Get the Picture

Heide, John de; Vroegh, C.J.; Torok, Tamas Szili; Gobbens, Robbert; Zijlstra, Felix; Takens-Lameijer, M.; Lenzen, Mattie J.; Yap, Sing‐Chien; Reimer, Wilma J.M. Scholte op

doi:10.1097/jcn.0000000000000377

Cited by 11 publications

(10 citation statements)

References 12 publications

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“…A simple picture allows physicians to conduct an acceptable qualitative analysis of the wound, especially to evaluate the infectious risk [36]. Furthermore, most patients are able to send pictures of their wound via a secure email service to a physician, who can then conduct a qualitative clinical interpretation if the quality of the picture is sufficient [37]. The relevance of an mHealth app in the quantitative evaluation of wounds by patients at home to send to a remote physician remains to be defined and could be the topic of further study.…”

Section: Perspectives For Clinical Researchmentioning

confidence: 99%

mHealth App for Pressure Ulcer Wound Assessment in Patients With Spinal Cord Injury: Clinical Validation Study

KHAC¹,

Jourdan²,

Fazilleau³

et al. 2021

JMIR Mhealth Uhealth

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Background Clinical evaluation of a pressure ulcer is based on quantitative and qualitative evaluation. In clinical practice, acetate tracing is the standard technique used to measure wound surface area; however, it is difficult to use in daily practice (because of material availability, data storage issues, and time needed to calculate the surface area). Planimetry techniques developed with mobile health (mHealth) apps can be used to overcome these difficulties. Objective The goal of this study was to evaluate the metrological properties of a free-access mHealth app, called imitoMeasure, to assess pressure ulcers. Methods This was a noninterventional, validation study. We included patients with spinal cord injury presenting with a pressure ulcer, regardless of its stage or location. We performed wound measurements with a ruler, and we performed acetate tracing using a transparent dressing with a wound measurement grid. Wound evaluation via the mHealth app was conducted twice by the main investigator and also by a coinvestigator to determine validity, intrarater reproducibility, and interrater reproducibility. Bland-Altman plots and intraclass correlation coefficients were used to compute the minimal detectable change percentage. Results Overall, 61 different pressure ulcers were included. The validity, intrarater reproducibility, and interrater reproducibility of the mHealth app vs acetate tracing (considered the method of reference) were good, with intraclass correlation coefficients of 0.97 (95% CI 0.93-0.99), 0.99 (95% CI 0.98-0.99), and 0.98 (95% CI 0.96-0.99), respectively, and minimal detectable change percentages between 17% and 35%. Conclusions The imitoMeasure app had good validity and reproducibility. It could be an alternative to standard wound assessment methods. Further studies on larger and more diverse wounds are needed. Trial Registration ClinicalTrials.gov NCT04402398; http://clinicaltrials.gov/ct2/show/NCT04402398

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Section: Perspectives For Clinical Researchmentioning

confidence: 99%

mHealth App for Pressure Ulcer Wound Assessment in Patients With Spinal Cord Injury: Clinical Validation Study

KHAC¹,

Jourdan²,

Fazilleau³

et al. 2021

JMIR Mhealth Uhealth

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“…6 The use of telemedicine has been applied in the care of various wounds, including chronic wounds (eg, diabetic foot wounds and pressure injuries) 7,8 and acute wounds (eg, postsurgical wounds). 9 Current evidence suggests that telemedicine in wound care can be used for remote wound assessment, consultation with patients, and discussions among medical professionals. [10][11][12] In managing acute and chronic wounds, teleconsultation among primary and tertiary care medical professionals has been widely adopted and proven feasible worldwide.…”

Section: Introductionmentioning

confidence: 99%

“…16 A pilot study of this form of telemedicine found that patients had positive experiences with remote wound follow-up and that the photos captured were sufficient for clinical assessment. 9 In a Canadian trial by a group of surgeons, remote monitoring of postsurgical wounds through images uploaded by patients effectively reduced the number of in-person visits required, which was convenient for patients. 17 However, these pilot trials did not specify if the patients were empowered and educated to change their wound dressings at home.…”

Section: Introductionmentioning

confidence: 99%

“…Various forms of telemedicine are currently in practice, ranging from real-time video consultation using specialized equipment 5 to more asynchronous forms in which wound pictures are taken and then forwarded to healthcare professionals for review 6 . The use of telemedicine has been applied in the care of various wounds, including chronic wounds (eg, diabetic foot wounds and pressure injuries) 7,8 and acute wounds (eg, postsurgical wounds) 9 …”

Section: Introductionmentioning

confidence: 99%

“…There is, however, a paucity of evidence to demonstrate the efficacy of telemedicine between patients and healthcare professionals in wound care. Recent advances in mobile communication technology such as the development of smartphones with integrated cameras has made self-monitoring of wounds by a majority of patients 9 more feasible and acceptable 15 . It has allowed patients to capture digital images of their wound and forward these images to their healthcare providers for assessment 16 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Description and Utilization of Telewound Monitoring Services in Primary Care Patients with Acute Wounds in Singapore: A Retrospective Study

Zhu

Ren

Lim

et al. 2022

Adv Skin Wound Care

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OBJECTIVE To describe an inaugural telewound monitoring service (TMS) designed for the remote monitoring of acute wounds to empower primary care patients, and identify factors associated with the utilization of the TMS. METHODS Retrospective data were collected from 204 patients who participated in the TMS between June 19, 2016 and August 31, 2017 and analyzed using both descriptive and multiple regression analysis. RESULTS The mean patient age was 27.9 years (SD, 12.4); wound area was 7.8 cm 2 (SD, 21.2); and duration of healing was 11.7 days (SD, 6.9). A multiple regression model based on patients’ demographics and wound factors predicted which patients were likely to have more telewound sessions than face-to-face sessions. The model was statistically significant (F = 2.093 (11, 124), P = .025) with 15.7% of variance explained by the variables. An increase in age ( P = .043) and increased days to healing ( P = .043) were associated with a reduction in the number of telewound sessions. CONCLUSIONS The TMS is a valuable alternative to face-to-face wound care that enables patients with acute wounds to assume the roles of both patient and carer simultaneously. Age and healing duration are predictors for utilization of this service. Prompt attention to these predictors may improve service allocation and utilization.

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Remote assessment of surgical site infection (SSI) using patient-taken wound images: Development and evaluation of a method for research and routine practice

Macefield¹,

Blazeby²,

Reeves³

et al. 2023

Journal of Tissue Viability

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Get the Picture

Abstract: Patients are able to take and upload the mobile clinical photos to the secure email address, and the vast majority was interpretable. Smartphone users were more successful than feature phone users in uploading their pictures. The interobserver variability was good.

Cited by 11 publications

References 12 publications

mHealth App for Pressure Ulcer Wound Assessment in Patients With Spinal Cord Injury: Clinical Validation Study

mHealth App for Pressure Ulcer Wound Assessment in Patients With Spinal Cord Injury: Clinical Validation Study

Description and Utilization of Telewound Monitoring Services in Primary Care Patients with Acute Wounds in Singapore: A Retrospective Study

Remote assessment of surgical site infection (SSI) using patient-taken wound images: Development and evaluation of a method for research and routine practice

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