Shahdadi Hamed, Rezayi Somayeh, Shahrahmani Fatemeh, Mohamadi Ali Akbar
Department of Surgery, Faculty of Medicine, Shiraz University of Medical Science, Shiraz, Iran.
Department of Nursing, Faculty of Nursing and Midwifery, Islamic Azad University of Khorasgan, Isfahan, Iran.
Telemed Rep. 2023 Sep 13;4(1):266-270. doi: 10.1089/tmr.2023.0048. eCollection 2023.
The accurate assessment of burn depth is crucial for determining appropriate treatment. Telemedicine has emerged as a promising tool for supporting burn diagnosis and decision-making, as it allows for remote consultation with burn specialists and access to high-quality imaging. The aim of this study was to evaluate the diagnostic capabilities of telemedicine in diagnosing burn depth.
A total of 15 Iranian surgeons participated in this study; they were presented with 13 images of partial thickness burn ulcers located on the extremities and trunk of patients. The participating surgeons were required to provide their diagnoses of burn type and depth, as well as the necessity of surgical intervention, and their responses were recorded.
Data from 11 participants and 143 responses were analyzed. The average diagnostic accuracy for superficial burns was 79.3%, while for deep burns, it was 13.72%. The mean total diagnostic accuracy was 75.2%.
The results of this study suggest that photographs can be a reliable diagnostic tool for evaluating superficial burns. However, photographs are neither valid nor reliable for assessing burn depth. These findings have important implications for the use of telemedicine in burn diagnosis and indicate that additional diagnostic tools may be necessary for accurate assessment of deep burns.
准确评估烧伤深度对于确定适当的治疗方法至关重要。远程医疗已成为支持烧伤诊断和决策的一种有前景的工具，因为它允许与烧伤专家进行远程会诊并获取高质量的影像资料。本研究的目的是评估远程医疗在诊断烧伤深度方面的诊断能力。
共有15名伊朗外科医生参与了本研究；他们观看了13张位于患者四肢和躯干的浅度烧伤溃疡的图像。要求参与的外科医生提供他们对烧伤类型和深度的诊断，以及手术干预的必要性，并记录他们的回答。
分析了11名参与者的143条回答。浅度烧伤的平均诊断准确率为79.3%，而深度烧伤为13.72%。总平均诊断准确率为75.2%。
本研究结果表明，照片可以作为评估浅度烧伤的可靠诊断工具。然而，照片对于评估烧伤深度既无效也不可靠。这些发现对远程医疗在烧伤诊断中的应用具有重要意义，并表明可能需要额外的诊断工具来准确评估深度烧伤。
