Department of Dermatology, University of Pisa, Pisa, Italy.
Interdisciplinary Center of Health Science, Sant'Anna School of Advanced Studies of Pisa, Pisa, Italy.
Exp Dermatol. 2024 Aug;33(8):e15149. doi: 10.1111/exd.15149.
Hidradenitis suppurativa (HS) presents challenges in management due to its chronic nature and high risk of recurrence. Post-surgical wound care plays a crucial role in treatment, even if standardized methods for assessing and predicting healing times are lacking. The aim of the study is to introduce the Wound Area Severity Index (WASI) as a novel tool to guide clinicians in assessing postsurgical wound progression and predicting potential healing times. A team of wound healing experts assessed 93 post-surgical HS wounds resulting from wide excision and secondary intention healing. For each wound healing time, wound area, wound bed score (WBS), and WASI were evaluated. WASI includes four parameters: area, temperature, depth and wound Bed, each with four severity levels. The total WASI score ranges from 4 to 16. Spearman correlation and Kruskal-Wallis tests were employed for statistical analysis. WASI strongly correlated with wound healing time (rho: 0.813, p < 0.001). Higher WASI scores were associated with prolonged healing, while lower scores indicated almost healed wounds. The WASI score has proven to be more highly predictive of healing times when compared to the individual parameter of the Area (moderate positive correlation, r: 0.77) and the WBS (negative correlation, r: -0.72). A total WASI score of 4 corresponded to a median healing time of 7 days, while a score exceeding 9 suggested a median healing time of 56 days. WASI has proven to be a valuable tool for assessing and predicting healing times in post-surgical HS wounds. Its simplicity, cost-effectiveness, and ability to integrate multiple parameters make it a promising addition to wound care practice.
化脓性汗腺炎（HS）因其慢性和高复发风险而在管理方面存在挑战。即使缺乏评估和预测愈合时间的标准化方法，手术后伤口护理在治疗中也起着至关重要的作用。本研究旨在引入伤口面积严重程度指数（WASI）作为一种新工具，以指导临床医生评估手术后伤口进展并预测潜在的愈合时间。一个伤口愈合专家小组评估了 93 例因广泛切除和二期愈合引起的手术后 HS 伤口。对每个伤口愈合时间、伤口面积、伤口床评分（WBS）和 WASI 进行了评估。WASI 包括四个参数：面积、温度、深度和伤口床，每个参数都有四个严重程度级别。WASI 的总分为 4 到 16 分。采用 Spearman 相关和 Kruskal-Wallis 检验进行统计学分析。WASI 与伤口愈合时间呈强相关（rho：0.813，p<0.001）。较高的 WASI 评分与愈合时间延长相关，而较低的评分则表明伤口几乎愈合。与面积的单个参数（中度正相关，r：0.77）和 WBS（负相关，r：-0.72）相比，WASI 评分对愈合时间的预测更为准确。WASI 总分为 4 对应中位愈合时间为 7 天，而总分超过 9 则提示中位愈合时间为 56 天。WASI 已被证明是评估和预测手术后 HS 伤口愈合时间的有效工具。它的简单性、成本效益和整合多个参数的能力使其成为伤口护理实践的有前途的补充。
