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Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

2020Journal article Open access
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dc.contributor.authorVan Tiggelen, H.
dc.contributor.authorLeBlanc, K.
dc.contributor.authorCampbell, K.
dc.contributor.authorWoo, K.
dc.contributor.authorBaranoski, S.
dc.contributor.authorChang, Y. Y.
dc.contributor.authorDunk, A. M.
dc.contributor.authorGloeckner, M.
dc.contributor.authorHevia, H.
dc.contributor.authorHolloway, S.
dc.contributor.authorIdensohn, P.
dc.contributor.authorKaradağ, A.
dc.contributor.authorKoren, E.
dc.contributor.authorKottner, J.
dc.contributor.authorLangemo, D.
dc.contributor.authorOusey, K.
dc.contributor.authorPokorná, A.
dc.contributor.authorRomanelli, M.
dc.contributor.authorSantos, V. L. C. G.
dc.contributor.authorSmet, S.
dc.contributor.authorTariq, G.
dc.contributor.authorVan Den Bussche, J.
dc.contributor.authorVan Hecke, A.
dc.contributor.authorVerhaeghe, S.
dc.contributor.authorVuagnat, H.
dc.contributor.authorWilliams, A.
dc.contributor.authorBeeckman, D.
dc.date.accessioned2020-01-07T13:25:52Z
dc.date.available2020-01-07T13:25:52Z
dc.date.issued2020
dc.description.abstractBackground: Skin tears are acute wounds that are frequently misdiagnosed and under‐reported. A standardized and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives:To measure the validity and reliability of the International Skin Tear Advisory Panel (ISTAP) Classification System internationally. Methods: A multicountry study was set up to validate the content of the ISTAP Classification System through expert consultation in a two‐round Delphi procedure involving 17 experts from 11 countries. An online survey including 24 skin tear photographs was conducted in a convenience sample of 1601 healthcare professionals from 44 countries to measure diagnostic accuracy, agreement, inter‐rater reliability and intrarater reliability of the instrument. Results:A definition for the concept of a ‘skin flap’ in the area of skin tears was developed and added to the initial ISTAP Classification System consisting of three skin tear types. The overall agreement with the reference standard was 0·79 [95% confidence interval (CI) 0·79–0·80] and sensitivity ranged from 0·74 (95% CI 0·73–0·75) to 0·88 (95% CI 0·87–0·88). The inter‐rater reliability was 0·57 (95% CI 0·57–0·57). The Cohen's Kappa measuring intrarater reliability was 0·74 (95% CI 0·73–0·75). Conclusions: The ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVan Tiggelen, H., LeBlanc, K., Campbell, K., Woo, K., Baranoski, S., Chang, Y. Y., ..., Idensohn, P. (2019). Standardising the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel (ISTAP) Classification System in 44 countries. British Journal of Dermatologypt_PT
dc.identifier.doi10.1111/bjd.18604pt_PT
dc.identifier.eid85075950572
dc.identifier.eissn1365-2133
dc.identifier.issn0007-0963
dc.identifier.pmcPMC7384145
dc.identifier.pmid31605618
dc.identifier.urihttp://hdl.handle.net/10400.14/29103
dc.identifier.wosWOS:000499061900001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.titleStandardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleBritish Journal of Dermatologypt_PT
person.familyNameVan Tiggelen
person.familyNameKottner
person.familyNameVan den Bussche
person.familyNameVan Hecke
person.familyNameVerhaeghe
person.familyNameBeeckman
person.givenNameHanne
person.givenNameJan
person.givenNameJan
person.givenNameAnn
person.givenNameSofie
person.givenNameDimitri
person.identifier.orcid0000-0002-4373-5491
person.identifier.orcid0000-0003-0750-3818
person.identifier.orcid0000-0003-0072-3252
person.identifier.orcid0000-0003-3576-7159
person.identifier.orcid0000-0002-2063-5033
person.identifier.orcid0000-0003-3080-8716
person.identifier.ridN-2365-2013
person.identifier.scopus-author-id12797458600
person.identifier.scopus-author-id23018278600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublicatione0e483fa-a37c-4f1b-89be-e243caae08ca
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relation.isAuthorOfPublication.latestForDiscoveryd9804d9a-60a2-41f1-aff3-5e3e91178c25

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