Enzymatic Debridement for Burn Wound Care: Interrater Reliability and Impact of Experience in Post-intervention Therapy Decision
| Autor: | Arne Böcker, Laura C Siegwart, Benjamin Ziegler, Christoph Hirche, Sebastian Fischer, Yannick Diehm, Dimitra Kotsougiani-Fischer, Ulrich Kneser, Stella Erdmann |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Enzyme complex
medicine.medical_specialty Telemedicine Consensus AcademicSubjects/MED00910 Attitude of Health Personnel MEDLINE Subgroup analysis Post-intervention Likert scale 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Medicine Humans Collagenases Physician-Patient Relations Wound Healing Biological Dressings business.industry Rehabilitation 030208 emergency & critical care medicine Original Articles Confidence interval Inter-rater reliability Microbial Collagenase Debridement Emergency Medicine Physical therapy Surgery Clinical Competence business Burns |
| Zdroj: | Journal of Burn Care & Research: Official Publication of the American Burn Association |
| ISSN: | 1559-0488 1559-047X |
| Popis: | Enzymatic debridement (ED) has become a reliable tool for eschar removal. Although ED application is simple, wound bed evaluation and therapy decision post-intervention are prone to subjectivity and failure. Experience in ED might be the key, but this has not been proven yet. The aim of this study was to assess interrater reliability (IR) in post-intervention wound bed evaluation and therapy decision as well as the impact of experience. In addition, the authors introduce video assessment as a valuable tool for post-ED decision-making and education. A video-based survey was conducted among physicians with various experiences in ED. The survey involved multiple-choice and 5-point Likert scale questions about professional status, experience in ED, confidence in post-ED wound bed evaluation, and therapy decision. Subsequently, videos of 15 mixed pattern to full-thickness burns immediately after removal of the enzyme complex were demonstrated. Participants were asked for evaluation of each burn wound, including bleeding pattern and consequent therapy decision. IR ≥ 80% was considered as a consensus. Responses were stratified according to participants’ experience in applying ED ( |
| Databáze: | OpenAIRE |
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