Lorentzen H F, Gottrup F
Videncenter for Sårheling, H:S Bispebjerg Hospital.
Ugeskr Laeger. 1998 May 25;160(22):3215-8.
Agreement in describing a chronic leg ulcer is pivotal in identifying and treating impediments to the healing process. Six nurses and one doctor without special experience with wound healing registered wound related diagnoses for a five month period. On average each patient was seen by three observers yielding 270 registrations. Agreement beyond chance (global kappa) showed poor to moderate agreement. Agreement was best for the yellow or malodorous wound and lowest for cellulitis, hypergranulation and peripheral pulses. This emphasizes the importance of allocating wound treatment to specialist departments with access to paraclinical investigations.
在描述慢性腿部溃疡方面达成一致对于识别和治疗愈合过程中的障碍至关重要。六名护士和一名没有伤口愈合特殊经验的医生在五个月的时间里记录了与伤口相关的诊断。平均每位患者由三名观察者诊查，共产生270条记录。超出偶然的一致性（总体kappa值）显示一致性较差至中等。对于黄色或有异味的伤口一致性最佳，而对于蜂窝织炎、肉芽组织增生和外周脉搏的一致性最低。这强调了将伤口治疗分配到能够进行辅助临床检查的专科科室的重要性。
