Validation of a new classification system for skin tears

LeBlanc, Kimberly, Baranoski, Sharon, Holloway, Samantha and Langemo, Diane 2013. Validation of a new classification system for skin tears. Advances in Skin & Wound Care 26 (6) , pp. 263-265. 10.1097/01.ASW.0000430393.04763.c7

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Abstract

OBJECTIVE: The aim of this study was to validate and establish reliability of the International Skin Tear classification system. METHOD: A consensus panel of 12 internationally recognized key opinion leaders convened in 2011 to establish consensus statements on the prevention, prediction, assessment, and treatment of skin tears. Subsequently, a new skin tear classification system was proposed. The system was then tested for interrater and intrarater reliability between the experts before being tested more widely on a sample of 327 individuals from the United States, Canada, and Europe. RESULTS: The results of the study indicated a substantial level of agreement for the expert panel (Fleiss κ = 0.619; 2-month follow-up = 0.653). Intrarater reliability was high (Cohen κ = 0.877). Interrater reliability was moderate (Fleiss κ = 0.555) for healthcare professionals (n = 303) and fair for non–health professionals (Fleiss κ = 0.338; n = 24). CONCLUSIONS: This international study established the reliability and validity of a new classification system for skin tears.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Publisher:	Lippincott Williams & Wilkins
ISSN:	1527-7941
Last Modified:	24 Feb 2026 12:43
URI:	https://orca.cardiff.ac.uk/id/eprint/185160

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