Braden Scale for Pressure Ulcer Risk Predicts Rehabilitation Placement After Pancreatic Resection

Watkins, Ammara A.; Castillo-Ángeles, Manuel; Guetter, Camila Roginski; Eskander, Mariam F.; Tseng, Jennifer F.; Callery, Mark P.; Moser, A. James; Kent, Tara S.

doi:10.1016/j.jamcollsurg.2016.08.342

Cited by 6 publications

(10 citation statements)

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“…The Braden scale is used to assess the risk of pressure ulcers [12,13], and our prior study indicates that the Braden scale is a valid scale for predicting pneumonia after acute ischemic stroke (AIS) [14]. The scale uses six different risk factors: sensory perception, the ability to respond meaningfully to pressure-related discomfort; skin moisture, the degree to which skin is exposed to moisture; activity, the degree of physical activity; mobility, the ability to change and control one's body position; nutrition, the usual food intake pattern; and friction and shear forces [15].…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of the Braden Scale for Assessing Pneumonia After Spontaneous Intracerebral Hemorrhage

Ding

Zhao

et al. 2020

Preprint

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Background Stroke-associated pneumonia (SAP) is an infection that commonly occurs in patients with spontaneous intracerebral hemorrhage (ICH) and causes serious burdens. The six subscales of the Braden scale seem to be related to the occurrence of pneumonia. We aimed to evaluate the feasibility of the Braden scale for predicting SAP after spontaneous ICH. Methods Patients with spontaneous ICH who were admitted to Jingjiang People’s Hospital and Zhoukou Central Hospital were retrospectively included and divided into two groups: the pneumonia and no pneumonia groups. The Braden scale and ICH-APS-A scale scores and demographic and clinical characteristics were collected, and the differences between the two groups were compared with statistical analyses. Receiver operating characteristic (ROC) curve analysis was used to assess the predictive validity of the Braden scale for SAP after ICH. Results A total of 629 patients with ICH were included in this study, 150 (23.8%) of whom developed SAP. There were significant differences in age and fasting blood glucose level between the two groups, and the ICH-ASP-A score in the pneumonia group was significantly higher than that in the no pneumonia group (8.5 ± 3.9 vs 4.9 ± 3.2, P < 0.01). The mean score on the Braden scale in the pneumonia group was significantly lower than that in the no pneumonia group (16.5 ± 2.6, P < 0.01). The area under the curve (AUC) for the ICH-ASP-A score for the prediction of pneumonia after spontaneous ICH was 0.755 (95% CI = 0.712–0.798). When the cutoff point was 8 points, the sensitivity was 56.7% and the specificity was 77.5%. The AUC for the Braden scale for the prediction of pneumonia after ICH was 0.760 (95% CI = 0.717–0.804). When the cutoff point was 15 points, the sensitivity was 74.3% and the specificity was 64.7%. Conclusions The Braden scale is effective in predicting pneumonia after ICH. The Braden scale, with a cutoff point of 15 points, is a valid clinical grading scale for predicting SAP after spontaneous ICH.

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Section: Introductionmentioning

confidence: 99%

The Feasibility of the Braden Scale for Assessing Pneumonia After Spontaneous Intracerebral Hemorrhage

Ding

Zhao

et al. 2020

Preprint

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“…The optimal predictive ability was a cut‐point score ≤ 18, with a c‐statistic of 0.744. Watkins et al evaluated the predictive role of the Braden scale on rehabilitation facility placement in 470 patients who underwent pancreatic resection 7 . On multivariate analysis, age, sex, length of stay >8 days, inpatient comprehensive complication index (CCI) and initial Braden scale score were predictive of rehabilitation placement.…”

Section: Discussionmentioning

confidence: 99%

“…Items within the Braden scale assess nutrition, mobility, and sensory deprivation and thus may have value in predicting outcomes other than pressure ulcers. Previous studies have reported that the Braden scale can also identify surgical patients at risk of adverse postoperative events such as complications and increased LOS 6‐8 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Braden scale in predicting surgical outcomes in older patients undergoing major head and neck surgery

Grewal

Sklar

Almeida

et al. 2020

Laryngoscope Investig Oto

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Background Being able to predict negative postoperative outcomes is important for helping select patients for treatment as well for informed decision‐making by patients. Frailty measures are often time and resource intensive to use as screening measures, whereas the Braden scale, a commonly used measure to assess patients at risk of developing pressure ulcers after surgery, may be a potential tool to predict postoperative complication rates and longer length of stay (LOS) in patients undergoing major head and neck cancer surgery. Methods A retrospective analysis of Braden scale scores was performed on a prospectively collected cohort of patients undergoing major head and neck surgery recruited between December 2011 and April 2014. The association of Braden scale score with the primary outcomes of complications and LOS was analyzed using logistic regression and linear regression models on univariate analysis (UVA), respectively. Multivariate analysis (MVA) was performed based on a backward stepwise selection algorithm. Results There were 232 patients with a mean (SD) Braden scale score of 14.9 (2.8) with a range from 9 to 23. The Braden scale (β = −.07 per point; 95% CI −0.09, −0.04, P < .001) was an independent predictor of increased LOS on UVA, but not on MVA when adjusted for other variables. For overall complications, as well as type of complication, the Braden scale score was not a significant predictor of complications on either UVA or MVA. Conclusion In the sample population, the Braden scale did not demonstrate an ability to predict negative outcomes in head and neck surgery patients. Level of Evidence Level 2b individual cohort study.

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“…Hazard factors contain pressure for a long time, friction, shave restricted mobility, nutrition, obesity and receiving treatment (Kumar, 2019). The furthermost used risk assessment tool in furthermost care settings, including the orthopedic units, and current clinical practice guidelines was Braden Scale which designed by Braden and Bergstrom (Watkins et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Effect of Application Bundle Skin Care on Nurses’ Performance and Orthopedic Patients’ Skin Outcome: Quasi-Experimental Study

Elasrag¹,

Elsabagh²,

Salih³

et al. 2020

ijrps

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Treating severe pressure ulcers may consume considerable manpower, time, and medical resources. Pressure ulcers can be avoided and effectively treated when nurses conduct proper skin assessment and care for wounds appropriately. Research hypothesis: There was positive impact of bundle skincare training on nurses' performance and orthopedic patients' skin outcome. quasi-experimental design was utilized at orthopedic units at Shebin El Koum teaching Hospital and Menofia University Hospital. Tools used for data collection were Pre-designed Questionnaire contained on nurses' characteristics, Attitude Rating Scale and Nurses' knowledge, also used Observational Checklist and BRADEN scale. The subject composed of 45 nurses and 90 orthopedic patients. Mean score of total knowledge pre-intervention was 6.83±3.1, while at the post was 9.95±2.1. Also, a mean score of total practice pre-intervention was 7.11±2.6, while at the post was 11.83±3.4, and, a mean score of total attitude pre-intervention was 5.02±2.8, while at the post was 7.82±1.9. Mean score of BRADEN scale at pre-intervention was 12.81±3.04, while at the post was 13.45±1.99. Application bundle skin care had a positive effect on nurses' knowledge, practice and attitude related skincare for orthopedic patients. So, there was an improvement at BRADEN score of patients post-application bundle skincare. Age, gender and previous hospitalization, BMI, and length had positive predictor effect on pressure sore risk. Skincare bundle for orthopedic patients is acceptable and has the potential to improve nursing care.

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Braden Scale for Pressure Ulcer Risk Predicts Rehabilitation Placement After Pancreatic Resection

Cited by 6 publications

References 0 publications

The Feasibility of the Braden Scale for Assessing Pneumonia After Spontaneous Intracerebral Hemorrhage

The Feasibility of the Braden Scale for Assessing Pneumonia After Spontaneous Intracerebral Hemorrhage

Evaluation of the Braden scale in predicting surgical outcomes in older patients undergoing major head and neck surgery

Effect of Application Bundle Skin Care on Nurses’ Performance and Orthopedic Patients’ Skin Outcome: Quasi-Experimental Study

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