title: Reliability of electronic versus manual wound measurement techniques.
abstract: OBJECTIVE
  To compare the accuracy and reliability of 3 wound measurement techniques, including linear and 2 electronic techniques--Visitrak and the VeV MD system.
  
  
  METHODS
  Repeated measures involving forty 2-dimensional "wounds" with a range of clinically relevant sizes were created using regular paper. Blinded observers measured the surface areas of wounds in 2 sessions, using 3 techniques.
  
  
  METHODS
  Research department of a tertiary referral center.
  
  
  METHODS
  Four blinded observers.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Mixed linear models were fitted to determine interobserver and intraobserver variability. The average root mean square error (RMSE) for each measurement technique was determined to investigate the accuracy.
  
  
  RESULTS
  Intraobserver variation was not significant in most measurement techniques. Interobserver variation was significant for all techniques. Linear measurements showed the highest RMSE, whereas VeV and Visitrak were comparable.
  
  
  CONCLUSIONS
  Reliability of repeated wound measurements for all techniques can be achieved only with the same observer. Linear measurement has the least accuracy in evaluating wound size, VeV is slightly better than Visitrak for large wounds, and Visitrak is slightly better than VeV for small wounds. Our study shows that the use of electronic devices is superior to manual techniques to achieve valid measurements of wound area.
authors.affiliation: Department of Physical Medicine and Rehabilitation, MetroHealth Medical Center/Case Western Reserve University, Cleveland, OH 44106, USA.
authors.forename: Sepideh
authors.initials: S
authors.lastname: Haghpanah
authors.forename: Kath
authors.initials: K
authors.lastname: Bogie
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Wang
authors.forename: Patricia G
authors.initials: PG
authors.lastname: Banks
authors.forename: Chester H
authors.initials: CH
authors.lastname: Ho
mesh_terms: D006801:Humans; D007091:Image Processing, Computer-Assisted; D015588:Observer Variation; D015203:Reproducibility of Results; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000473:pathology