Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F20%3A00115640" target="_blank" >RIV/00216224:14110/20:00115640 - isvavai.cz</a>

Result on the web

<a href="https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604" target="_blank" >https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjd.18604</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1111/bjd.18604" target="_blank" >10.1111/bjd.18604</a>

Result language

angličtina

Original language name

Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

Original language description

Background Skin tears are acute wounds that are frequently misdiagnosed and under-reported. A standardized and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives To measure the validity and reliability of the International Skin Tear Advisory Panel (ISTAP) Classification System internationally. Methods A multicountry study was set up to validate the content of the ISTAP Classification System through expert consultation in a two-round Delphi procedure involving 17 experts from 11 countries. An online survey including 24 skin tear photographs was conducted in a convenience sample of 1601 healthcare professionals from 44 countries to measure diagnostic accuracy, agreement, inter-rater reliability and intrarater reliability of the instrument. Results A definition for the concept of a 'skin flap' in the area of skin tears was developed and added to the initial ISTAP Classification System consisting of three skin tear types. The overall agreement with the reference standard was 0 center dot 79 [95% confidence interval (CI) 0 center dot 79-0 center dot 80] and sensitivity ranged from 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75) to 0 center dot 88 (95% CI 0 center dot 87-0 center dot 88). The inter-rater reliability was 0 center dot 57 (95% CI 0 center dot 57-0 center dot 57). The Cohen's Kappa measuring intrarater reliability was 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75). Conclusions The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally. What's already known about this topic? Skin tears are common acute wounds that are misdiagnosed and under-reported too often. A skin tear classification system is needed to standardize documentation and description for clinical practice, audit and research. What does this study add? The International Skin Tear Advisory Panel Classification System was psychometrically tested in 1601 healthcare professionals from 44 countries. Diagnostic accuracy was high when differentiating between type 1, 2 and 3 skin tears using a set of validated photographs.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30216 - Dermatology and venereal diseases

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

British Journal of Dermatology

ISSN

0007-0963

e-ISSN

1365-2133

Volume of the periodical

183

Issue of the periodical within the volume

1

Country of publishing house

US - UNITED STATES

Number of pages

9

Pages from-to

146-154

UT code for WoS article

000499061900001

EID of the result in the Scopus database

2-s2.0-85075950572