Monitoring wound healing in minor burns—A novel approach

•The use of bioimpedance spectroscopy (BIS) for monitoring wound healing is explored.•BIS resistance measures can be used to monitor burn wound healing.•BIS phase angle should have further investigation in the assessment of acute burn wound healing. Assessment of minor burn wound closure is predomin...

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Veröffentlicht in:Burns 2018-02, Vol.44 (1), p.70-76
Hauptverfasser: Kenworthy, Pippa, Phillips, Michael, Grisbrook, Tiffany L., Gibson, William, Wood, Fiona M., Edgar, Dale W.
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container_end_page 76
container_issue 1
container_start_page 70
container_title Burns
container_volume 44
creator Kenworthy, Pippa
Phillips, Michael
Grisbrook, Tiffany L.
Gibson, William
Wood, Fiona M.
Edgar, Dale W.
description •The use of bioimpedance spectroscopy (BIS) for monitoring wound healing is explored.•BIS resistance measures can be used to monitor burn wound healing.•BIS phase angle should have further investigation in the assessment of acute burn wound healing. Assessment of minor burn wound closure is predominately determined by visual inspection and clinical specialist assessment, which remains largely a subjective analysis and results may vary depending on the clinician’s experience. Bioimpedance spectroscopy (BIS) is an instrument that has a demonstrated ability to objectively monitor the wound healing process in various patient populations but has not yet been used in acute burn wounds. The aim of the pilot study was to examine whether the BIS technique is a valid measure of wound healing. Localised BIS resistance and phase angle triplicate measures, of minor limb burns, were collected on two serial occasions. Circumference limb measures were taken at the localised burn site to determine a truncated limb volume. Proportional-odds ordered logistic regression analyses determined resistance at zero frequency (R0, indicative of edema) and resistance of total body fluid (Rinf) were significantly associated with healing after adjustment for the influence of surgery. A one unit increase in R0 and Rinf increased the odds of wound healing by 6% and 5% respectively (p
doi_str_mv 10.1016/j.burns.2017.06.007
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Assessment of minor burn wound closure is predominately determined by visual inspection and clinical specialist assessment, which remains largely a subjective analysis and results may vary depending on the clinician’s experience. Bioimpedance spectroscopy (BIS) is an instrument that has a demonstrated ability to objectively monitor the wound healing process in various patient populations but has not yet been used in acute burn wounds. The aim of the pilot study was to examine whether the BIS technique is a valid measure of wound healing. Localised BIS resistance and phase angle triplicate measures, of minor limb burns, were collected on two serial occasions. Circumference limb measures were taken at the localised burn site to determine a truncated limb volume. Proportional-odds ordered logistic regression analyses determined resistance at zero frequency (R0, indicative of edema) and resistance of total body fluid (Rinf) were significantly associated with healing after adjustment for the influence of surgery. A one unit increase in R0 and Rinf increased the odds of wound healing by 6% and 5% respectively (p&lt;0.01). Phase angle at 50kHz and Ri were not significantly associated with the markers of the wound healing process. Spearman’s correlation determined there was a significant association between a healing wound and limb segment volume (ml) (rho −0.30, p&lt;0.01). 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Proportional-odds ordered logistic regression analyses determined resistance at zero frequency (R0, indicative of edema) and resistance of total body fluid (Rinf) were significantly associated with healing after adjustment for the influence of surgery. A one unit increase in R0 and Rinf increased the odds of wound healing by 6% and 5% respectively (p&lt;0.01). Phase angle at 50kHz and Ri were not significantly associated with the markers of the wound healing process. Spearman’s correlation determined there was a significant association between a healing wound and limb segment volume (ml) (rho −0.30, p&lt;0.01). 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subjects Adult
Bioelectrical impedance
Bioimpedance spectroscopy
Burns - diagnosis
Burns - pathology
Dielectric Spectroscopy
Female
Humans
Logistic Models
Male
Phase angle
Pilot Projects
Resistance
Spectrum Analysis
Wound assessment
Wound Healing
Young Adult
title Monitoring wound healing in minor burns—A novel approach
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