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dc.contributor.authorEdwards, Helen E
dc.contributor.authorParker, Christina N
dc.contributor.authorMiller, Charne
dc.contributor.authorGibb, Michelle
dc.contributor.authorKapp, Suzanne
dc.contributor.authorOgrin, Rajna
dc.contributor.authorAnderson, Jacinta
dc.contributor.authorColeman, Kerrie
dc.contributor.authorSmith, Dianne
dc.contributor.authorFinlayson, Kathleen J
dc.date.accessioned2021-11-10T04:28:43Z
dc.date.available2021-11-10T04:28:43Z
dc.date.issued2018
dc.identifier.issn1742-4801en_US
dc.identifier.doi10.1111/iwj.12859en_US
dc.identifier.urihttp://hdl.handle.net/10072/410011
dc.description.abstractThe aim of this study was to validate a newly developed tool that can predict the risk of failure to heal of a venous leg ulcer in 24 weeks. The risk assessment tool was validated, and performance of the tool was assessed using Area Under the Receiver Operating Characteristic Curve (AUC) analysis. Retrospective and prospective validation was conducted through multi-site, longitudinal studies. In the retrospective study (n = 318), 30% of ulcers did not heal within 24 weeks, with the tool demonstrating an AUC of 0.80 (95% CI, 0.68-0.93, P <.001) for the total score. In the prospective study across 10 clinical sites (n = 225), 31% (n = 68) of ulcers did not heal within 24 weeks. Participants were classified with the RAT at enrolment as being at low risk (27%), moderate risk (53%) or high risk (20%) of delayed healing; the proportion of wounds unhealed at 24 weeks was 6%, 29% and 59%, respectively. Validation results of the total score indicated good discrimination and goodness of fit with an AUC of 0.78 (95% CI, 0.71-0.85, P <.001). Validation of this risk assessment tool offers assurance that realistic outcomes can be predicted for patients, and scores can guide early decisions on interventions to address specific risk factors for failing to heal, thus promoting timely healing.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherJohn Wiley and Sonsen_US
dc.relation.ispartofpagefrom258en_US
dc.relation.ispartofpageto265en_US
dc.relation.ispartofissue2en_US
dc.relation.ispartofjournalInternational Wound Journalen_US
dc.relation.ispartofvolume15en_US
dc.subject.fieldofresearchClinical sciencesen_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchcode3202en_US
dc.subject.fieldofresearchcode4205en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsDermatologyen_US
dc.subject.keywordsSurgeryen_US
dc.subject.keywordsdelayed healingen_US
dc.titlePredicting delayed healing: The diagnostic accuracy of a venous leg ulcer risk assessment toolen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationEdwards, HE; Parker, CN; Miller, C; Gibb, M; Kapp, S; Ogrin, R; Anderson, J; Coleman, K; Smith, D; Finlayson, KJ, Predicting delayed healing: The diagnostic accuracy of a venous leg ulcer risk assessment tool, International Wound Journal, 2018, 15 (2), pp. 258-265en_US
dcterms.dateAccepted2017-10-11
dc.date.updated2021-11-10T04:27:27Z
gro.hasfulltextNo Full Text
gro.griffith.authorOgrin, Rajna


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