Reusability of EMR Data for Applying Cubbin and Jackson Pressure Ulcer Risk Assessment Scale in Critical Care Patients

Kim, Eunkyung; Choi, Mona; Kim, Young Ah

doi:10.4258/hir.2013.19.4.261

Cited by 23 publications

(19 citation statements)

References 26 publications

(40 reference statements)

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“…The BRDs cover only part of these risk factors and is thus considered to be inadequate in the full risk assessment. Risk assessment scales that contain the other parameters and that are more suitable for the patients of our country are required, or the existing scales need serious modifications (29,31,(44)(45)(46)(47)(48)(49). Pressure ulcer development risk in patients treated in ICUs should be revised in coordination with healthcare workers.…”

Section: Resultsmentioning

confidence: 99%

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Gül¹,

Köprülü²,

Haspolat³

et al. 2016

JAREM

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Objective: To prevent pressure ulcer, detecting risk factors and planning how to act with respect to patients provide to find solution. Thus, Braden Scale is the most common tool that is used in Turkey. This study aimed to measure Braden Scale effectiveness at detecting the risk groups of level 3 intensive care unit patients.Methods: This prospective, single-center study includes 206 level 3 intensive care unit patients whose risk factors were standardized as much as possible in the intensive care unit between January 2014 and May 2015. Routine clinical care was applied to the patients whose risk groups were determined by Braden Scale, and the patients were divided into two groups depending on the presence of a pressure ulcer before discharging from the hospital. Demographic findings, hospitalization duration, mental status, Apache II score, expected/actual mortality, blood albumin levels, and Braden Scale score were compared. Results:Comparison of the groups showed that patients' age, length of stay in intensive care unit, mental status, and blood albumin levels are significantly different between patients with and without pressure ulcers. Furthermore, scores of patients with pressure ulcers were not significantly different from those of patients without pressure ulcers. Data also illustrated that pressure ulcers occurred in no risk patients with the ratio of 7.14%; in low-risk patients with the ratio of 27.8%; in moderate-risk patients with the ratio of 29.73%; in high-risk patients with the ratio of 17.72%.Conclusion: Data evaluation demonstrates that Braden Scale is not effective to detect the risk factors, and parameters related to pressure ulcer development are not sufficiently represented by Braden Scale. Modification of an existing scale or a new risk assessment scale that includes all other risk parameters and that is more suitable for the patients of our country is required. (JAREM 2016; 6: 98-104)

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Section: Resultsmentioning

confidence: 99%

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Gül¹,

Köprülü²,

Haspolat³

et al. 2016

JAREM

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“…The Braden Scale for predicting risk of PU, which is based on seven risk factors and measures six subscales (sensory perception, activity, mobility, moisture, nutrition, and friction/shear), was developed by Braden and Bergstrom . Although there are other PU assessment scales, such as the Norton Scale, Waterlow scale, and Jackson Cubbin scale, the Braden Scale is the most widely used currently in clinical settings worldwide . To date, some studies have evaluated predictive value of the Braden Scale in adult ICU patients.…”

Section: Introductionmentioning

confidence: 99%

Predictive Validity of the Braden Scale for Pressure Ulcer Risk in Critical Care: A Meta‐Analysis

Wei

Chen

et al. 2020

Nursing in Critical Care

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Background: Pressure ulcers (PUs) are encountered in all types of care settings. The incidence of PUs in the intensive care unit (ICU) is higher for a variety of reasons.The Braden Scale is a widely used tool to assess the risk of PU, but its predictive power is controversial in ICU settings. In this systematic review and meta-analysis, we aimed to evaluate the predictive accuracy of the Braden Scale for measurement of risk of PU in adult ICU patients. Methods: A comprehensive literature search in English databases (PubMed, Cochrane Library, OVID, and Web of Science), Chinese databases (SinoMed, CNKI, and Wanfang), and gray literature was performed. Studies assessing the predictive value of the Braden Scale for risk of PU in adult ICU patients were searched. Quality of the studies was scored with Quality Assessment of Diagnostic Accuracy Studies-2. Country, study design, setting, blinding, and characteristics of included studies were extracted.Results: Eleven full-text articles containing 10 044 patients, comprising 1058 patients with PUs were included. The pooled sensitivity and specificity of the Braden Scale for predicting PU risk in ICU adults were 0.89 (95% CI, 0.87-0.91; I 2 = 94.9%, P = .0000) and 0.28 (95% CI, 0.27-0.29; I 2 = 99.2%, P = .0000), respectively. The pooled DOR was 6.29 (95% CI: 4.09-9.68). The overall weighted AUC was 0.7812 ± 0.0331 (95% CI: 0.7163-0.8461) and the Q* value was 0.7196 ± 0.0283 (95% CI: 0.6641-0.7751). Significant heterogeneity was noted among the included studies.Meta-regression analysis showed that there was no heterogeneity in blinding (P = .074), study design (P = .679), or cut-off value (P = .821). Conclusions:This meta-analysis demonstrated that the Braden Scale had a moderate predictive validity with good sensitivity and low specificity in adult critically ill patients. Further development and modification of this tool or generation of a new tool with higher predictive power is warranted for use in ICU populations.Relevance to clinical practice: The first step in prevention of PU is risk assessment. In this meta-analysis, we aimed to evaluate the predictive power of the Braden Scale for assessing risk of PU in ICU adult patients, which could potentially guide clinical practice. K E Y W O R D Sintensive care unit, meta-analysis, pressure ulcer, risk, validity

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“…Nurses play a key role in assessing and identifying patients at risk and in implementing adequate preventive measures (Pancorbo‐Hidalgo et al, ). Risk assessment scales have been developed to identify individuals at risk for developing pressure ulcers (Kim, Choi, Lee, & Kim, ). One key gap in our understanding of pressure ulcer risk assessment scales has to do with their efficiency.…”

Section: Introductionmentioning

confidence: 99%

Predictive validity of the Braden Scale, Norton Scale, and Waterlow Scale in the Czech Republic

Šáteková

Žiaková

Zeleníková

2016

Int J of Nursing Practice

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The aim of this study was to determine the predictive validity of the Braden, Norton, and Waterlow scales in 2 long-term care departments in the Czech Republic. Assessing the risk for developing pressure ulcers is the first step in their prevention. At present, many scales are used in clinical practice, but most of them have not been properly validated yet (for example, the Modified Norton Scale in the Czech Republic). In the Czech Republic, only the Braden Scale has been validated so far. This is a prospective comparative instrument testing study. A random sample of 123 patients was recruited. The predictive validity of the pressure ulcer risk assessment scales was evaluated based on sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve. The data were collected from April to August 2014. In the present study, the best predictive validity values were observed for the Norton Scale, followed by the Braden Scale and the Waterlow Scale, in that order. We recommended that the above 3 pressure ulcer risk assessment scales continue to be evaluated in the Czech clinical setting.

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Reusability of EMR Data for Applying Cubbin and Jackson Pressure Ulcer Risk Assessment Scale in Critical Care Patients

Cited by 23 publications

References 26 publications

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Is Braden Scale Reliable and Sufficient to Evaluate the Risk of Pressure Ulcer Occurrence in Level 3 Intensive Care Unit Patients?

Predictive Validity of the Braden Scale for Pressure Ulcer Risk in Critical Care: A Meta‐Analysis

Predictive validity of the Braden Scale, Norton Scale, and Waterlow Scale in the Czech Republic

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