Developing an accurate system of measuring colour in a venous leg ulcer in order to assess healing.
OBJECTIVE
To develop a standardised method of assessing venous ulceration, based on the colour of an ulcer bed and the surrounding skin.


METHODS
This pilot study involved taking three sequential digital photographs during an episode of care and measuring the colour using image analysis software. Ten episodes of care were used for data collection.


RESULTS
Based on previous research, a threshold of < or =3 degrees of colour and 3% of saturation was selected to indicate the reliability of the system. The mean of the colour measurements was inside the reliability threshold when measuring an ulcer bed, but outside the threshold for measuring the surrounding skin.


CONCLUSIONS
The results indicate that the system provides consistent visual representation of a venous leg ulcer.
McGuiness
W
W
La Trobe Alfred Clinical School of Nursing, Melbourne, Australia. w.mcguiness@latrobe.edu.au
Dunn
S V
SV
Jones
M J
MJ
D000368:Aged; D003116:Color; D003118:Color Perception; D015986:Confounding Factors, Epidemiologic; D005260:Female; D006097:Granulation Tissue; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods / Q000592:standards; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards; D015403:Nursing Evaluation Research; D015588:Observer Variation; D010781:Photography / Q000379:methods* / Q000592:standards; D010808:Physical Examination / Q000379:methods / Q000451:nursing* / Q000592:standards; D010865:Pilot Projects; D011446:Prospective Studies; D018401:Sample Size; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012880:Skin Pigmentation; D014647:Varicose Ulcer / Q000145:classification / Q000150:complications / Q000175:diagnosis / Q000451:nursing*; D014945:Wound Healing; D014946:Wound Infection / Q000209:etiology