David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.
Arch Dermatol Res. 2023 Sep;315(7):1863-1874. doi: 10.1007/s00403-023-02525-5. Epub 2023 Jan 21.
Drainage from chronic wounds can significantly negatively impact a patient's quality of life. Change in severity of wound drainage is an important measure of treatment efficacy for wounds. This study reviews existing tools used to assess wound drainage. Qualitative drainage tools are overall less burdensome, and however, differences in user interpretation may reduce inter-rater reliability. Quantitative drainage tools enable more reliable comparisons of drainage severity and treatment response between patients but sometimes require equipment to administer, increasing responder burden. Gaps in the current wound drainage measurement landscape are highlighted. Many of the existing scales have not been validated in robust studies. There is also a lack of validated global drainage measurement tools for patients with chronic inflammatory skin disorders with drainage, such as hidradenitis suppurativa or pyoderma gangrenosum. Development of a succinct drainage measurement tool for inflammatory skin diseases where drainage is a prominent symptom will improve monitoring of meaningful treatment response.
慢性伤口的渗液会显著降低患者的生活质量。伤口渗液严重程度的变化是评估伤口治疗效果的重要指标。本研究综述了目前用于评估伤口渗液的工具。定性渗液工具的总体负担较小，但使用者的解读差异可能会降低评分者间的可靠性。定量渗液工具可以更可靠地比较患者之间的渗液严重程度和治疗反应，但有时需要设备来进行管理，从而增加了患者的负担。目前伤口渗液测量领域存在一些空白。许多现有的量表尚未经过严格研究的验证。对于有渗液的慢性炎症性皮肤病患者，如化脓性汗腺炎或坏疽性脓皮病，也缺乏经过验证的全球渗液测量工具。开发一种用于有明显渗液症状的炎症性皮肤病的简洁渗液测量工具，将有助于监测有意义的治疗反应。
