Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/19334
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dc.contributor.authorEdwards, Helen E-
dc.contributor.authorParker, Christina N-
dc.contributor.authorMiller, Charne-
dc.contributor.authorGibb, Michelle-
dc.contributor.authorKapp, Suzanne-
dc.contributor.authorOgrin, Rajna-
dc.contributor.authorAnderson, Jacinta-
dc.contributor.authorColeman, Kerrie-
dc.contributor.authorSmith, Dianne-
dc.contributor.authorFinlayson, Kathleen J-
dc.date2017-12-26-
dc.date.accessioned2018-09-16T23:53:54Z-
dc.date.available2018-09-16T23:53:54Z-
dc.date.issued2018-04-
dc.identifier.citationInternational wound journal 2018; 15(2): 258-265-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/19334-
dc.description.abstractThe aim of this study was to validate a newly developed tool that can predict the risk of failure to heal of a venous leg ulcer in 24 weeks. The risk assessment tool was validated, and performance of the tool was assessed using Area Under the Receiver Operating Characteristic Curve (AUC) analysis. Retrospective and prospective validation was conducted through multi-site, longitudinal studies. In the retrospective study (n = 318), 30% of ulcers did not heal within 24 weeks, with the tool demonstrating an AUC of 0.80 (95% CI, 0.68-0.93, P < .001) for the total score. In the prospective study across 10 clinical sites (n = 225), 31% (n = 68) of ulcers did not heal within 24 weeks. Participants were classified with the RAT at enrolment as being at low risk (27%), moderate risk (53%) or high risk (20%) of delayed healing; the proportion of wounds unhealed at 24 weeks was 6%, 29% and 59%, respectively. Validation results of the total score indicated good discrimination and goodness of fit with an AUC of 0.78 (95% CI, 0.71-0.85, P < .001). Validation of this risk assessment tool offers assurance that realistic outcomes can be predicted for patients, and scores can guide early decisions on interventions to address specific risk factors for failing to heal, thus promoting timely healing.-
dc.language.isoeng-
dc.subjectdelayed healing-
dc.subjectnon-healing-
dc.subjectrisk assessment tool-
dc.subjectvalidation-
dc.subjectvenous leg ulcer-
dc.titlePredicting delayed healing: The diagnostic accuracy of a venous leg ulcer risk assessment tool.-
dc.typeJournal Article-
dc.identifier.journaltitleInternational wound journal-
dc.identifier.affiliationFaculty of Health, Queensland University of Technology, Brisbane, Australia-
dc.identifier.affiliationInstitute of Health & Biomedical Innovation, Queensland University of Technology, Brisbane, Australia-
dc.identifier.affiliationWound Management Innovation Cooperative Research Centre, Australia-
dc.identifier.affiliationLa Trobe University, Melbourne, Australia-
dc.identifier.affiliationAlfred Health Clinical School, Melbourne, Australia-
dc.identifier.affiliationDepartment of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, Australia-
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationCentre for wound management, RDNS Institute, St. Kilda, Australia-
dc.identifier.affiliationRoyal District Nursing Service, Brisbane, Australia-
dc.identifier.affiliationMultidisciplinary Skin Integrity Service, Royal Brisbane & Womens Hospital, Brisbane, Australia-
dc.identifier.doi10.1111/iwj.12859-
dc.identifier.orcid0000-0002-4192-7254-
dc.identifier.pubmedid29277969-
dc.type.austinJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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