Reproducible, Repeatable and Clinically-relevant Hemostasis Scoring
Journal Title: Journal of Advances in Medical and Pharmaceutical Sciences - Year 2014, Vol 1, Issue 1
Abstract
Background: Although the assessment of hemostasis is frequently performed during stapling procedures, and is necessary during product development, there is currently no widely-accepted scoring system for its evaluation. In order to better measure stapler performance, we developed a 5-point Likert-type scale to evaluate intra-operative bleeding in stapling applications. Methods: The scale was evaluated internally by novice and experienced appraisers, and then used by 154 surgeons that viewed video segments of stapling in pig that displayed varying levels of hemostasis. Results: Reproducibility and repeatability of the scale among internal appraisers, as well as the surgeons, was excellent with Kendall’s W of 0.94-0.98 (repeatability) and 0.93-0.95 (reproducibility) internally and 0.85 and 0.95, respectively for surgeons. More than 90% of surgeons felt the hemostasis scale was clinically relevant for evaluating hemostasis during stapling. Conclusions: The scale should be a useful tool in assessing hemostasis with high confidence in its repeatability and reproducibility.
Authors and Affiliations
Julianne M. Siegel, John F. Cummings, Jeffrey W. Clymer
Keywords
Related Articles
- EP ID EP342676
- DOI 10.9734/JAMPS/2014/11653
- Views 99
- Downloads 0
Assessing the Prevalence and Patterns of Elder’s Abuse in Imo State, Nigeria: A Rural – Urban Comparative Study
This study highlighted the 12-months prevalence of elder abuse in rural and urban communities in Imo State and also compared the pattern of elder abuse in both communities. A cross-sectional study of 371 rural and 314 ur...
Assessment of Thrombolytic Activity of Selected Species from Lamiaceae Family Growing Naturally in Kurdistan Region\Iraq Using In-vitro Model
Aims: The present study was aimed to assess most commonly used medicinal plant belong to Lamiaceae family for their thrombolytic activity. Place and Duration of the Study: Pharmacy College\ Hawler Medical University, Ju...
Effect of Ethanolic Leaf Extract of Sarcocephalus latifolius on Some Biochemical Parameters in Alloxan Induced Diabetic Rats
This research project was carried out to investigate the biochemical effect of Sarcocephalus latifolius leaf extract in alloxan induced diabetic rats. The study was carried out for about 12 months in the department of Bi...
Prevalence and Pattern of the Nutritional Status of Adolescents Attending Public Secondary Schools in Gokana, A Rural Community in Rivers State, Nigeria
Aims: To evaluate the prevalence and pattern of malnutrition among adolescents in public secondary schools in a rural community. Study Design: A school based cross-sectional descriptive study. Place and Duration of Stud...
Intramedullary Interlocking Nailing for Long Bone Fractures of the Lower Limbs: Our Experience with Free-hand Locking
Aims: To see the pattern of interlocking nailing used for fractures of lower limb’s long bones in terms of the bone affected, laterality, age distribution, sex distribution, pattern of locking and early outcome. Study De...