Analysis of agreement of the evaluation of pressure ulcer staging
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Reme (Online) |
Texto Completo: | https://periodicos.ufmg.br/index.php/reme/article/view/50232 |
Resumo: | This study aimed to evaluate the consistency of the diagnoses, among nurses, of the staging of pressure ulcers based upon bi-dimensional images. This was a cross-sectional study with a diagnostic approach for staging of pressure ulcers, as measured by the overall rate of agreement and the Kappa Index. Training was conducted with 12 nurses and evaluation of the level of agreement in comparison to the diagnostic standard of an experienced investigator in the reading of ten digital images. Three applications of the test were necessary to obtain more than 80% agreement in the classification of the ulcers. The level of agreement obtained based on the evaluations of the bi-dimensional images was lower than those obtained in clinical practice. This study showed that in order to achieve agreement of greater than 85%, a high level of professional training is necessary, in large part, of the professionals who perform the evaluation. |
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Analysis of agreement of the evaluation of pressure ulcer stagingAnálisis de aceptación de estadificación de las úlceras por presiónAnálise da concordância da avaliação de estadiamento de úlcera por pressãoÚlcera por PresiónDiagnósticoInterpretación Estadística de DatosÚlcera por PressãoDiagnósticoInterpretação Estatística de DadosPressure UlcerDiagnosisData InterpretationThis study aimed to evaluate the consistency of the diagnoses, among nurses, of the staging of pressure ulcers based upon bi-dimensional images. This was a cross-sectional study with a diagnostic approach for staging of pressure ulcers, as measured by the overall rate of agreement and the Kappa Index. Training was conducted with 12 nurses and evaluation of the level of agreement in comparison to the diagnostic standard of an experienced investigator in the reading of ten digital images. Three applications of the test were necessary to obtain more than 80% agreement in the classification of the ulcers. The level of agreement obtained based on the evaluations of the bi-dimensional images was lower than those obtained in clinical practice. This study showed that in order to achieve agreement of greater than 85%, a high level of professional training is necessary, in large part, of the professionals who perform the evaluation.Este estudio tuvo como objetivo evaluar la concordancia de diagnósticos entre enfermeras sobre estadios de ulceras de presión a partir de imágenes bidimensionales. Se trata de un estudio con enfoque de prueba diagnóstica de ulceras de presión por medio del cálculo de la tasa global de concordancia y el índice kappa. Fueron seleccionadas 12 enfermeras para evaluación de 10 imágenes digitales y sus diagnósticos comparados al de un investigador de mucha experiencia. Fueron necesarias tres aplicaciones de la prueba para obtener 80% de la concordancia global en relación al diagnóstico patrón. Los niveles de concordancia obtenidos por medio de la evaluación de imágenes bidimensionales fueron menores de aquellos obtenidos en la práctica clínica. Este estudio comprobó que para alcanzar altos niveles de concordancia en dichos diagnósticos los profesionales que realizan la evaluación deben estar muy capacitados.Este estudo teve como objetivo avaliar a consistência dos diagnósticos, entre enfermeiras, de estadiamento de úlcera por pressão a partir de imagens bidimensionais. Trata-se de um estudo transversal com abordagem diagnóstica de estadiamento de úlceras de pressão medido por meio da taxa global de concordância e índice Kappa. Realizou-se treinamento de 12 enfermeiras e avaliação do grau de concordância em comparação com o diagnóstico padrão de pesquisador experiente na leitura de 10 imagens digitais. Foram necessárias três aplicações do teste para obtenção de mais de 80% de concordância na classificação das úlceras Os níveis de concordância obtidos por meio da avaliação de imagens bidimensionais foram mais baixos que aqueles obtidos na prática clínica. Este estudo comprovou que para se atingirem concordâncias superiores a 85% é necessário, em grande parte, alto grau de capacitação dos profissionais que realizam a avaliação.Universidade Federal de Minas Gerais2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5023210.5935/1415-2762.20130020REME-Revista Mineira de Enfermagem; Vol. 17 No. 2 (2013)REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 2 (2013)REME-Revista Mineira de Enfermagem; v. 17 n. 2 (2013)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50232/41610https://periodicos.ufmg.br/index.php/reme/article/view/50232/41611https://periodicos.ufmg.br/index.php/reme/article/view/50232/41612Copyright (c) 2013 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessGomes, Flávia Sampaio LatiniBastos, Marisa Antonini RibeiroBatista, Juliana AlvesVelásquez-Meléndez, Gustavo2024-01-24T13:35:28Zoai:periodicos.ufmg.br:article/50232Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T13:35:28Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Analysis of agreement of the evaluation of pressure ulcer staging Análisis de aceptación de estadificación de las úlceras por presión Análise da concordância da avaliação de estadiamento de úlcera por pressão |
title |
Analysis of agreement of the evaluation of pressure ulcer staging |
spellingShingle |
Analysis of agreement of the evaluation of pressure ulcer staging Gomes, Flávia Sampaio Latini Úlcera por Presión Diagnóstico Interpretación Estadística de Datos Úlcera por Pressão Diagnóstico Interpretação Estatística de Dados Pressure Ulcer Diagnosis Data Interpretation |
title_short |
Analysis of agreement of the evaluation of pressure ulcer staging |
title_full |
Analysis of agreement of the evaluation of pressure ulcer staging |
title_fullStr |
Analysis of agreement of the evaluation of pressure ulcer staging |
title_full_unstemmed |
Analysis of agreement of the evaluation of pressure ulcer staging |
title_sort |
Analysis of agreement of the evaluation of pressure ulcer staging |
author |
Gomes, Flávia Sampaio Latini |
author_facet |
Gomes, Flávia Sampaio Latini Bastos, Marisa Antonini Ribeiro Batista, Juliana Alves Velásquez-Meléndez, Gustavo |
author_role |
author |
author2 |
Bastos, Marisa Antonini Ribeiro Batista, Juliana Alves Velásquez-Meléndez, Gustavo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Gomes, Flávia Sampaio Latini Bastos, Marisa Antonini Ribeiro Batista, Juliana Alves Velásquez-Meléndez, Gustavo |
dc.subject.por.fl_str_mv |
Úlcera por Presión Diagnóstico Interpretación Estadística de Datos Úlcera por Pressão Diagnóstico Interpretação Estatística de Dados Pressure Ulcer Diagnosis Data Interpretation |
topic |
Úlcera por Presión Diagnóstico Interpretación Estadística de Datos Úlcera por Pressão Diagnóstico Interpretação Estatística de Dados Pressure Ulcer Diagnosis Data Interpretation |
description |
This study aimed to evaluate the consistency of the diagnoses, among nurses, of the staging of pressure ulcers based upon bi-dimensional images. This was a cross-sectional study with a diagnostic approach for staging of pressure ulcers, as measured by the overall rate of agreement and the Kappa Index. Training was conducted with 12 nurses and evaluation of the level of agreement in comparison to the diagnostic standard of an experienced investigator in the reading of ten digital images. Three applications of the test were necessary to obtain more than 80% agreement in the classification of the ulcers. The level of agreement obtained based on the evaluations of the bi-dimensional images was lower than those obtained in clinical practice. This study showed that in order to achieve agreement of greater than 85%, a high level of professional training is necessary, in large part, of the professionals who perform the evaluation. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50232 10.5935/1415-2762.20130020 |
url |
https://periodicos.ufmg.br/index.php/reme/article/view/50232 |
identifier_str_mv |
10.5935/1415-2762.20130020 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://periodicos.ufmg.br/index.php/reme/article/view/50232/41610 https://periodicos.ufmg.br/index.php/reme/article/view/50232/41611 https://periodicos.ufmg.br/index.php/reme/article/view/50232/41612 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2013 Reme: Revista Mineira de Enfermagem info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2013 Reme: Revista Mineira de Enfermagem |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/plain application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.source.none.fl_str_mv |
REME-Revista Mineira de Enfermagem; Vol. 17 No. 2 (2013) REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 2 (2013) REME-Revista Mineira de Enfermagem; v. 17 n. 2 (2013) 2316-9389 1415-2762 reponame:Reme (Online) instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
institution |
UFMG |
reponame_str |
Reme (Online) |
collection |
Reme (Online) |
repository.name.fl_str_mv |
Reme (Online) - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
remeufmg@gmail.com |
_version_ |
1797041906609291264 |