Early Wound Healing Score (EHS): An Intra- and Inter-Examiner Reliability Study

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Open Dentistry Journal Pub Date : 2019-09-01 DOI:10.3390/dj7030086
L. Marini, P. Sahrmann, M. A. Rojas, C. Cavalcanti, G. Pompa, P. Papi, A. Pilloni
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引用次数: 6

Abstract

The early wound healing score (EHS) was introduced to assess early wound healing of periodontal soft tissues after surgical incision. The purpose of this study is to evaluate the intra- and inter-examiner reliability of the EHS. Six examiners with different levels of training and clinical focus were enrolled. Each examiner was trained on the use of the EHS before starting the study. Thereafter, 63 photographs of three different types of surgical incisions taken at day 1, 3 or 7 post-operatively were independently evaluated according to the proposed assessment method. A two-way random intra-class correlation coefficient (ICC) and 95% confidence interval (CI) were used to analyze the intra- and inter-examiner reliability for the EHS. The inter-examiner reliability for the EHS was 0.828 (95% CI: 0.767–0.881). The intra-examiner reliability ranged between 0.826 (95% CI: 0.728–0.891) and 0.915 (95% CI: 0.856–0.950). The results therefore show an “almost perfect agreement” for intra- and inter-examiner reliability. The EHS provides a system for reproducible repeated ratings for the early healing assessment of incisions of periodontal soft tissues. Even when used by examiners with different clinical experience and specialty, it shows a high correlation coefficient.
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早期伤口愈合评分(EHS):一项检查者内部和内部的可靠性研究
采用早期创面愈合评分(EHS)评价手术切口后牙周软组织早期创面愈合情况。本研究的目的是评估EHS的内部和内部的信度。6名具有不同培训水平和临床重点的审查员入选。在开始研究之前,每位审查员都接受了EHS使用方面的培训。然后,根据所提出的评估方法,对术后第1天、第3天、第7天拍摄的3种不同类型手术切口的63张照片进行独立评估。采用双向随机类内相关系数(ICC)和95%置信区间(CI)分析EHS的组内和组间信度。EHS的检查者间信度为0.828 (95% CI: 0.767 ~ 0.881)。检查者内部信度范围为0.826 (95% CI: 0.728-0.891)和0.915 (95% CI: 0.856-0.950)。因此,结果表明,在审查员内部和审查员之间的信度“几乎完全一致”。EHS为牙周软组织切口的早期愈合评估提供了一个可重复的评分系统。即使由不同临床经验和专业的审查员使用,也显示出很高的相关系数。
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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