A systematic review on the quality of measurement techniques for the assessment of burn wound depth or healing potential. Issue 2 (March 2019)

• Record Type: Journal Article
• Authors: Jaspers, Mariëlle E.H.; van Haasterecht, Ludo; van Zuijlen, Paul P.M.; Mokkink, Lidwine B.
• Is Part Of: Burns. Volume 45:Issue 2(2019)
• Page Start: 261
• Page End: 281
• Publication Date: 2019-03
• Subjects: AUC area under the curve -- COSMIN COnsensus-based Standards for the selection of health Measurement INstruments -- FOCI fiber-optic confocal imaging -- ICC intraclass correlation coefficient -- LDI laser Doppler imaging -- LDLS laser Doppler line scanner -- LoA limits of agreement -- MIC minimally important change -- NIRS near-infrared spectroscopy -- NPV negative predictive value -- OCT optical coherence tomography -- PAI photoacoustic imaging -- PPV positive predictive value -- PROM patient reported outcome measure -- PSI pulse speckle imaging -- SEM standard error of measurement -- SFDI spatial frequency domain imaging -- SIA spectrophotometric intracutaneous analysis; Burn wound -- Depth -- Healing potential -- Measurement properties -- Assessment -- Review [publication type]; Burns and scalds -- Periodicals; 617.11
• DOI: 10.1016/j.burns.2018.05.015
• Languages: English
• ISSNs: 0305-4179

Abstract

Highlights: This review took the methodological quality of included studies into account. Measurement techniques may assess burn wound depth or healing potential. Future studies should provide a precise description of which construct is measured. Laser Doppler imaging is currently the most favorable technique. Studies on reliability and measurement error of measurement techniques are needed. Abstract: Purpose: Reliable and valid assessment of burn wound depth or healing potential is essential to treatment decision-making, to provide a prognosis, and to compare studies evaluating different treatment modalities. The aim of this review was to critically appraise, compare and summarize the quality of relevant measurement properties of techniques that aim to assess burn wound depth or healing potential. Methods: A systematic literature search was performed using PubMed, EMBASE and Cochrane Library. Two reviewers independently evaluated the methodological quality of included articles using an adapted version of the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. A synthesis of evidence was performed to rate the measurement properties for each technique and to draw an overall conclusion on quality of the techniques. Results: Thirty-six articles were included, evaluating various techniques, classified as (1) laser Doppler techniques; (2) thermography or thermal imaging; (3) other measurement techniques. Strong evidence was found for adequate construct validity of laser Doppler imaging (LDI). Moderate evidence was found for adequate construct validity of thermography, videomicroscopy, and spatial frequency domain imaging (SFDI). Only two studies reported on the measurement property reliability. Furthermore, considerable variation was observed among comparator instruments. Conclusions: Considering the evidence available, it appears that LDI is currently the most favorable technique; thereby assessing burn wound healing potential. Additional research is needed into thermography, videomicroscopy, and SFDI to evaluate their full potential. Future studies should focus on reliability and measurement error, and provide a precise description of which construct is aimed to measure.