Monitoring wound healing in minor burns-A novel approach
| Autor: | Michael Phillips, Dale W. Edgar, Tiffany L. Grisbrook, William Gibson, Fiona M. Wood, Pippa Kenworthy |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Pilot Projects Limb segment Critical Care and Intensive Care Medicine 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine Bioimpedance spectroscopy Edema medicine Humans Zero frequency Wound Healing Burn wound business.industry Spectrum Analysis 030208 emergency & critical care medicine Total body General Medicine Surgery Logistic Models Dielectric Spectroscopy Emergency Medicine Female medicine.symptom Wound healing business Burns Bioelectrical impedance analysis |
| Zdroj: | Burns : journal of the International Society for Burn Injuries. 44(1) |
| ISSN: | 1879-1409 |
| Popis: | Assessment of minor burn wound closure is predominately determined by visual inspection and clinical specialist assessment, which remains largely a subjective analysis and results may vary depending on the clinician’s experience. Bioimpedance spectroscopy (BIS) is an instrument that has a demonstrated ability to objectively monitor the wound healing process in various patient populations but has not yet been used in acute burn wounds. The aim of the pilot study was to examine whether the BIS technique is a valid measure of wound healing. Localised BIS resistance and phase angle triplicate measures, of minor limb burns, were collected on two serial occasions. Circumference limb measures were taken at the localised burn site to determine a truncated limb volume. Proportional-odds ordered logistic regression analyses determined resistance at zero frequency (R 0 , indicative of edema) and resistance of total body fluid (R inf ) were significantly associated with healing after adjustment for the influence of surgery. A one unit increase in R 0 and R inf increased the odds of wound healing by 6% and 5% respectively (p i were not significantly associated with the markers of the wound healing process. Spearman’s correlation determined there was a significant association between a healing wound and limb segment volume (ml) (rho −0.30, p |
| Databáze: | OpenAIRE |
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