Assessment of a smartphone-based application for diabetic foot ulcer measurement
Autor: | Suzanne Edwards, Ruth Battersby, Joseph Dawson, Prue Cowled, Robert Fitridge, Guilherme Pena, Zygmunt L. Szpak, Beatrice Kuang |
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Rok vydání: | 2021 |
Předmět: |
Telemedicine
medicine.medical_specialty Wound size Wound surface Dermatology 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Diabetes Mellitus Photography Humans Wound Healing integumentary system business.industry Objective measurement Reproducibility of Results medicine.disease Diabetic foot Volume Accuracy Diabetic Foot Diabetic foot ulcer Mobile phone Physical therapy Surgery Smartphone business |
Zdroj: | Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair SocietyREFERENCES. 29(3) |
ISSN: | 1524-475X |
Popis: | The accurate measurement of diabetic foot ulcer (DFU) wound size is essential as the rate of wound healing is a significant prognostic indicator of the likelihood of complete wound healing. Mobile phone photography is often used for surveillance and to aid in telemedicine consultations. However, there remains no accurate and objective measurement of wound size integrated into these photos. The NDKare mobile phone application has been developed to address this need and our study evaluates its accuracy and practicality for DFU wound size assessment. The NDKare mobile phone application was evaluated for its accuracy in two- (2D) and three-dimensional (3D) wound measurement. One hundred and fifteen diabetic foot wounds were assessed for wound surface area, depth and volume accuracy in comparison to Visitrak and the WoundVue camera. Thirty five wounds had two assessors with different mobiles phones utilizing both applications to assess the reproducibility of the measurements. The 2D surface area measurements by NDKare showed excellent concordance with Visitrak and WoundVue measurements (ICC: 0.991 [95% CI: 0.988, 0.993]) and between different users (ICC: 0.98 [95% CI: 0.96, 0.99)]. The 3D NDKare measurements had good agreement for depth and fair agreement for volume with the WoundVue camera. The NDKare phone application can consistently and accurately obtain 2D measurements of diabetic foot wounds with mobile phone photography. This is a quick and readily accessible tool which can be integrated into comprehensive diabetic wound care. |
Databáze: | OpenAIRE |
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