A smartphone-based teleconsultation system for the management of chronic pressure injuries

Autor:	Jung Yoon Kim, Yeon Joo Son, Sooyoung Yoo, Changsik Pak, Jae Hoon Jeong, Chan Yeong Heo, Hyeonwoo Kim, Rong Min Baek, Ji In Jeon, Suyeon Park, Ki Hwan Ahn
Rok vydání:	2018
Předmět:	medicine.medical_specialty Primary dressing Pressure injury business.industry Pressure sores Concordance Wound size Dermatology 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Chronic disease Physical therapy medicine Secondary dressing Surgery 030212 general & internal medicine business
Zdroj:	Wound Repair and Regeneration. 26:S19-S26
ISSN:	1067-1927
DOI:	10.1111/wrr.2
Popis:	We investigated the accuracy of pressure injury evaluation using tele-devices and examined the concordance between automatically generated recommendations and primary manual recommendations. Caregivers took photos and videos of pressure injuries using smartphones with built-in cameras and uploaded the media to the application. The wound team evaluated the wound using a specially modified version of the Pressure Sore Status Tool. This was compared with the Pressure Sore Status Tool score assessed during the actual examination of the patient. We developed an automatic algorithm for dressing based on the Pressure Sore Status Tool score, checking for consistency between this and the primary manual recommendation. A total of 60 patients diagnosed with pressure injuries were included. The κ coefficients indicated substantial agreement for wound size and total score, and excellent for all other items. We found that the overall concordance rates were statistically significant for all items (p < 0.001). For the primary dressing, the κ coefficient for the concordance rate of automatic algorithm and manual recommendation was 0.771, while that of teleconsultation system and manual recommendation was 0.971. For the secondary dressing, the figures were 0.798 and 0.989, respectively. All values were statistically significant (p < 0.001). We presented strong evidence documenting the utilization of a smartphone, patient-driven system, and demonstrated that the measurements obtained were comparable to the ones obtained by a trained, on-site, wound team. Furthermore, we confirmed agreement between automatically generated recommendations and primary manual recommendations.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::95e20155ab73f4e5a9821bfb2c153211 https://doi.org/10.1111/wrr.2 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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