Sullivan T, Smith J, Kermode J, McIver E, Courtemanche D J
Vancouver General Hospital Burn Unit, BC, Canada.
J Burn Care Rehabil. 1990 May-Jun;11(3):256-60. doi: 10.1097/00004630-199005000-00014.
A reliable, objective, and universal method of assessing burn scars does not exist in today's burn literature. Such a method is necessary to provide a descriptive terminology for the comparison of burn scars and the results of treatment. The method should be applicable to patients both within an institution and between burn centers. A burn scar assessment has been devised based on physical parameters. These relate to the healing and maturation of wounds, cosmetic appearance, and the function of the healed skin. Pigmentation, vascularity, pliability, and scar height are assessed independently, with increasing score being assigned to the greater pathologic condition. Normal skin has a score of 0. Seventy-three patients were assessed by three separate occupational therapists and the findings subjected to statistical analysis for interrater reliability. For each parameter a Cohen's kappa statistic of approximately 0.5 +/- 0.1 indicates a statistically significant agreement between observers. These values were found to improve with time. This appears to be a useful tool for the assessment of burn scars, allowing objective comparison of the same scar by different observers.
在当今的烧伤文献中，不存在一种可靠、客观且通用的烧伤瘢痕评估方法。这样一种方法对于为烧伤瘢痕的比较及治疗结果提供描述性术语是必要的。该方法应适用于机构内的患者以及不同烧伤中心之间的患者。基于物理参数设计了一种烧伤瘢痕评估方法。这些参数与伤口的愈合和成熟、外观以及愈合皮肤的功能有关。色素沉着、血管分布、柔韧性和瘢痕高度分别进行评估，病理状况越严重得分越高。正常皮肤得分为0。由三名独立的职业治疗师对73名患者进行评估，并对结果进行统计分析以评估评分者间的可靠性。对于每个参数，约为0.5±0.1的科恩kappa统计量表明观察者之间存在统计学上的显著一致性。发现这些值会随着时间而提高。这似乎是评估烧伤瘢痕的一种有用工具，能够让不同观察者对同一瘢痕进行客观比较。
