarD.W.; DukeJ.M.; DejongH.M.; HendersonA.E.; WallaceH.J.;

  • 作者单位

    Burn Injury Research Unit School of Surgery University of Western Australia 35 Stirling Highway;

    Burn Injury Research Unit School of Surgery University of Western Australia 35 Stirling Highway;

    Burn Injury Research Unit School of Surgery University of Western Australia 35 Stirling Highway;

    Burn Injury Research Unit School of Surgery University of Western Australia 35 Stirling Highway;

    Burn Injury Research Unit School of Surgery University of Western Australia 35 Stirling Highway;

    Burns Service of Western Australia Royal Perth Hospital Australia;

    Burn Injury Research Unit School of Surgery University of Western Australia 35 Stirling Highway;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 创伤外科学;
  • 关键词

    Burns; Inter-rater reliability; Scar assessment;

    机译：烧伤;帧间可靠性;疤痕评估;

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