Evaluation of the consistency of neonatal skin injury assessment using clinical images and the metric and graduated colour tool |
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| Affiliation: | 1. College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia;2. The Townsville University Hospital, Townsville, Queensland, Australia;3. School of Health and Behavioural Science, Australia;4. University of the Sunshine Coast, Queensland, Australia;5. Wellbeing and Preventable Chronic Diseases Division, Menzies School of Health Research, Brisbane, Queensland, Australia;1. Department of Dermatology, Hospital Universitario 12 de Octubre, Madrid, Spain;2. Department of Dermatology, Hospital Universitario Infanta Leonor, Madrid, Spain;1. Department of Plastic and Reconstructive Surgery, Tottori University Hospital, 36-1, Nishimachi, Yonago, 683-8504, Japan;2. Department of Nursing, Tottori University Hospital, 36-1, Nishimachi, Yonago, 683-8504, Japan;3. Department of Rehabilitation, Yowa Hospital, 3-5-1, Kamigoto, Yonago, 683-0841, Japan;1. Department of Pharmacy, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan;2. Department of Neurology, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan;3. Department of Nursing & Health, School of Nursing & Health, Aichi Prefectural University, Nagoya, Aichi, 463-8502, Japan;4. Department of Dermatology and Advanced Medicine, National Center for Geriatrics and Gerontology, Obu, Aichi, 474-8511, Japan;1. Trakya University Faculty of Health Sciences Nursing Department, Trakya University Balkan Campus, 22020, Edirne, Turkey;2. Trakya University, Health Research and Application Centre (University Hospital), Thoracic Surgery Clinic, Trakya University Balkan Campus, 22020, Edirne, Turkey |
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| Abstract: | AimTo evaluate consistency in the assessment of neonatal skin injuries.Materials and methodsInjury images collected during a multicentre period prevalence study (n = 297) were screened for optimal quality before 60 images, stratified for size and colour, were randomly selected for assessment by three neonatal and two adult specialists. The principal investigator's assessments were the baseline for comparison and consistency. Injury characteristics and assessments were reported as descriptive statistics. Comparison of injury assessments for colour and stage were calculated using Chi-square, with p-value of <0.05 considered significant.ResultsNeonatal specialists assessed injury elements more confidently than adult specialists reporting 59–60 (98–100%) injuries visible compared to 51–53 (85–93%) respectively. Neonatal specialists attributed mechanical force to 93% of the skin injuries compared to 70% by adult specialists. Consistency of colour assessment was achieved more often with neonatal specialists (n = 50, 85%), compared to adult specialists (n = 41, 73%). Neonatal specialists’ consistency for injury staging (n = 107, 60%) was higher compared to adult specialists who were uncertain (n = 8,16%) and less consistent (n = 47, 44%). When comparing specialists as a group, consistency with baseline assessment was significantly different between neonatal and adult specialists for colour (p < 0.010) and injury stage (p < 0.009).ConclusionField of expertise (neonatal versus adult) differences were noted likely related to experience and understanding of empirical differences between neonatal and adult skin structure and maturity. These results highlight the need for specialist neonatal skin injury and wound training for clinicians involved in assessment, treatment and best practices for neonates. |
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| Keywords: | Neonatal Skin Injury Assessment consistency Colour Stage Colour reference Digital images |
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