Forbes-Duchart Lisa, Marshall Sheryle, Strock Anne, Cooper Juliette E
Health Sciences Centre, GH 526, 820 Sherbrook Street, Winnipeg, Manitoba, Canada R3A 1R9.
J Burn Care Res. 2007 May-Jun;28(3):460-7. doi: 10.1097/BCR.0b013E318053D3BB.
The Vancouver Scar Scale is too subjective for our needs and is not culturally sensitive to our Aboriginal clients. The VSS was modified by developing a color scale to aid with vascularity rating. This study was designed to measure the inter-rater reliability of the modified Vancouver Scar Scale (MVSS). Three raters assessed 14 pediatric patients, resulting in a total of 32 scars. Data were analyzed using a Spearman Rank Order Correlation, intraclass correlation coefficient, and the kappa statistic. All subtests were shown to have significant (P < .05) correlations except for the pigmentation subtest. Because the pigmentation subtest has poor reliability, its inclusion in scar assessment should be questioned. Results indicate that only total scores of the MVSS should be used when determining burn scar outcomes because individual subtest scores appear to have little reliability. Further modifications to the MVSS followed by additional research with greater numbers of subjects are warranted.
温哥华瘢痕量表对于我们的需求而言主观性过强，且对我们的原住民客户缺乏文化敏感性。通过开发一种颜色量表来辅助血管化评级，对温哥华瘢痕量表进行了修改。本研究旨在测量改良温哥华瘢痕量表（MVSS）的评分者间信度。三名评分者对14名儿科患者进行了评估，共评估了32处瘢痕。使用斯皮尔曼等级相关、组内相关系数和kappa统计量对数据进行了分析。除色素沉着子测试外，所有子测试均显示出显著（P < .05）相关性。由于色素沉着子测试的信度较差，因此其在瘢痕评估中的应用值得质疑。结果表明，在确定烧伤瘢痕结果时，仅应使用MVSS的总分，因为各个子测试分数的信度似乎很低。有必要对MVSS进行进一步修改，并随后开展更多受试者的额外研究。
