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This study aimed to evaluate the consistency of the diagnoses, among nurses, of the staging of pressure ulcers based upon bi-dimensional images. This was a cross-sectional study with a diagnostic approach for staging of pressure ulcers, as measured by the overall rate of agreement and the Kappa Index. Training was conducted with 12 nurses and evaluation of the level of agreement in comparison to the diagnostic standard of an experienced investigator in the reading of ten digital images. Three applications of the test were necessary to obtain more than 80% agreement in the classification of the ulcers. The level of agreement obtained based on the evaluations of the bi-dimensional images was lower than those obtained in clinical practice. This study showed that in order to achieve agreement of greater than 85%, a high level of professional training is necessary, in large part, of the professionals who perform the evaluation.

Analysis of agreement of the evaluation of pressure ulcer staging