Masters Margot, McMahon Margaret, Svens Birgit
Department of Occupational Therapy, Royal Adelaide Hospital, North Terrace, Adelaide, Australia.
J Burn Care Rehabil. 2005 May-Jun;26(3):273-84.
A new scar-assessment tool, the Matching Assessment of Scars and Photographs (MAPS), which uses a set of reference photographs, a numeric scale, and location technique, was tested for its reliability in two stages. First, using five adults, three raters assessed 32 burns scars twice within 3 days. Subsequently, reliability was tested during a 6-month time frame, emphasizing the process of localizing test areas as scars changed and raters forgot the previous assessment. Three raters, from a pool of five, each made three assessments on 29 scars in seven subjects, on average 8 weeks apart. Inter-rater reliability was tested, using Kendall's Tau C and intraclass correlations, respectively, for stages 1 and 2. Agreement was good for border height (0.63-0.70 and 0.78), moderate to good for thickness (0.60-0.74 and 0.81), and good for color (0.55-0.71 and 0.79), whereas for surface it was fair (0.25-0.38 and 0.40). The localization technique was reliable (accuracy within 3 mm) in 93% to 96% of recordings. The MAPS tool is considered ready for clinical use.
一种新的瘢痕评估工具——瘢痕与照片匹配评估法（MAPS），它使用一组参考照片、数字评分量表和定位技术，分两个阶段对其可靠性进行了测试。首先，让5名成年人参与，3名评估者在3天内对32处烧伤瘢痕进行了两次评估。随后，在6个月的时间范围内对可靠性进行了测试，重点关注随着瘢痕变化以及评估者忘记之前的评估时，测试区域的定位过程。从5名评估者中选出3名，每人对7名受试者的29处瘢痕进行了三次评估，平均间隔8周。分别使用肯德尔tau C系数和组内相关系数对第1阶段和第2阶段的评估者间信度进行了测试。边界高度的一致性良好（0.63 - 0.70和0.78），厚度的一致性为中等至良好（0.60 - 0.74和0.81），颜色的一致性良好（0.55 - 0.71和0.79），而表面的一致性为一般（0.25 - 0.38和0.40）。在93%至96%的记录中，定位技术可靠（精度在3毫米以内）。MAPS工具被认为已可用于临床。
