International validation of a venous leg ulcer risk assessment tool

Christina Parker, Kathleen Finlayson, Leanne Atkin, Karen Ousey, Ojan Assadian, S Koller , A Pagan, E Schmidt, Helen Edwards

Research output: Contribution to journalArticlepeer-review

Abstract

Aim
To internationally validate a tool for predicting the risk of delayed healing of venous leg ulcers.
Methods
A 10-item tool including socio-demographic, venous history, ulcer and lower limb characteristics, compression and mobility items to determine the risk of delayed healing of venous leg ulcers has previously been developed and validated in Australia. This study has prospectively validated this tool using Area Under the Receiver Operating Characteristic (ROC) Curve (AUC) analysis in the international populations of United Kingdom (UK), Austria and New Zealand.
Results
The validation in UK, Austria and New Zealand has indicated that the model has moderate discrimination and goodness-of-fit with an AUC of 0.74 (95% CI, 0.66-0.82) for the total risk assessment score.
Conclusion
The international validation of a risk assessment tool for delayed healing of venous leg ulcers will allow clinicians globally to be able to determine realistic outcomes from an early assessment and to be able to guide early tailored interventions to address the specific modifiable risk factors and thus promote timely healing
Original languageEnglish
JournalJournal of wound care
Publication statusAccepted/In press - 22 Nov 2021

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