Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation)
The assessment of swelling following burn injury is complicated by the presence of wounds and dressings and due to patients experiencing significant pain and impaired movement. There remains a lack of sensitive objective measures for edema in patients presenting with hand burn injury. Bioimpedance s...
| Main Authors: | , , , , |
|---|---|
| Format: | Journal Article |
| Language: | English |
| Published: |
OXFORD UNIV PRESS
2020
|
| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/93925 |
| _version_ | 1848765812147486720 |
|---|---|
| author | Edwick, Dale Hince, D.A. Rawlins, J.M. Wood, F.M. Edgar, D.W. |
| author_facet | Edwick, Dale Hince, D.A. Rawlins, J.M. Wood, F.M. Edgar, D.W. |
| author_sort | Edwick, Dale |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | The assessment of swelling following burn injury is complicated by the presence of wounds and dressings and due to patients experiencing significant pain and impaired movement. There remains a lack of sensitive objective measures for edema in patients presenting with hand burn injury. Bioimpedance spectroscopy (BIS) is a measure of body composition that has been demonstrated by our group to be reliable for measuring whole body and limb edema during resuscitation and to be sensitive to edema changes within healing wounds. The aim of this study was to determine the reliability and validity of BIS as a measure of edema following hand burn injury specifically. One hundred patients presenting with burn injury including a portion of a hand were recruited to this trial. Repeated measures of the hand were recorded using a novel application of BIS and in parallel with water displacement volumetry (WDV). The results were analyzed using mixed-effects regressions. Paired repeated measures were obtained for 195 hands, using four electrode configurations. BIS demonstrated high reliability in measuring hand BIS-Intraclass Correlation Coefficient 0.995 to 0.999 (95% CI 0.992-1.000) and sensitivity-Minimum Detectable Difference 0.74 to 3.86 Ω (0.09-0.48 Ω/cm). A strong correlation was shown with WDV, Pearson's r = −0.831 to −0.798 (P < .001). BIS is a sensitive and reliable measure of edema following acute hand burn injury. |
| first_indexed | 2025-11-14T11:41:12Z |
| format | Journal Article |
| id | curtin-20.500.11937-93925 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:41:12Z |
| publishDate | 2020 |
| publisher | OXFORD UNIV PRESS |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-939252024-01-26T08:30:02Z Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) Edwick, Dale Hince, D.A. Rawlins, J.M. Wood, F.M. Edgar, D.W. Science & Technology Life Sciences & Biomedicine Critical Care Medicine Dermatology Surgery General & Internal Medicine BIOELECTRICAL-IMPEDANCE ANALYSIS UPPER-EXTREMITY VOLUME CONCURRENT VALIDITY LYMPHEDEMA RELIABILITY MANAGEMENT AGREEMENT DIAGNOSIS SURVIVORS EXERCISE Adult Body Water Burns Edema Electric Impedance Female Hand Injuries Humans Male Reproducibility of Results Spectrum Analysis Body Water Humans Burns Hand Injuries Edema Spectrum Analysis Reproducibility of Results Electric Impedance Adult Female Male The assessment of swelling following burn injury is complicated by the presence of wounds and dressings and due to patients experiencing significant pain and impaired movement. There remains a lack of sensitive objective measures for edema in patients presenting with hand burn injury. Bioimpedance spectroscopy (BIS) is a measure of body composition that has been demonstrated by our group to be reliable for measuring whole body and limb edema during resuscitation and to be sensitive to edema changes within healing wounds. The aim of this study was to determine the reliability and validity of BIS as a measure of edema following hand burn injury specifically. One hundred patients presenting with burn injury including a portion of a hand were recruited to this trial. Repeated measures of the hand were recorded using a novel application of BIS and in parallel with water displacement volumetry (WDV). The results were analyzed using mixed-effects regressions. Paired repeated measures were obtained for 195 hands, using four electrode configurations. BIS demonstrated high reliability in measuring hand BIS-Intraclass Correlation Coefficient 0.995 to 0.999 (95% CI 0.992-1.000) and sensitivity-Minimum Detectable Difference 0.74 to 3.86 Ω (0.09-0.48 Ω/cm). A strong correlation was shown with WDV, Pearson's r = −0.831 to −0.798 (P < .001). BIS is a sensitive and reliable measure of edema following acute hand burn injury. 2020 Journal Article http://hdl.handle.net/20.500.11937/93925 10.1093/jbcr/iraa071 English OXFORD UNIV PRESS restricted |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Critical Care Medicine Dermatology Surgery General & Internal Medicine BIOELECTRICAL-IMPEDANCE ANALYSIS UPPER-EXTREMITY VOLUME CONCURRENT VALIDITY LYMPHEDEMA RELIABILITY MANAGEMENT AGREEMENT DIAGNOSIS SURVIVORS EXERCISE Adult Body Water Burns Edema Electric Impedance Female Hand Injuries Humans Male Reproducibility of Results Spectrum Analysis Body Water Humans Burns Hand Injuries Edema Spectrum Analysis Reproducibility of Results Electric Impedance Adult Female Male Edwick, Dale Hince, D.A. Rawlins, J.M. Wood, F.M. Edgar, D.W. Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) |
| title | Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) |
| title_full | Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) |
| title_fullStr | Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) |
| title_full_unstemmed | Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) |
| title_short | Bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (Part 1-method validation) |
| title_sort | bioimpedance spectroscopy is a valid and reliable measure of edema following hand burn injury (part 1-method validation) |
| topic | Science & Technology Life Sciences & Biomedicine Critical Care Medicine Dermatology Surgery General & Internal Medicine BIOELECTRICAL-IMPEDANCE ANALYSIS UPPER-EXTREMITY VOLUME CONCURRENT VALIDITY LYMPHEDEMA RELIABILITY MANAGEMENT AGREEMENT DIAGNOSIS SURVIVORS EXERCISE Adult Body Water Burns Edema Electric Impedance Female Hand Injuries Humans Male Reproducibility of Results Spectrum Analysis Body Water Humans Burns Hand Injuries Edema Spectrum Analysis Reproducibility of Results Electric Impedance Adult Female Male |
| url | http://hdl.handle.net/20.500.11937/93925 |