Quantitative estimation of exudates volume for full-thickness pressure ulcers: The ESTimation method

S. Iizaka, H. Sanada, G. Nakagami, H. Koyanagi, C. Konya, J. Sugama

研究成果: Article査読

3 被引用数 (Scopus)

抄録

Objective: To develop an equation for the estimation of exudate volume in millilitres, for fullthickness pressure ulcers, according to wound characteristics. Method: In a cross-sectional study, 41 patients aged ≤ 60 years with 58 full-thickness pressure ulcers were evaluated. Exudate was collected by covering each wound with a transparent occlusive dressing and the accumulated volume was measured to estimate volume per day. The overall severity of each wound was evaluated by the DESIGN-R tool; a model was then developed to estimate the volume of exudate based on these experimental values. Linear regression analyses were performed to evaluate the precision and accuracy of the model. Results: The model, including exudate score, size score, and total score, showed a higher adjusted coefficient of determination (R2=0.66) than the model with only a traditional exudate score (R2=0.57). After adjustment for age, inclusion of interaction terms, and modification of bias, a model with continuous parameters was finally developed: exudate volume per day (ml/day) = exp([0.86×exudate score]+ [0.21×size score]+[0. 12×total score]-[0.013×size score×total score]-[0. 04×age]-3.60). Furthermore, a categorical model was developed for clinical simplicity of use. The adjusted R2 was increased to 0.73 for the continuous model and to 0.77 for the categorical model. There were no apparent biases (p > 0.05) and no correlations between residuals and measured value (p > 0.05) in these models. Conclusion: The equation, including the exudate score, size score and total score of DESIGN-R, as well as age, is called the ESTimation method. It will be useful for clinicians to predict the absolute volume of exudate and to select appropriate dressings for full-thickness pressure ulcers. l Declaration of interest: The authors have nothing to declare.

本文言語English
ページ(範囲)453-463
ページ数11
ジャーナルJournal of wound care
20
10
DOI
出版ステータスPublished - 10-2011
外部発表はい

All Science Journal Classification (ASJC) codes

  • 基礎および看護技術
  • 看護学(その他)

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