{"title":"Comparing Digital, Mobile and Three-Dimensional Methods in Pressure Injury Measurement: Agreement in Surface Area and Depth Assessments.","authors":"Gul Sahbudak, Ulku Gunes","doi":"10.1111/jocn.17813","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>To examine the consistency among three wound measurement methods in assessing pressure injury surface area and to compare manual depth measurement with three-dimensional wound measurement.</p><p><strong>Design: </strong>Methodological and comparative study.</p><p><strong>Methods: </strong>This study was conducted between 2022 and 2024 at a university hospital, involving 125 pressure injuries. The wound surface area was measured using three different methods, and depth was measured using a sterile cotton swab and three dimensional wound measurement method. STARD reporting guidelines were followed.</p><p><strong>Results: </strong>This study found a statistically significant, strong positive correlation among the three wound measurement methods. However, a significant difference was detected, with digital planimetry yielding higher values than other methods. No significant difference was observed between depth measurement methods.</p><p><strong>Conclusion: </strong>Digital wound measurement methods are fast, non-contact, accurate and reliable for assessing pressure injury surface area. Additionally, three dimensional wound measurement serves as a potential aseptic, non-contact alternative to traditional depth measurement, making it a valuable tool in clinical settings.</p><p><strong>Implications for the profession and/or patient care: </strong>Future advancements in wound measurement should focus on artificial intelligence-driven wound boundary detection and improved automation for more consistent and reliable measurements.</p><p><strong>Impact: </strong>The study addressed the absence of a universally accepted 'gold standard' for wound measurement. Findings showed that digital planimetry provided the highest measurements, while three-dimensional wound measurement and imitoMeasure demonstrated accuracy, reliability and efficiency. This research will impact wound care specialists and healthcare institutions by improving pressure injury measurement and promoting standardised digital methods in clinical practice.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p><p><strong>Trial registration: </strong>NCT06559657.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.17813","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: To examine the consistency among three wound measurement methods in assessing pressure injury surface area and to compare manual depth measurement with three-dimensional wound measurement.
Design: Methodological and comparative study.
Methods: This study was conducted between 2022 and 2024 at a university hospital, involving 125 pressure injuries. The wound surface area was measured using three different methods, and depth was measured using a sterile cotton swab and three dimensional wound measurement method. STARD reporting guidelines were followed.
Results: This study found a statistically significant, strong positive correlation among the three wound measurement methods. However, a significant difference was detected, with digital planimetry yielding higher values than other methods. No significant difference was observed between depth measurement methods.
Conclusion: Digital wound measurement methods are fast, non-contact, accurate and reliable for assessing pressure injury surface area. Additionally, three dimensional wound measurement serves as a potential aseptic, non-contact alternative to traditional depth measurement, making it a valuable tool in clinical settings.
Implications for the profession and/or patient care: Future advancements in wound measurement should focus on artificial intelligence-driven wound boundary detection and improved automation for more consistent and reliable measurements.
Impact: The study addressed the absence of a universally accepted 'gold standard' for wound measurement. Findings showed that digital planimetry provided the highest measurements, while three-dimensional wound measurement and imitoMeasure demonstrated accuracy, reliability and efficiency. This research will impact wound care specialists and healthcare institutions by improving pressure injury measurement and promoting standardised digital methods in clinical practice.
Patient or public contribution: No Patient or Public Contribution.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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