3D photography is as accurate as digital planimetry tracing in determining burn wound area

Stockton, K.A., McMillan, C.M., Storey, K.J., David, M.C. and Kimble, R.M. (2014) 3D photography is as accurate as digital planimetry tracing in determining burn wound area. Burns, 41 1: 80-84. doi:10.1016/j.burns.2014.04.022


Author Stockton, K.A.
McMillan, C.M.
Storey, K.J.
David, M.C.
Kimble, R.M.
Title 3D photography is as accurate as digital planimetry tracing in determining burn wound area
Journal name Burns   Check publisher's open access policy
ISSN 0305-4179
1879-1409
Publication date 2014
Sub-type Article (original research)
DOI 10.1016/j.burns.2014.04.022
Open Access Status
Volume 41
Issue 1
Start page 80
End page 84
Total pages 5
Place of publication Oxford, England, U.K.
Publisher Pergamon Press
Collection year 2015
Language eng
Subject 2746 Surgery
2711 Emergency Medicine
2706 Critical Care and Intensive Care Medicine
Abstract Background: In the paediatric population careful attention needs to be made concerning techniques utilised for wound assessment to minimise discomfort and stress to the child. Aim: To investigate whether 3D photography is a valid measure of burn wound area in children compared to the current clinical gold standard method of digital planimetry using Visitrak™. Method: Twenty-five children presenting to the Stuart Pegg Paediatric Burn Centre for burn dressing change following acute burn injury were included in the study. Burn wound area measurement was undertaken using both digital planimetry (Visitrak™ system) and 3D camera analysis. Inter-rater reliability of the 3D camera software was determined by three investigators independently assessing the burn wound area. Results: A comparison of wound area was assessed using intraclass correlation co-efficients (ICC) which demonstrated excellent agreement 0.994 (CI 0.986, 0.997). Inter-rater reliability measured using ICC 0.989 (95% CI 0.979, 0.995) demonstrated excellent inter-rater reliability. Time taken to map the wound was significantly quicker using the camera at bedside compared to Visitrak™ 14.68 (7.00) s versus 36.84 (23.51) s (p < 0.001). In contrast, analysing wound area was significantly quicker using the Visitrak™ tablet compared to Dermapix® software for the 3D Images 31.36 (19.67) s versus 179.48 (56.86) s (p < 0.001). Conclusion: This study demonstrates that images taken with the 3D LifeViz™ camera and assessed with Dermapix® software is a reliable method for wound area assessment in the acute paediatric burn setting.
Keyword Burn
Paediatric
Reliability
Wound area
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 27 May 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
Queensland Children's Medical Research Institute Publications
School of Medicine Publications
 
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