Marini Lorenzo, Sahrmann Philipp, Rojas Mariana Andrea, Cavalcanti Camilla, Pompa Giorgio, Papi Piero, Pilloni Andrea
Section of Periodontics, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, 00161 Rome, Italy.
Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland.
Dent J (Basel). 2019 Sep 1;7(3):86. doi: 10.3390/dj7030086.
The early wound healing score (EHS) was introduced to assess early wound healing of periodontal soft tissues after surgical incision. The purpose of this study is to evaluate the intra- and inter-examiner reliability of the EHS. Six examiners with different levels of training and clinical focus were enrolled. Each examiner was trained on the use of the EHS before starting the study. Thereafter, 63 photographs of three different types of surgical incisions taken at day 1, 3 or 7 post-operatively were independently evaluated according to the proposed assessment method. A two-way random intra-class correlation coefficient (ICC) and 95% confidence interval (CI) were used to analyze the intra- and inter-examiner reliability for the EHS. The inter-examiner reliability for the EHS was 0.828 (95% CI: 0.767-0.881). The intra-examiner reliability ranged between 0.826 (95% CI: 0.728-0.891) and 0.915 (95% CI: 0.856-0.950). The results therefore show an "almost perfect agreement" for intra- and inter-examiner reliability. The EHS provides a system for reproducible repeated ratings for the early healing assessment of incisions of periodontal soft tissues. Even when used by examiners with different clinical experience and specialty, it shows a high correlation coefficient.
引入早期伤口愈合评分（EHS）来评估手术切口后牙周软组织的早期伤口愈合情况。本研究的目的是评估EHS在检查者内和检查者间的可靠性。招募了6名具有不同培训水平和临床重点的检查者。在研究开始前，每位检查者都接受了EHS使用方面的培训。此后，根据提议的评估方法，对术后第1天、3天或7天拍摄的三种不同类型手术切口的63张照片进行独立评估。采用双向随机组内相关系数（ICC）和95%置信区间（CI）来分析EHS在检查者内和检查者间的可靠性。EHS在检查者间的可靠性为0.828（95%CI：0.767 - 0.881）。检查者内可靠性在0.826（95%CI：0.728 - 0.891）至0.915（95%CI：0.856 - 0.950）之间。因此，结果显示检查者内和检查者间的可靠性具有“几乎完美的一致性”。EHS为牙周软组织切口的早期愈合评估提供了一个可重复的系统。即使由具有不同临床经验和专业的检查者使用，它也显示出较高的相关系数。
