A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units

Willock, Jane; Habiballah, Laila; Long, Debbie; Palmer, K.; Anthony, Denis

doi:10.1016/j.jtv.2016.03.001

Cited by 21 publications

(16 citation statements)

References 27 publications

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“…This study found that infants in the intermediate care units also developed PUs. Specifically, the cumulative incidence rate was 28.18% in NICU, a higher figure than in previous research studies . However, when considering the incidence in intermediate care units, the total figure was lower (12.70% vs 1.20%).…”

Section: Discussioncontrasting

confidence: 49%

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Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units

García-Molina

Balaguer-López

García-Fernández

et al. 2018

International Wound Journal

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Epidemiological studies on pressure ulcers (PUs) in hospitalised infants are scarce. Spain lacks comprehensive research studies providing data on the prevalence or incidence in this population. This work was developed to determine the incidence of PUs in hospitalised infants admitted to intensive and intermediate care units, along with relevant risk factors and preventive measures. A prospective study appraising the incidence of PUs in infants was performed. The risk factors and preventive measures were evaluated using a multivariate logistic regression model. A sample of 268 infants was included. The cumulative incidence of PUs was 12.70% (95% confidence interval, CI = [8.95%-17.28%]). The cumulative incidence in the intermediate care units was 1.90% (CI = [0.39%-5.45%]), while it was 28.18% (CI = [20.02%-37.56%]) in the intensive care units. The PUs were categorised as stage I, 57.10%; stage II, 31.70%; and stage III, 11.10%. The multivariate analysis found the following to be risk factors: low scores in the Spanish version of the Neonatal Skin Risk Assessment Scale (e-NSRAS) (Relative Risk (RR) 0.80; CI = [0.66-0.97]), the use of non-invasive mechanical ventilation (RR 12.24; CI = [4.02-37.32]), and the length of stay (RR 1.08; CI = [1.02-1.15]), suggesting a direct impact of these factors on PU development in infants. Kangaroo care influenced the prevention of PUs (RR 0.26; CI = [0.09-0.71]). The infants admitted in intermediate care units suffered PUs. In the case of intensive care units, the incidence is even higher. The risk increases with the length of stay, while the presence of medical devices, particularly non-invasive mechanical ventilation, is the main causal relationship. Kangaroo care has been shown to be an important preventive measure.

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Section: Discussioncontrasting

confidence: 49%

“…Specifically, the cumulative incidence rate was 28.18% in NICU, a higher figure than in previous research studies. 12,32 However, when considering the incidence in intermediate care units, the total figure was lower (12.70% vs 1.20%). The incidence 12 in the same terms.…”

Section: Epidemiology Of Pus In Neonatal Patientsmentioning

confidence: 95%

Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units

García-Molina

Balaguer-López

García-Fernández

et al. 2018

International Wound Journal

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“…In Jordan, the prevalence of PU in generalized hospitalized patients was found to be 16%, with 44% of PU patients residing in intensive care units. [19] In addition, an incidence rate of 9% for pediatric ICU patients was reported in one university hospital, [27] and, in a separate study, 11 of 166 pediatric patients had developed 16 ulcers with a prevalence of 6.6%. Of these, 90% were observed in the ICUs.…”

Section: Discussionmentioning

confidence: 97%

Attitudes of intensive care nurses towards pressure ulcer prevention

Habiballah

2018

CNS

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Background: The development of pressure ulcer is a common problem across a full range of healthcare settings, including intensive care units. Nurses' attitudes towards pressure ulcer prevention have an important influence on their ability to deliver this practice. Aim: To assess nurses' attitude towards pressure ulcer prevention and to identify any factors that could affect these attitudes. Methods: A descriptive cross-sectional study was conducted in the ICUs of three conveniently selected hospitals in Jordan. Data were collected from 112 nurses working in intensive care units in three hospitals in Jordan by means of a self-administered questionnaire. An attitudes towards pressure ulcer prevention tool designed by Moore and Price was used to collect the data. Results: Intensive care nurses hold positive attitudes towards pressure ulcer prevention. Both nurses' experience and previous training on pressure ulcer prevention were the most significant predictors of these attitudes. Conclusions: Positive attitudes should be supported since nurses with a positive attitude will be more willing to implement pressure ulcer prevention measures. Any barriers which exist to prevent nurses who have a positive attitude from delivering the prevention strategies should be investigated.

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“…In a performance comparison of these scales in children’s hospitals, the Glamorgan scale had the highest predictive ability [6] although comparison of the Braden Q and Glamorgan among pediatric inpatients has also concluded that either scale could be used [7]. Our literature review did not discover any risk assessment scales specifically validated for pediatric patients in the home setting although home health nursing literature has suggested that they could be used [8].…”

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confidence: 99%

Pressure Injuries in Medically Complex Children: A Review

Freundlich

2017

Children

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Pressure injuries are a challenging problem in the care of medically complex children. Available evidence is limited, and there are theoretical reasons to use caution before extrapolating adult data, including key differences in body composition, common locations of pressure injury, and association with medical devices. The focus of this article will be to review the definition of a pressure injury and what is known about pathophysiology, prevention, recognition, staging, and treatment of pressure injuries in children with medical complexity.

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A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units

Abstract: AimsTo compare the predictive ability of two risk assessment scales used in children.

Cited by 21 publications

References 27 publications

Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units

Pressure ulcers’ incidence, preventive measures, and risk factors in neonatal intensive care and intermediate care units

Attitudes of intensive care nurses towards pressure ulcer prevention

Pressure Injuries in Medically Complex Children: A Review

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