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TIME-H in clinical practice - a pilot study


Conduit, C and Free, B and Sinha, S, TIME-H in clinical practice - a pilot study, Wound Practice and Research, 21, (4) pp. 186-189. ISSN 1837-6304 (2013) [Refereed Article]

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Copyright 2013 Cambridge Media

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The concept of wound bed preparation (WBP) has evolved considerably since its formal inception. Several tools have been developed which encourage the process of WBP and wound healing, including TIME which was first introduced in 2003. The acronym TIME (tissue, infection, moisture, edge) remains at the forefront of chronic wound management 10 years on. The tool identifies elements for optimal WBP in order to provide coordinated management of a chronic wound to achieve effective healing.

However, TIME does not offer any prognostic indication — an important aspect of wound management to enable development of management goals and strategies for individual patients. In order to address this issue, Ligresti and Bo3 proposed the concept of TIME-H, which embraces both the local conditions of the wound and the general condition of the patient. The authors assigned a numerical value to each parameter to develop a ‘healing score’ (Tables 1–3) for the purpose of predicting wound healing time and planning an individualised treatment protocol.

Chronic wounds affect around 1% of individuals in developed countries and are estimated to cost the Australian health care system A$3 billion annually. In addition, a myriad of social and physical issues arise from chronic wounds which cause significant morbidity to those affected. Hence, any tool which claims to be able to guide wound healing is worthy of further research to validate this for routine clinical application.

The present study was undertaken as a pilot project to evaluate TIME-H in clinical practice with a case-based approach.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Clinical sciences not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Conduit, C (Dr Ciara Conduit)
UTAS Author:Sinha, S (Professor Sankar Sinha)
ID Code:89431
Year Published:2013
Deposited By:Medicine
Deposited On:2014-03-04
Last Modified:2018-03-29

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