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The paper presents results of comparison of the wound area assessment methods in the diabetic foot syndrome (DFS). Wound size is a basic parameter that is used to evaluate efficacy of the applied treatment. Four measurement methods were used: the rulers, the planimetric Visitrak (Smith & Nephew, England), the Silhouette (Aranz Medical, New Zealand) applying lasers, digital photography and planimetry as well as the patient's module of TeleDiaFoS telecare system with the foot scanning capabilities. Study group consisted of 18 DFS patients. Nineteen wounds were successfully measured with all 4 methods. The results of the Visitrak and the Silhouette can be used interehangeably (r = 0.994, slope = 1.01, intercept = 0.154 cm2). For the other systems strong linear relationships exist that can be used to convert the wound area measured with one method to the corresponding value of another method. The correlation coefficients higher than 0.985 were obtained in ease of 3 systems: Visitrak, Silhouette and TeleDiaFoS. The TeleDiaFoS system can provide a physician with the patient-self-taken wound images that can be used for reliable assessment of the wound healing process during home tele-monitoring of the DFS patients.
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  • Nałęcz Institute of Biocybernetics and Biomedical Engineering, Polish Academy od Sciences, ul. Ks. Trojdena 4, 02-109 Warsaw, Poland, piotr.ladyzynski@ibib.waw.pl
Bibliografia
  • 1. Steed D.L., Attinger C., Colaizzi T., Crossland M., Franz M., Harkless L., Johnson A., Moosa H., Robson M., Serena T., Sheehan P., Veves A., Wiersma-Bryant L.: Guidelines for the treatment of diabetic ulcers. Wound Repair Regen. 2006, 14, 680-692.
  • 2. Sheehan. P., Jones P., Caselli A., Giurini J.M., Veves A.: Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial. Diabetes Care 2003, 26, 1879-1882.
  • 3. Fette A. M.: A clinimetric analysis of wound measurement tools. World Wide Wound, http://www.worldwidewounds.com/2006/january/Fette/Clinimetric-Analysis-Wound-Measurement-Tools.html, Last accessed 20.12.2009.
  • 4. Foltyński P., Ładyżyński P., Wójcicki J.M., Migalska-Musiał K., Rosiński G., Krzymień J., Karnafel W.: Diabetic foot syndrome. A modern approach of treatment. Proc. 3rd Inter. Symp. Biomed. Eng. 10-11 November, Bangkok, Thailand. 2008, 68-71.
  • 5. Ładyżyński P., Wójcicki J.M., Foltyński P., Rosiński G., Krzymień J., Mrozikiewicz-Rakowska B., Migalska-Musiał K., Karnafel W.: Application of the home telecare system in the treatment of diabetic foot syndrome. In: Ch.T. Lim and J.C.H. Goh (Eds.), IFMBE Proc. 2009, 23, 1049-1052.
  • 6. Foltyński P., Wójcicki J.M., Ładyżyński P., Migalska-Musiał K., Rosiński G., Krzymień J., Karnafel W.: Monitoring of the diabetic foot syndrome treatment. A new perspectives. Artif. Organs, 35 (2), 2011, in press.
  • 7. Gethin G., Cowman S.: Wound measurement comparing the use of acetate tracings and Visitrak digital planimetry. J. Clin. Nurs. 2006, 15, 422-427.
  • 8. Plassmaann P., Jones T. D.: MAVIS: a non-invasive instrument to measure area and volume of wounds, Med. Eng. Phys. 1998, 20, 332-338.
  • 9. Wunderlich R. P., Peters E. J. G., Armstrong D. G., Lavery L. A.: Reliability of digital videometry and acetate tracing in measuring the surface area of cutaneous wounds. Diabetes Res. Clin. Pr. 2000, 49, 87-92.
  • 10. Bowling F. L., King L., Fadavi H., Paterson J. A., Preece K., Daniel R. W., Matthews D. J., Boulton A. J. M.: An assessment of the accuracy and usability of a novel optical wound measurement system. Diabetic Med. 2009, 26, 93-96.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPZ1-0065-0011
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