Header

UZH-Logo

Maintenance Infos

Early Wound Healing Score (EHS): An Intra- and Inter-Examiner Reliability Study


Marini, Lorenzo; Sahrmann, Philipp; Rojas, Mariana Andrea; Cavalcanti, Camilla; Pompa, Giorgio; Papi, Piero; Pilloni, Andrea (2019). Early Wound Healing Score (EHS): An Intra- and Inter-Examiner Reliability Study. Dentistry Journal, 7(3):86.

Abstract

The early wound healing score (EHS) was introduced to assess early wound healing of periodontal soft tissues after surgical incision. The purpose of this study is to evaluate the intra- and inter-examiner reliability of the EHS. Six examiners with different levels of training and clinical focus were enrolled. Each examiner was trained on the use of the EHS before starting the study. Thereafter, 63 photographs of three different types of surgical incisions taken at day 1, 3 or 7 post-operatively were independently evaluated according to the proposed assessment method. A two-way random intra-class correlation coefficient (ICC) and 95% confidence interval (CI) were used to analyze the intra- and inter-examiner reliability for the EHS. The inter-examiner reliability for the EHS was 0.828 (95% CI: 0.767-0.881). The intra-examiner reliability ranged between 0.826 (95% CI: 0.728-0.891) and 0.915 (95% CI: 0.856-0.950). The results therefore show an "almost perfect agreement" for intra- and inter-examiner reliability. The EHS provides a system for reproducible repeated ratings for the early healing assessment of incisions of periodontal soft tissues. Even when used by examiners with different clinical experience and specialty, it shows a high correlation coefficient.

Abstract

The early wound healing score (EHS) was introduced to assess early wound healing of periodontal soft tissues after surgical incision. The purpose of this study is to evaluate the intra- and inter-examiner reliability of the EHS. Six examiners with different levels of training and clinical focus were enrolled. Each examiner was trained on the use of the EHS before starting the study. Thereafter, 63 photographs of three different types of surgical incisions taken at day 1, 3 or 7 post-operatively were independently evaluated according to the proposed assessment method. A two-way random intra-class correlation coefficient (ICC) and 95% confidence interval (CI) were used to analyze the intra- and inter-examiner reliability for the EHS. The inter-examiner reliability for the EHS was 0.828 (95% CI: 0.767-0.881). The intra-examiner reliability ranged between 0.826 (95% CI: 0.728-0.891) and 0.915 (95% CI: 0.856-0.950). The results therefore show an "almost perfect agreement" for intra- and inter-examiner reliability. The EHS provides a system for reproducible repeated ratings for the early healing assessment of incisions of periodontal soft tissues. Even when used by examiners with different clinical experience and specialty, it shows a high correlation coefficient.

Statistics

Citations

Dimensions.ai Metrics

Altmetrics

Downloads

9 downloads since deposited on 31 Jan 2020
9 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic of Conservative and Preventive Dentistry
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:1 September 2019
Deposited On:31 Jan 2020 09:38
Last Modified:31 Jan 2020 09:38
Publisher:MDPI Publishing
ISSN:2304-6767
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.3390/dj7030086
PubMed ID:31480586

Download

Gold Open Access

Download PDF  'Early Wound Healing Score (EHS): An Intra- and Inter-Examiner Reliability Study'.
Preview
Content: Published Version
Language: English
Filetype: PDF
Size: 566kB
View at publisher
Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)