Publication:
Standardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries

dc.contributor.coauthorVan Tiggelen, H.
dc.contributor.coauthorLeBlanc, K.
dc.contributor.coauthorCampbell, K.
dc.contributor.coauthorWoo, K.
dc.contributor.coauthorBaranoski, S.
dc.contributor.coauthorChang, Y. Y.
dc.contributor.coauthorDunk, A. M.
dc.contributor.coauthorGloeckner, M.
dc.contributor.coauthorHevia, H.
dc.contributor.coauthorHolloway, S.
dc.contributor.coauthorIdensohn, P.
dc.contributor.coauthorKoren, E.
dc.contributor.coauthorKottner, J.
dc.contributor.coauthorLangemo, D.
dc.contributor.coauthorOusey, K.
dc.contributor.coauthorPokorna, A.
dc.contributor.coauthorPokorna, A.
dc.contributor.coauthorSantos, V. L. C. G.
dc.contributor.coauthorSmet, S.
dc.contributor.coauthorTariq, G.
dc.contributor.coauthorVan den Bussche, K.
dc.contributor.coauthorVan Hecke, A.
dc.contributor.coauthorVerhaeghe, S.
dc.contributor.coauthorVuagnat, H.
dc.contributor.coauthorWilliams, A.
dc.contributor.coauthorBeeckman, D.
dc.contributor.departmentSchool of Nursing
dc.contributor.kuauthorKaradağ, Ayişe
dc.contributor.schoolcollegeinstituteSCHOOL OF NURSING
dc.date.accessioned2024-11-09T12:25:56Z
dc.date.issued2019
dc.description.abstractBackground: skin tears are acute wounds that are frequently misdiagnosed and under-reported. A standardized 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 multicountry 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 intrarater 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 center dot 79 [95% confidence interval (CI) 0 center dot 79-0 center dot 80] and sensitivity ranged from 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75) to 0 center dot 88 (95% CI 0 center dot 87-0 center dot 88). The inter-rater reliability was 0 center dot 57 (95% CI 0 center dot 57-0 center dot 57). The Cohen's Kappa measuring intrarater reliability was 0 center dot 74 (95% CI 0 center dot 73-0 center dot 75). Conclusions: the ISTAP Classification System is supported by evidence for validity and reliability. The ISTAP Classification System should be used for systematic assessment and reporting of skin tears in clinical practice and research globally. What's already known about this topic? Skin tears are common acute wounds that are misdiagnosed and under-reported too often. A skin tear classification system is needed to standardize documentation and description for clinical practice, audit and research. What does this study add? The International Skin Tear Advisory Panel Classification System was psychometrically tested in 1601 healthcare professionals from 44 countries. Diagnostic accuracy was high when differentiating between type 1, 2 and 3 skin tears using a set of validated photographs.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue1
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipInternational Skin Tear Advisory Panel (ISTAP)
dc.description.versionPublisher version
dc.description.volume183
dc.identifier.doi10.1111/bjd.18604
dc.identifier.eissn1365-2133
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR02019
dc.identifier.issn0007-0963
dc.identifier.quartileQ1
dc.identifier.scopus2-s2.0-85075950572
dc.identifier.urihttps://hdl.handle.net/20.500.14288/1639
dc.identifier.wos499061900001
dc.keywordsPressure-ulcer
dc.keywordsRisk-factors
dc.keywordsPrevalence
dc.keywordsCare
dc.keywordsTranslation
dc.keywordsExtremities
dc.keywordsValidation
dc.keywordsPrevention
dc.keywordsAgreement
dc.language.isoeng
dc.publisherWiley
dc.relation.grantnoNA
dc.relation.ispartofBritish Journal of Dermatology
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/8638
dc.subjectMedicine
dc.subjectDermatology
dc.titleStandardizing the classification of skin tears: validity and reliability testing of the International Skin Tear Advisory Panel Classification System in 44 countries
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorKaradağ, Ayişe
local.publication.orgunit1SCHOOL OF NURSING
local.publication.orgunit2School of Nursing
relation.isOrgUnitOfPublicationcd883b5a-a59a-463b-9038-a0962a6b0749
relation.isOrgUnitOfPublication.latestForDiscoverycd883b5a-a59a-463b-9038-a0962a6b0749
relation.isParentOrgUnitOfPublication9781feb6-cb81-4c13-aeb3-97dae2048412
relation.isParentOrgUnitOfPublication.latestForDiscovery9781feb6-cb81-4c13-aeb3-97dae2048412

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