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The modified TIME-H scoring system, a versatile tool in wound management practice: a preliminary report
Giuseppe Guarro1, Federico Cozzani2, Matteo Rossini2
1Translational Medical and Surgical Sciences PhD Program, University of Parma. giuseppeguarromd@gmail.com.
Acta Bio-Medica : Atenei Parmensis
|September 6, 2021
Summary
A modified TIME-H scoring tool accurately predicts healing for surgical site lesions and other chronic wounds. This wound bed preparation (WBP) method aids in diagnosing and treating difficult wounds effectively.
Area of Science:
- Wound healing research
- Surgical patient care
- Tissue repair mechanisms
Background:
- Wound bed preparation (WBP) is crucial for managing complex wounds.
- The TIME-H framework guides wound assessment and treatment.
- This study evaluates a modified TIME-H for surgical patients.
Purpose of the Study:
- To assess the impact of skin and soft tissue lesions in surgical patients.
- To evaluate the predictive accuracy of a modified TIME-H scoring tool.
- To improve diagnosis and therapeutic pathways for difficult wounds.
Main Methods:
- Preliminary study involving 38 surgical patients.
- Classification of lesions: SSTIs (infectious/vascular) and SSIs (surgical site lesions).
- Prognostic categories: favorable, intermediate, and uncertain healing based on TIME-H scores.
Main Results:
- The modified TIME-H demonstrated strong predictive capability for wound healing.
- Surgical site lesions showed the highest predictivity (88%).
- Mixed etiology (72%) and infectious/vascular injuries (63%) also showed significant predictivity.
Conclusions:
- The modified TIME-H is a versatile and useful scoring tool for chronic wound management.
- It aids in the daily clinical practice for studying and treating chronic wound diseases.
- This tool enhances the diagnostic and therapeutic approach to difficult wounds.
