Pressure Sore Volume Measurement: A Technique to Document and Record Wound Healing

Resch, Charlotte S.; Kerner, Elizabeth; Robson, Martin C.; Heggers, John P.; Scherer, Mark; Boertman, Jane A.; Schileru, Rodica E.

doi:10.1111/j.1532-5415.1988.tb02385.x

Cited by 44 publications

(22 citation statements)

References 5 publications

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“…39 Color photography of the ulcer at a set focal distance was obtained weekly to determine ease of closure by two blinded surgeons, as described by Robson et al 46 The change in difficulty of wound closure was studied in relation to the composite cost, including surgeon's fee, anesthesia fee, and operating room cost (Table 2). 46 Descriptive statistics were computed for demographic characteristics such as age, ethnicity, smoking status, and pressure ulceration duration.…”

Section: Methodsmentioning

confidence: 99%

“…The ulcer was evaluated by anatomical location, periulcer transcutaneous oxygen tension, periulcer blood perfusion measured with laser Doppler flowmeter, volumetric determination with alginate mold and displacement, 39 and quantitative and qualitative bacteriology. 40 The endogenous levels of cytokines (GM-CSF, bFGF, PDGF-AB, EGF, TGF B1 , TGF B2 , IL-1B) present in the ulcers before treatment and on days 10 and 36 were determined using an enzyme-linked immunosorbent assay technique on retrieved wound fluid, as described by Cooper et al 7 Competition-based Q-reverse transcriptase-polymerase chain reaction (RT-PCR) was used to determine mRNA levels of GM-CSF and bFGF from wound biopsy samples at days 0, 10, and 36.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Sequential Cytokine Therapy for Pressure Ulcers: Clinical and Mechanistic Response

Robson

Hill²,

Smith³

et al. 2000

Annals of Surgery

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105

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ObjectiveTo compare the healing response of sequential topically applied cytokines to that of each cytokine alone and to a placebo in pressure ulcers, and to evaluate the molecular and cellular responses. Summary Background DataBecause of a deficiency of cytokine growth factors in chronic wounds and the reversal of impaired healing in animal models, pressure ulcer trials have been performed with several exogenously applied growth factors. Because single-factor therapy has not been uniformly successful, combination or sequential cytokine therapy has been proposed. Laboratory data have suggested that sequential treatment with granulocyte-macrophage/colony-stimulating factor (GM-CSF)/basic fibroblast growth factor (bFGF) might augment the previously reported effect of bFGF alone. MethodsA masked, randomized pressure ulcer trial was performed comparing sequential GM-CSF/bFGF therapy with that of each cytokine alone and with placebo during a 35-day period. The primary measure was wound volume decrease over time. Cytokine wound levels and mRNA levels were serially determined. Fibroblast-populated collagen lattices (FPCLs) were constructed from serial fibroblast biopsies. Cellular ultrastructure was evaluated by electron microscopy. Changes in ease of surgical closure and its relative cost were determined.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Sequential Cytokine Therapy for Pressure Ulcers: Clinical and Mechanistic Response

Robson

Hill²,

Smith³

et al. 2000

Annals of Surgery

Self Cite

105

View full text Add to dashboard Cite

show abstract

“…The moulds were extracted and weighted, and volume was computed by dividing weight by density. 13,14 Otherwise moulds were immersed in water and volumetric displacement was measured. This was compared with measurement of the volume of the moulds by nuclear magnetic resonance spectrometer.…”

Section: Resultsmentioning

confidence: 99%

“…Only the 'filling material saline' was [13][14][15] Digital stylus 19,20 Ease of wound closure 39 Silicone material 27 Computer pointing device (CPD) 21 tested for reliability. The reliability with dental-moulding material was insufficient, especially for wounds with deep sinus tracts or deep undermining or shallow wounds.…”

Section: Resultsmentioning

confidence: 99%

Monitoring healing of pressure ulcers: a review of assessment instruments for use in the spinal cord unit

Lis¹,

Asbeck

Post

2009

Spinal Cord

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Study design: Review. Objectives: To identify the pressure ulcer healing assessment instrument that is the best choice for use in spinal cord injury rehabilitation. Methods: Articles were retrieved from PubMed. Inclusion criteria were written in English, published up to December 2008 and describing instruments evaluated in more than one study. Search terms were pressure ulcer, wound healing, severity of illness index, reproducibility of results, sensitivity and specificity. Articles describing pressure ulcer staging scales and articles not describing clinimetric properties of an instrument were excluded. Validity, reliability, responsiveness and feasibility for routine clinical use were described of all instruments evaluated in two or more studies. Results: Eleven instruments were described. Clinimetric information was incomplete for all instruments. Clinimetric information was most complete and promising for two instruments: 'ruler length and width' and the 'Sessing' scale. The ruler method showed good intra-rater and inter-rater reliability and good concurrent validity. The 'Sessing' scale has a moderate concurrent validity but was not tested for its responsiveness. Conclusion: Further study of the clinimetric properties of pressure ulcer assessment instruments is necessary before the best instrument can be selected.

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“…Traditional measurement of wound volume is limited to estimation of wound depth using sterile cotton tip and combine with area information through mathematical formula, filling the wound with saline and measuring the volume of the saline dispensed from syringe, and applying wound mould made of silicon rubber and weighing alginate moulds. These approaches increase the rate of contamination; and are inaccurate with error rate 10-40% and 5-15% for depth estimation using the cotton tips and wound moulds, respectively [46][47][48]. Several approaches tried to develop non-invasive volume measurement applying wound 3D reconstruction including photogrammetry [39,49], structured light analysis [4,17,34,50], and industrial 3D digitiser [18,51].…”

Section: Wound 3d Analysis and Volume Measurementmentioning

confidence: 99%

Wound Healing Assessment Using Digital Photography: A Review

Mohafez

Ahmad

Roohi

et al. 2016

JBEMi

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Digital photography as a non-invasive, simple, objective, reproducible, and practical imaging modality has been investigated for the wound healing assessment over the last three decades, and now has been widely used in clinical daily routine. Advances in the field of image analysis and computational intelligence techniques along with the improvements in digital camera instrumentation, expand the applications of standardized digital photography in diagnostic dermatology such as evaluation of tumours, erythema, and ulcers. A series of digital images taken at regular intervals carries the most informative wound healing indexes, color and dimension, that may help clinicians to evaluate the effectiveness of a particular treatment regimen, to relieve patient discomfort, to globally assess the healing kinetics, and to quantitatively compare different therapies; however, the extent of underlying tissue damage cannot be fully detected. This paper is an introductory review of the important investigations proposed by researchers in the context of clinical wound assessment. The principles of wound assessment using digital photography were shortly described, followed by review of the related literature in four main domains: wound tissue segmentation, automated wound area measurement, wound three dimensional (3D) analysis and volumetric measurement, and monitoring and evaluation of wound tissue changes during healing.

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Pressure Sore Volume Measurement: A Technique to Document and Record Wound Healing

Cited by 44 publications

References 5 publications

Sequential Cytokine Therapy for Pressure Ulcers: Clinical and Mechanistic Response

Sequential Cytokine Therapy for Pressure Ulcers: Clinical and Mechanistic Response

Monitoring healing of pressure ulcers: a review of assessment instruments for use in the spinal cord unit

Wound Healing Assessment Using Digital Photography: A Review

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