Clinical Report: Creation and initial clinical assessment of a mobile health tool for staging pressure injuries in ICU patients
Overview
This study evaluates a smartphone-based application for staging pressure injuries in ICU patients.
Background
Pressure injuries are prevalent in critically ill patients and can lead to severe complications. Accurate staging is essential for guiding nursing care.
Data Highlights
Measure
iOS Application
Android Application
Inter-rater agreement with expert consensus
0.769 (95% CI: 0.632–0.906, p < 0.001)
0.821 (95% CI: 0.698–0.944, p < 0.001)
Classification consistency for each stage
76.9% - 84.6%
N/A
Inter-rater agreement for wound measurements
0.843–0.914
N/A
Intra-rater reliability for iOS
0.952–0.986
N/A
Intra-rater reliability for Android
0.959–0.975
N/A
Key Findings
Weighted kappa between expert assessments was 0.872.
Inter-rater agreement coefficients for the mobile health application ranged from 0.769 to 0.821.
Classification consistency ranged from 76.9% to 84.6%.
Inter-rater agreement for wound measurements was 0.843–0.914.
Intra-rater reliability for wound measurements was 0.952–0.986 for iOS and 0.959–0.975 for Android.
Clinical Implications
The mobile health application provides a feasible tool for more standardized and objective pressure injury staging in ICU settings. Its use may enhance the accuracy of assessments and improve nursing interventions for critically ill patients.
Conclusion
The study indicates that a mobile health application can effectively assist in the staging of pressure injuries, potentially leading to improved patient care in intensive care settings.
