{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T07:35:07Z","timestamp":1770276907462,"version":"3.49.0"},"reference-count":21,"publisher":"Mark Allen Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2021,6,24]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Lower limb cellulitis poses a significant burden for the Irish healthcare system. Accurate diagnosis is difficult, with a lack of validated evidence-based tools and treatment guidelines, and difficulties distinguishing cellulitis from its imitators. It has been suggested that around 30% of suspected lower limb cellulitis is misdiagnosed. An audit of 132 patients between May 2017 and May 2018 identified a pattern of misdiagnosis in approximately 34% of this cohort. <\/jats:p><\/jats:sec><jats:sec><jats:title>Objective:<\/jats:title><jats:p> The aim of this pilot project was to develop a streamlined service for those presenting to the emergency department with red legs\/suspected cellulitis, through introduction of the \u2018Red Leg RATED\u2019 tool for clinicians. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> The tool was developed and introduced to emergency department clinicians. Individuals (n=24) presenting with suspected cellulitis over 4 weeks in 2018 were invited to participate in data gathering. Finally, clinician questionnaire feedback regarding the tool was evaluated. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Fourteen participants consented, 6 female and 8 male with mean age of 65 years. The tool identified 50% (n=7) as having cellulitis, of those 57% (n=4) required admission, 43% (n=3) were discharged. The remainder who did not have cellulitis (n=7) were discharged. Before introduction of the tool, all would typically have been admitted to hospital for further assessment and management of suspected lower limb cellulitis. Overall, 72% (n=10) of patients who initially presented with suspected cellulitis were discharged, suggesting positive impact of the tool. Clinician feedback suggested all were satisfied with the tool and contents. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The Red Leg RATED tool is user friendly and impacts positively on diagnosis treatment and discharge. Further evaluation is warranted. <\/jats:p><\/jats:sec>","DOI":"10.12968\/bjon.2021.30.12.s22","type":"journal-article","created":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T18:14:10Z","timestamp":1624644850000},"page":"S22-S29","source":"Crossref","is-referenced-by-count":8,"title":["The Red Legs RATED tool to improve diagnosis of lower limb cellulitis in the emergency department"],"prefix":"10.12968","volume":"30","author":[{"given":"Gillian","family":"O'Brien","sequence":"first","affiliation":[{"name":"Registered Advanced Nurse Practitioner Tissue Viability, Naas General Hospital, Naas, County Kildare"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"White","sequence":"additional","affiliation":[{"name":"Research Fellow, Trinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"issue":"6","key":"B2","first-page":"CD009758","volume":"6","author":"Dalal A","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m54"},{"issue":"10","key":"B4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.7748\/nop.27.10.23.s20","volume":"26","author":"Elwell R.","year":"2015","journal-title":"Nurs Older People"},{"issue":"2","key":"B5","doi-asserted-by":"crossref","first-page":"163.e1","DOI":"10.1016\/j.jaad.2012.03.024","volume":"67","author":"Hirschmann JV","year":"2012","journal-title":"J Am Acad Dermatol"},{"issue":"2","key":"B6","doi-asserted-by":"crossref","first-page":"177.e1","DOI":"10.1016\/j.jaad.2012.03.024","volume":"67","author":"Hirschmann J.V","year":"2012","journal-title":"J Am Acad Dermatol"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2016.12.015"},{"issue":"1","key":"B8","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s11845-019-02065-w","volume":"189","author":"Kiely A","year":"2020","journal-title":"Ir J Med Sci"},{"issue":"6","key":"B9","first-page":"CD004299","volume":"2010","author":"Kilburn SA","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2011.10275.x"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17415"},{"issue":"6","key":"B13","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1111\/bjd.17857","volume":"181","author":"Patel M","year":"2019","journal-title":"Br J Dermatol"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15186"},{"issue":"3","key":"B15","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1001\/jama.2016.8825","volume":"316","author":"Raff AB","year":"2016","journal-title":"JAMA"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X700181"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu296"},{"issue":"2","key":"B18","doi-asserted-by":"crossref","first-page":"160","DOI":"10.7861\/clinmedicine.18-2-160","volume":"18","author":"Sullivan T","year":"2018","journal-title":"Clin Med (Northfield Ill)"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.17445"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15634"},{"issue":"2","key":"B21","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1001\/jamadermatol.2016.3816","volume":"153","author":"Weng QY","year":"2017","journal-title":"JAMA Dermatol"},{"issue":"27","key":"B22","first-page":"18","volume":"108","author":"Wingfield C.","year":"2012","journal-title":"Nurs Times"},{"issue":"12","key":"B23","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1002\/jhm.2433","volume":"10","author":"Yarbrough PM","year":"2015","journal-title":"J Hosp Med"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2021.30.12.S22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,25]],"date-time":"2021-06-25T18:14:27Z","timestamp":1624644867000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2021.30.12.S22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,24]]},"references-count":21,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,6,24]]}},"alternative-id":["10.12968\/bjon.2021.30.12.S22"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2021.30.12.s22","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,24]]}}}