Braden scale has low reliability in different patients under care in intensive care unit

Veiga, Thalita Pereira; Rêgo, Adriana Sousa; Montenegro, Widlani Sousa; Ferreira, Patrícia Rodrigues; Rocha, Daniel Santos; Silva, Ilana Mírian Almeida Felipe da; Santos‐de‐Araújo, Aldair Darlan; Mendes, Renata Gonçalves; Tavarez, Rudys Rodolfo de Jesus; Bassi‐Dibai, Daniela

doi:10.1590/1806-9282.20220249

Cited by 7 publications

(2 citation statements)

References 24 publications

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“…That grants the Braden scale insufficient predictive validity and low precision in risk prediction. This observation is in agreement with previous studies ( 13 , 49 ) carried out that demonstrate the Braden scale is not a useful tool, that is, it does not have reliable applicability to the population in question, assisted in ICU. Thus, results can be achieved by implementing unnecessary and potentially costly preventive interventions.…”

Section: Discussionsupporting

confidence: 92%

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Picoito,

Lapuente,

Ramos

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to map the instruments for risk assessment of pressure ulcers in adults in critical situation in intensive care units; identify performance indicators of the instrument, and the appreciation of users regarding the instruments’ use/limitations. Method: a scoping review. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews in the writing of the study. We carried out the searches in the EBSCOhost search tool for 8 databases, resulting in 1846 studies, of which 22 studies compose the sample. Results: we identified two big instrument groups: generalist [Braden, Braden (ALB), Emina, Norton-MI, RAPS, and Waterlow]; and specific (CALCULATE, Cubbin & Jackson, EVARUCI, RAPS-ICU, Song & Choi, Suriaidi and Sanada, and COMHON index). Regarding the predictive value, EVARUCI and CALCULATE presented better results for performance indicators. Concerning appreciation/limitations indicated by users, we highlight the CALCULATE scale, followed by EVARUCI and RAPS-ICU, although they still need future adjustments. Conclusion: the mapping of the literature showed that the evidence is sufficient to indicate one or more instruments for the risk assessment of pressure ulcers for adults in critical situation in intensive care units.

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Section: Discussionsupporting

confidence: 92%

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Picoito,

Lapuente,

Ramos

et al. 2023

Rev. Latino-Am. Enfermagem

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“…The Braden scale is used for patients aged 8-100. Substantial research supports its validity and reliability (Braden Scale: Cronbach's alpha between 0.48 and 0.75) 6 .…”

Section: Measure 1 Risk Assessmentmentioning

confidence: 99%

A protocol on NINE measures for pressure ulcer prevention by nursing staff: a cohort study design

Rojo-Pantoja,

Núñez-Cruz,

Montes-Ramírez

et al. 2024

CIHR

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Background: Pressure ulcers (PUs) are common skin lesions in hospitals caused by prolonged pressure on the skin and underlying tissues. Inpatients, especially in intensive care, are more susceptible. PUs affect patient autonomy and increase the risk of infection and sepsis, prolong hospital stays, and generate significant additional costs to the health-care system. Methods: We designed a prospective, observational, longitudinal study of a standardized protocol of NINE measures to prevent PUs in critically ill patients. These NINE measures incorporated four components to prevent PUs: (1) standardized PUs risk assessment, (2) comprehensive skin assessment, (3) planning and implementation of nursing care to carry out prevention, and (4) recording in the nursing professional's care plan of the measures performed on the patient. Results: These four components enhance best practices focused on PUs prevention on an individualized basis, allow for assessment, and care planning, communication with health-care professionals through records, identification of patients at risk for PUs development, and implementation and attention to any abnormalities before a skin lesion is formed. Conclusion: This benefits a wide range of at-risk patients, regardless of disease or specific clinical situation, to reduce the incidence and severity of these injuries.

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The Chinese Mandarin COMHON Index and Braden Scale to assess pressure injury risk in intensive care: An inter-rater reliability and convergent validity study

Lovegrove,

Fulbrook,

Yuan

et al. 2024

Australian Critical Care

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Braden scale has low reliability in different patients under care in intensive care unit

Cited by 7 publications

References 24 publications

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

A protocol on NINE measures for pressure ulcer prevention by nursing staff: a cohort study design

The Chinese Mandarin COMHON Index and Braden Scale to assess pressure injury risk in intensive care: An inter-rater reliability and convergent validity study

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