Validation of the Bluebelle Wound Healing Questionnaire for assessment of surgical‐site infection in closed primary wounds after hospital discharge. Issue 3 (17th December 2018)

• Record Type: Journal Article
• Other Names: Macefield Rhiannon investigator.; Blazeby Jane investigator.; Reeves Barnaby investigator.; Brookes Sara investigator.; Avery Kerry investigator.; Rogers Chris investigator.; Woodward Mark investigator.; Welton Nicky investigator.; Rooshenas Leila investigator.; Mathers Jonathan investigator.; Torrance Andrew investigator.; Pullyblank Anne investigator.; Longman Robert investigator.; Lovegrove Richard investigator.; Draycott Tim investigator.; Pinkney Thomas investigator.; Gooberman‐Hill Rachael investigator.; Donovan Jenny investigator.; Coast Joanna investigator.; Calvert Melanie investigator.; Blencowe Natalie investigator.; Andronis Lazaros investigator.; Siassakos Dimitrios investigator.; Pope Caroline investigator.; Clout Madeleine investigator.; Ashton Kate investigator.; Ellis Lucy investigator.; McMullan Christel investigator.; Harris Rosie investigator.; Elliott Daisy investigator.; Dumville Jo investigator.; Waterhouse Benjamin investigator.; Strong Sean investigator.; Seligman William investigator.; Rickard Lloyd investigator.; Pathak Samir investigator.; Owais Anwar investigator.; O'Callaghan Jamie investigator.; O'Brien Stephen investigator.; Nepogodiev Dmitri investigator.; Nadi Khaldoun investigator.; Murkin Charlotte investigator.; Munder Tonia investigator.; Milne Tom investigator.; Messenger David investigator.; Mason Matthew investigator.; Marshall Morwena investigator.; Lloyd Jessica investigator.; Lim Jeffrey investigator.; Lee Kathryn investigator.; Korwar Vijay investigator.; Hughes Daniel investigator.; Hill George investigator.; Hamdan Mohammed investigator.; Brown Hannah Gould investigator.; Glasbey James investigator.; Fryer Caroline investigator.; Davey Simon investigator.; Cotton David investigator.; Byrne Benjamin investigator.; Brown Oliver investigator.; Bera Katarzyna investigator.; Bennett Joanne investigator.; Bamfor Richard investigator.; Bakhbakhi Danya investigator.; Atif Muhammad investigator.; Armstrong Elizabeth investigator.; Ananthavarathan Piriyankan investigator.;
• Is Part Of: British journal of surgery. Volume 106:Issue 3(2019)
• Page Start: 226
• Page End: 235
• Publication Date: 2018-12-17
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1002/bjs.11008
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract : Background: Accurate assessment of surgical‐site infection (SSI) is crucial for surveillance and research. Self‐reporting patient measures are needed because current SSI tools are limited for assessing patients after leaving hospital. The Bluebelle Wound Healing Questionnaire (WHQ) was developed for patient or observer completion; this study tested its acceptability, scale structure, reliability and validity in patients with closed primary wounds after abdominal surgery. Methods: Patients completed the WHQ (self‐assessment) within 30 days after leaving hospital and returned it by post. Healthcare professionals completed the WHQ (observer assessment) by telephone or face‐to‐face. Questionnaire response rates and patient acceptability were assessed. Factor analysis and Cronbach's α examined scale structure and internal consistency. Test–retest and self‐ versus observer reliability assessments were performed. Sensitivity and specificity for SSI discrimination against a face‐to‐face reference diagnosis (using Centers for Disease Control and Prevention criteria) were examined. Results: Some 561 of 792 self‐assessments (70·8 per cent) and 597 of 791 observer assessments (75·5 per cent) were completed, with few missing data or problems reported. Data supported a single‐scale structure with strong internal consistency (α greater than 0·8). Reliability between test–retest and self‐ versus observer assessments was good (κ 0·6 or above for the majority of items). Sensitivity and specificity for SSI discrimination was high (area under the receiver operating characteristic (ROC) curve 0·91). Conclusion: The Bluebelle WHQ is acceptable, reliable and valid with a single‐scale structure for postdischarge patient or observer assessment of SSI in closed primary wounds. Abstract : Simple and valid