一项比较两种烧伤创面体视摄影系统在儿科人群中应用的初步研究。
A pilot study comparing two burn wound stereophotogrammetry systems in a paediatric population.
机构信息
Centre for Children's Burns and Trauma Research, Queensland Health Centre for Children's Health Research, Brisbane, Queensland, Australia; Queensland University of Technology, Brisbane, Queensland, Australia; Pegg Leditschke Children's Burns Centre, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Centre for Children's Burns and Trauma Research, Queensland Health Centre for Children's Health Research, Brisbane, Queensland, Australia; The University of Queensland, Brisbane, Queensland, Australia.
出版信息
Burns. 2022 Feb;48(1):85-90. doi: 10.1016/j.burns.2021.04.014. Epub 2021 Apr 16.
BACKGROUND
Stereophotogrammetry (SPG) provides a more objective measurement of burn wound area than traditional clinical assessments. The recently developed Intel® RealSense™ D415/Wound Measure SPG system has yet to undergo formal evaluation in a paediatric population.
METHODS
A pilot study comparing the Intel® RealSense™ D415/Wound Measure to the previously validated LifeVizII®/DermaPix® SPG system, for burn assessment was conducted at a tertiary paediatric burn centre. Both systems were used to photograph and analyse the same acute wounds for each patient. Three independent raters measured wound area and perimeter. Level of agreement between systems and raters was estimated by calculating the intra-class correlation coefficient.
RESULTS
Wound area measurements were completed in both systems for 25 burns from 13 patients (median age, 2 years). The participants were mainly female (n = 9), with a median TBSA-B of 9% (IQR 3-20%). There was strong agreement between the systems 0.757 (95% CI 0.521, 0.885, p < 0.001). Within each SPG system, there was excellent inter-rater reliability.
CONCLUSION
The Intel® RealSense™ D415/Wound Measure system may be a viable addition to the clinician's toolkit in the assessment of paediatric burn wound area. As with other SPG systems, there were significant challenges measuring wounds to highly contoured surfaces.
背景
立体摄影测量（SPG）比传统临床评估更能提供烧伤创面面积的客观测量。最近开发的 Intel® RealSense™ D415/Wound Measure SPG 系统尚未在儿科人群中进行正式评估。
方法
在一家三级儿科烧伤中心进行了一项比较 Intel® RealSense™ D415/Wound Measure 与先前经过验证的 LifeVizII®/DermaPix® SPG 系统的试点研究，用于烧伤评估。两个系统都用于拍摄和分析每个患者的相同急性伤口。三位独立的评估者测量了伤口面积和周长。通过计算组内相关系数来估计系统和评估者之间的一致性水平。
结果
在两个系统中完成了来自 13 名患者（中位年龄 2 岁）的 25 个烧伤伤口的面积测量。参与者主要为女性（n = 9），TBSA-B 中位数为 9%（IQR 3-20%）。两个系统之间具有很强的一致性 0.757（95%CI 0.521, 0.885，p < 0.001）。在每个 SPG 系统中，评估者之间的可靠性都非常好。
结论
Intel® RealSense™ D415/Wound Measure 系统可能是评估儿科烧伤创面面积的临床医生工具包的一个可行补充。与其他 SPG 系统一样，测量高度轮廓表面的伤口存在重大挑战。
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