| Title： | Clinical Diagnosis and Treatment Guidelines for Limb Skin Avulsion Injury (2023 Edition) |
| Edition： | Original |
| Classification： | Standard guideline |
| Field： | Diagnosis and Treatment |
| Countries and regions： | China |
| Guidelines users： | Specialized medical personnel in secondary and tertiary medical institutions in China, including orthopedic, trauma surgery, emergency department physicians and specialized nurses, as well as medical personnel in grassroots healthcare institutions |
| Evidence classification method： | Using the Methodological Quality Assessment Tool (AMSTAR) for systematic reviews and meta-analyses for methodological quality evaluation; For randomized controlled trials, use the Cochrane risk bias evaluation tool for evaluation; For observational studies, the Newcastle Ottawa Scale (NOS) was used to evaluate the methodological quality of corresponding types of studies. The GRADE (Evaluation, Formulation, and Evaluation) standard is adopted for recommendation grading [6], Divide the level of literature evidence into four levels (Level I: Prospective randomized controlled studies, systematic reviews, and meta-analysis, which indicate a high degree of confidence in the observed values: the observed values are close to the true values; Level II: Prospective non randomized controlled studies, which indicate a moderate degree of confidence in the observed values: the observed values may be close to the true values, but there may also be significant differences; Level III: Retrospective case-control studies, which indicate a limited degree of confidence in the observed values: the observed values may differ significantly from the true values; Level IV: Retrospective case-control studies, which indicate a limited degree of confidence in the observed values.) Case series reports, where there is almost no confidence in the observed values and there may be significant differences between the observed values and the true values. |
| Development unit： | Microsurgery Branch of the Chinese Medical Doctor Association, Trauma Surgery Branch of the Hubei Provincial Medical Doctor Association, and Trauma and Microorthopedics Department of Central South Hospital of Wuhan University |
| Registration time: | 2023-09-25 |
| Registration number： | PREPARE-2023CN747 |
| Purpose of the guideline: | Limb skin avulsion injury is one of the complex injuries often encountered in trauma surgery, characterized by the strong shear force applied to the skin surface causing the skin and subcutaneous tissue to tear or detach from deep muscles and fascia, often leading to skin and soft tissue defects. In the diagnosis and treatment of limb skin avulsion injuries, there are common problems such as misdiagnosis and improper treatment, lack of relevant diagnostic, treatment standards, and clinical pathways, and significant differences in clinical treatment outcomes. This guide aims to provide clinical decision-making basis for limb skin avulsion injuries for clinical doctors and related medical workers, and improve the diagnostic and treatment standards for limb skin avulsion injuries. |
CURRENT Guidelines INFORMATION
Uploader：Zhanghao-wuhandaxuezhongnanyiyuan
Upload Date：2023-09-25
