与数字平面测量法相比，3D摄影是评估幼儿烧伤创面面积的可靠工具。
3D photography is a reliable burn wound area assessment tool compared to digital planimetry in very young children.
作者信息
Gee Kee E L, Kimble R M, Stockton K A
机构信息
Centre for Children's Burns and Trauma Research, Queensland Children's Medical Research Institute, University of Queensland, Australia.
Centre for Children's Burns and Trauma Research, Queensland Children's Medical Research Institute, University of Queensland, Australia; Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital, Brisbane, Australia.
出版信息
Burns. 2015 Sep;41(6):1286-90. doi: 10.1016/j.burns.2015.01.020. Epub 2015 Feb 21.
BACKGROUND
Reliability and validity of 3D photography (3D LifeViz™ System) compared to digital planimetry (Visitrak™) has been established in a compliant cohort of children with acute burns. Further research is required to investigate these assessment tools in children representative of the general pediatric burns population, specifically children under the age of three years.
AIM
To determine if 3D photography is a reliable wound assessment tool compared to Visitrak™ in children of all ages with acute burns ≤10% TBSA.
METHOD
Ninety-six children (median age 1 year 9 months) who presented to the Royal Children's Hospital Brisbane with an acute burn ≤10% TBSA were recruited into the study. Wounds were measured at the first dressing change using the Visitrak™ system and 3D photography. All measurements were completed by one investigator and level of agreement between wound surface area measurements was calculated.
RESULTS
Wound surface area measurements were complete (i.e. participants had measurements from both techniques) for 75 participants. Level of agreement between wound surface area measurements calculated using an intra-class correlation coefficient (ICC) was excellent (ICC 0.96, 95% CI 0.93, 0.97). Visitrak™ tracings could not be completed in 19 participants with 16 aged less than two years. 3D photography could not be completed for one participant. Barriers to completing tracings were: excessive movement, pain, young age or wound location (e.g. face or perineum).
CONCLUSION
This study has confirmed 3D photography as a reliable alternative to digital planimetry in children of all ages with acute burns ≤10% TBSA. In addition, 3D photography is more suitable for very young children given its non-invasive nature.
背景
在一组符合条件的急性烧伤儿童中，已证实与数字平面测量法（Visitrak™系统）相比，三维摄影（3D LifeViz™系统）具有可靠性和有效性。需要进一步研究，以在代表一般儿科烧伤人群的儿童中，特别是三岁以下儿童中，调查这些评估工具。
目的
确定在所有年龄急性烧伤面积≤10%体表面积（TBSA）的儿童中，与Visitrak™相比，三维摄影是否为一种可靠的伤口评估工具。
方法
招募96名（中位年龄1岁9个月）因急性烧伤面积≤10%TBSA就诊于布里斯班皇家儿童医院的儿童参与本研究。在首次换药时，使用Visitrak™系统和三维摄影测量伤口。所有测量均由一名研究人员完成，并计算伤口表面积测量之间的一致性水平。
结果
75名参与者完成了伤口表面积测量（即参与者有两种技术的测量数据）。使用组内相关系数（ICC）计算的伤口表面积测量之间的一致性水平极佳（ICC 0.96，95%CI 0.93，0.97）。19名参与者无法完成Visitrak™描记，其中16名年龄小于两岁。一名参与者无法完成三维摄影。完成描记的障碍包括：过度活动、疼痛、年龄小或伤口位置（如面部或会阴）。
结论
本研究证实，对于所有年龄急性烧伤面积≤10%TBSA的儿童，三维摄影是数字平面测量法的可靠替代方法。此外，鉴于其非侵入性，三维摄影更适合非常年幼的儿童。
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