The aim of this study was to assess the reliability of measurements using a wound-analysing tool and their interpretability. Wound surface areas and tissue types, such as granulation, slough and necrosis, in twenty digital photographs were measured using a specific software program. The ratio of these tissue types in a wound was calculated using a wound profile. We calculated the intraclass coefficient or κ for reliability, standard error of measurement (SEM) and smallest detectable change (SDC). The inter-rater reliability intraclass correlation coefficient (ICC) was 0·99 for surface area, 0·76 for granulation, 0·67 for slough and 0·22 for necrosis. The profiles gave an overall κ of 0·16. For test-retest reliability, the ICC was 0·99 for surface area, 0·81 for granulation, 0·80 for slough and 0·97 for necrosis. The agreement of the applied profiles in the test-retest was 66% (40-100). SEM and SDC for surface area were 0·10/0·27; for granulation, 6·88/19·08; for slough, 7·17/19·87; and for necrosis, 0·35/0·98, respectively. Measuring wound surface area and tissue types by means of digital photo analysis is a reliable and applicable method for monitoring wound healing in acute wounds in daily practice as well as in research.

Digital wound photographs, Interpretability and reliability, Measurement, Surface area and tissue types, Surgical wounds
dx.doi.org/10.1111/iwj.12330, hdl.handle.net/1765/84780
International Wound Journal
Department of Plastic and Reconstructive Surgery

Landa, D.L.C, van Dishoeck, A.M, Steyerberg, E.W, & Hovius, S.E.R. (2014). Quality of measurements of acute surgical and traumatic wounds using a digital wound-analysing tool. International Wound Journal. doi:10.1111/iwj.12330