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Standardising the c...
Standardising the classification of skin tears : validity and reliability testing of the International Skin Tear Advisory Panel (ISTAP) Classification System in 44 countries
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- Van Tiggelen, H. (author)
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
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- LeBlanc, K. (author)
- School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada; Wound Ostomy Continence Institute/ Association of Nurses Specialized in Wound Ostomy Continence, Canada
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- Campbell, K. (author)
- School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada
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- Woo, K. (author)
- School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada
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- Baranoski, S. (author)
- Nursing Advisory Board, Rasmussen College, Romeoville/Joliet, Illinois, USA
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- Chang, Y. Y. (author)
- Division of Nursing, Speciality Nursing (Wound Care), Singapore General Hospital, Bukit Merah, Singapore
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- Dunk, A. M. (author)
- Tissue Viability Unit, Canberra Hospital, Canberra Health Services, Canberra, Australia; School of Nursing, Faculty of Health, University of Canberra, Canberra, Australia
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- Gloeckner, M. (author)
- UnityPoint Health Trinity, Rock Island, Illinois & Bettendorf, Iowa, USA
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- Hevia, H. (author)
- Nursing School, Nursing Department, Andrés Bello University, Viña del Mar, Chile
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- Holloway, S. (author)
- Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK
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- Idensohn, P. (author)
- CliniCare Medical Centre, KwaZulu-Natal, Ballito, South Africa; School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK; School of Nursing, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
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- Karadağ, A. (author)
- School of Nursing, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
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- Koren, E. (author)
- Leumit HMO, Vascular Ulcer Clinic, Geula, Jerusalem, Israel; Israeli Wound Care Management and Research Association (IWCMRA), Israel
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- Kottner, J. (author)
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
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- Langemo, D. (author)
- College of Nursing, University of North Dakota, Grand Forks, North Dakota, USA; Langemo and Associates, Grand Forks, North Dakota, USA
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- Ousey, K. (author)
- Institute of Skin Integrity and Infection Prevention, Department of Nursing and Midwifery, University of Huddersfield, UK; School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland
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- Pokorná, A. (author)
- Department of Nursing, Faculty of Medicine, Masaryk University, Brno, Czech Republic
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- Romanelli, M. (author)
- Department of Dermatology, University of Pisa, Pisa, Italy
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- Santos, V. L. C. G. (author)
- School of Nursing, Medical-Surgical Nursing Department, University of São Paulo, São Paulo, Brazil; of Nursing, Portuguese Catholic University, Porto, Portugal
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- Smet, S. (author)
- Wound Care Center, Ghent University Hospital, Ghent, Belgium
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- Tariq, G. (author)
- Wound Care Unit, Sheikh Khalifa Medical City (SKMC), Abu Dhabi, United Arab Emirates
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- Van den Bussche, K. (author)
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
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- Van Hecke, A. (author)
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium
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- Verhaeghe, S. (author)
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium
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- Vuagnat, H. (author)
- Centre for Wounds and Wound Healing, University Hospitals of Geneva, Geneva, Switzerland
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- Williams, A. (author)
- Wound and Ostomy Care, Reston Hospital Center, Reston, VA, USA
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- Beeckman, Dimitri, Visiting Professor, 1982- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland; Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, Southern Denmark; School of Nursing and Midwifery, Monash University, Australia
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(creator_code:org_t)
- 2019-11-28
- 2020
- English.
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In: British Journal of Dermatology. - : Wiley-Blackwell Publishing Inc.. - 0007-0963 .- 1365-2133. ; 183:1, s. 146-154
- Related links:
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https://doi.org/10.1...
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https://onlinelibrar...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BACKGROUND: Skin tears are acute wounds that are frequently misdiagnosed and underreported. A standardised 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 multi-country 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 intra-rater 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% 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 intra-rater 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 a systematic assessment and reporting of skin tears in clinical practice and research globally.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Dermatologi och venereologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dermatology and Venereal Diseases (hsv//eng)
Keyword
- Classification
- ISTAP
- Psychometric evaluation
- Reliability
- Skin tear
- Validity
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Van Tiggelen, H.
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LeBlanc, K.
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Campbell, K.
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Woo, K.
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Baranoski, S.
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Chang, Y. Y.
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show more...
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Dunk, A. M.
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Gloeckner, M.
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Hevia, H.
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Holloway, S.
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Idensohn, P.
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Karadağ, A.
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Koren, E.
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Kottner, J.
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Langemo, D.
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Ousey, K.
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Pokorná, A.
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Romanelli, M.
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Santos, V. L. C. ...
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Smet, S.
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Tariq, G.
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Van den Bussche, ...
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Van Hecke, A.
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Verhaeghe, S.
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Vuagnat, H.
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Williams, A.
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Beeckman, Dimitr ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Dermatology and ...
- Articles in the publication
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British Journal ...
- By the university
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Örebro University