Instruments for the care of pressure injury in pediatrics and hebiatrics: an integrative review of the literature

Ferreira, Mariana; Gurgel, Sabrina de Souza; Lima, Francisca Elisângela Teixeira; Cardoso, Maria Vera Lúcia Moreira Leitão; Silva, Viviane Martins da

doi:10.1590/1518-8345.2289.3034

Cited by 6 publications

(11 citation statements)

References 40 publications

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“…In view of the proven high risk, it is necessary for the professionals to know about the predictive risk instruments. Currently, the B-QS is the most used and most reported instrument in the scientific literature for pediatric patients admitted to critical care ( 11 , 28 ) . As previously stated, the B-QS is an effective instrument; however, the GS was specifically developed for the study population, having greater accuracy, greater predictive capacity, and can even be applied to a broadest age group (0 to 18 years old) ( 29 ) .…”

Section: Discussionmentioning

confidence: 99%

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Cultural adaptation of the Glamorgan Scale to Brazilian Portuguese: Pressure Injury in Pediatrics

Vocci

Fontes

Abbade

2021

Rev. Latino-Am. Enfermagem

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Objective: to describe the methodological process of cultural adaptation of the Glamorgan Scale to Brazilian Portuguese. Method: a methodological study of translation and cultural adaptation of the Glamorgan Scale, following the six stages: initial translation, synthesis of translations, back-translation, committee of experts, pre-test, and submission of the adapted version to the author for approval. The committee of experts was composed of five physicians and, during evaluation, a semantic, idiomatic, cultural and conceptual analysis was carried out. The agreement and representativeness of the items were assessed using the Content Validity Index. A minimum value of 80% agreement was considered. Results: all stages of the translation and cross-cultural adaptation process were satisfactory. In the evaluation made by the committee of experts, all items obtained an agreement greater than 80% in the first evaluation round. The pre-test stage allowed for a critical overview of the instrument, where few modifications were suggested by the participants. Conclusion: the Glamorgan Scale was translated and culturally adapted to Brazilian Portuguese. Future psychometric studies are necessary to validate the scale.

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Section: Discussionmentioning

confidence: 99%

“…The prevention of PI requires prior and accurate identification of the risk score of each patient and, related to this, it is essential to implement a set of preventive measures. The availability of reliable instruments that predict the risk of critical pediatric patients developing PI ( 10 - 11 ) is crucial to this process.…”

Section: Introductionmentioning

confidence: 99%

Cultural adaptation of the Glamorgan Scale to Brazilian Portuguese: Pressure Injury in Pediatrics

Vocci

Fontes

Abbade

2021

Rev. Latino-Am. Enfermagem

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“…With the technological and scientific advances, there has been a change in the profile of the patients who are assisted in the health services, requiring increasingly complex care and specific knowledge to ensure patient safety. However, despite the advances, the incidence of pressure ulcers is high, resulting in high costs for the health systems due to increases in the hospitalization times, in the risk of infections and in the need for care related to the treatment of these patients [26][27][28] .…”

Section: /13mentioning

confidence: 99%

Development and Validation of a Checklist for the Safety of Hospitalized Children

Melo

Nascimento

2022

Texto contexto - enferm.

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Objective: to develop and validate a checklist of safety actions for hospitalized children. Method: a methodological research study carried out from March 2017 to March 2020 in two phases: 1) Identification of the themes and elaboration of the checklist through the literature review; 2) Content validation with expert judges by means of the Delphi technique, applying the Content Validity Index (CVI), accepting values >0.8 for the CVI per item and >0.9 for the checklist. The data collection instrument was organized using an ordinal progressive valuation scale, of the Likert type. The content validation stage was performed in three rounds using a Google Forms® electronic form. Fifteen experts participated in the survey in the first round and 14 in the second and third rounds. The statistical analysis of the data was performed with the aid of Google Forms® and of the Excel® software, and the results were presented descriptively and in a table. Results: the final version of the checklist consisted of 6 categories and 23 check items, validated with a Content Validity Index of 0.98. The checklist was also validated in relation to the objectives (0.95) and to the structure and presentation (0.98). Conclusion: validation of the content, objectives, structure and presentation of the checklist allows this tool to be implemented in any pediatric hospitalization unit, contributing to the care practice aimed at the safety of hospitalized children.

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“…2 Although they are more frequent in the adult, and especially in the geriatric population, pressure injuries can develop also in children. 3 Aetiology is variable, but the most important role is played by medical conditions that cause reduced mobility or require the need for medical devices, that are responsible for PIs in 38.5%-90% of paediatric cases. Patients with this type of PI tend to be younger.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of pressure injuries in children: A multicentre experience

Pignatti

D’Arpa

Roche

et al. 2021

Wound Repair Regeneration

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Pressure injuries (PI) are infrequent in paediatric patients, prevalence estimates ranging from 1.4% to 8.2%, and reaching values as high as 43.1% in critical care areas.They can be associated with congenital neurological or metabolic disorders that cause reduced mobility or require the need for medical devices. In children, most pressure injuries heal spontaneously. However, a small percentage of ulcers that is refractory to conservative management or is too severe at presentation (Stage 3 or 4) will be candidates for surgery. We retrospectively reviewed the clinical history of paediatric patients affected by pressure injuries from four European Plastic Surgery Centres. Information was collected from clinical and radiology records, and laboratory reports. An accurate search of the literature revealed only two articles reporting on the surgical treatment of pressure injuries in children. After debridement, we performed surgical coverage of the pressure injuries. We report here our experience with 18 children aged 1-17 years, affected by pressure injury Stages 3 and 4. They were successfully treated with pedicled (17 patients) or free flaps (1 patient). The injuries involved the sacrum (6/18 patients), lower limb (3/18 patients), thoracic spine (2/18 patients), ischium (3/18 patients, bilateral in one patient), temporal area (3/18 patients), hypogastrium (1/18 patients) and were associated to medical devices in three cases. Flaps were followed for a minimum of 19 months and up to 13 years. Only two patients developed true recurrences that were treated again surgically. Pressure injuries are infrequent in children and rarely need surgical treatment. Pedicled flaps have a high success rate. Recurrences, contrary to what is reported in the literature, were rare.

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Instruments for the care of pressure injury in pediatrics and hebiatrics: an integrative review of the literature

Cited by 6 publications

References 40 publications

Cultural adaptation of the Glamorgan Scale to Brazilian Portuguese: Pressure Injury in Pediatrics

Cultural adaptation of the Glamorgan Scale to Brazilian Portuguese: Pressure Injury in Pediatrics

Development and Validation of a Checklist for the Safety of Hospitalized Children

Surgical treatment of pressure injuries in children: A multicentre experience

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