Which Pressure Ulcer Risk Assessment Scales are Valid for Use in the Clinical Setting?

Bolton, Laura

doi:10.1097/01.won.0000281653.32955.9b

Cited by 44 publications

(36 citation statements)

References 52 publications

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“…Thus, the cut-off score can be established in subsequent assessments, like in the present study and in another research (25) . In general, the first assessment should be performed 72 h after admission, when the risk for the development of PU is elevated (27).…”

Section: Methodsmentioning

confidence: 99%

Predictive validity of the Braden scale for pressure ulcer risk in critical care patients

Serpa¹,

Santos

Campanili

et al. 2011

Rev. Latino-Am. Enfermagem

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This methodological study aimed to evaluate the predictive validity of the Braden scale in critical care patients. The study was conducted in four intensive care units of a general private hospital. After approval of the project by the Hospital Ethics Committee, during six months, adult patients admitted to ICUs with a Braden score ≤18 and without PU were assessed upon admission and at 48-hours intervals as long as the patient remained at risk or until the development of PU, patients' discharge, death or transfer from the ICU. The cut-off scores of the Braden scale in the first, second and third assessments were 12, 13 and 13, respectively. Sensitivity was 85.7%, 71.4% and 71.4% and specificity was 64.6%, 81.5% and 83.1%, respectively. Areas under the ROC curves revealed very good accuracy for the cut-off scores. The Braden cut-off score 13 in the third assessment showed the best predictive performance in critical care patients. Validez predictiva de la Escala de Braden para el riesgo de úlceras por presión en pacientes críticosSe tuvo por objetivo evaluar la validez predictiva de la Escala de Braden en los pacientes críticos. Se trata de un estudio metodológico, en cuatro unidades de cuidados intensivos de un hospital general. Después de la aprobación del proyecto por el Comité de Ética de la Institución, durante seis meses, los pacientes adultos con puntuación total de Braden ≤18 y sin úlceras por presión (UP) fueron evaluados en la admisión y a cada 48 horas, mientras permanecieron en riesgo o hasta: el desarrollo de UP, el alta, la muerte o removidos de la UCI. Las puntuaciones de Braden 12, 13 y 13, respectivamente en la primera, segunda y tercera evaluaciones presentaron sensibilidad de 85,7%, 71,4% y 71,4% y especificidad de 64,6%, 81,5% y 83,1% respectivamente. Las área bajo las curvas ROC muestrearon muy buena precisión de las puntuaciones obtenidas. Se concluye que la puntuación de Braden 13, en la tercera evaluación, presentó el mejor desempeño predictivo en los pacientes críticos.Descriptores: Úlcera por Presión; Cuidados Intensivos; Valor Predictivo de las Pruebas; Sensibilidad y Especificidad.

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Section: Methodsmentioning

confidence: 99%

Predictive validity of the Braden scale for pressure ulcer risk in critical care patients

Serpa¹,

Santos

Campanili

et al. 2011

Rev. Latino-Am. Enfermagem

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“…There is, however, limited evidence that using these scales actually warns the professionals about using further appropriate measures (16) .…”

Section: Final Considerationsmentioning

confidence: 99%

Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

Fernandes¹,

Caliri

2008

Rev. Latino-Am. Enfermagem

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“…Of the 65 patients in whom a pressure ulcer developed, 28% (n = 18) were classified as at risk, 28% (n = 18) as at moderate risk, 35% (n = 23) as at high risk, and 9% (n = 6) as at very high risk. Predictive validity of the Braden Scale was measured by using sensitivity and specificity values in addition to negative and positive predictive values 36 (Table 5). At a cut-off score of 18, the sensitivity was 100%, specificity was 7%, positive predictive value was 20%, and negative predictive value was 100%.…”

Section: Descriptive Statistics Of the Study Variablesmentioning

confidence: 99%

Predictors of Pressure Ulcers in Adult Critical Care Patients

Cox

2011

American Journal of Critical Care

279

277

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BackgroundPressure ulcers are one of the most underrated conditions in critically ill patients. Despite the introduction of clinical practice guidelines and advances in medical technology, the prevalence of pressure ulcers in hospitalized patients continues to escalate. Currently, consensus is lacking on the most important risk factors for pressure ulcers in critically ill patients, and no risk assessment scale exclusively for pressure ulcers in these patients is available.ObjectiveTo determine which risk factors are most predictive of pressure ulcers in adult critical care patients. Risk factors investigated included total score on the Braden Scale, mobility, activity, sensory perception, moisture, friction/shear, nutrition, age, blood pressure, length of stay in the intensive care unit, score on the Acute Physiology and Chronic Health Evaluation II, vasopressor administration, and comorbid conditions.MethodsA retrospective, correlational design was used to examine 347 patients admitted to a medical-surgical intensive care unit from October 2008 through May 2009.ResultsAccording to direct logistic regression analyses, age, length of stay, mobility, friction/shear, norepinephrine infusion, and cardiovascular disease explained a major part of the variance in pressure ulcers.ConclusionCurrent risk assessment scales for development of pressure ulcers may not include risk factors common in critically ill adults. Development of a risk assessment model for pressure ulcers in these patients is warranted and could be the foundation for development of a risk assessment tool.

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Which Pressure Ulcer Risk Assessment Scales are Valid for Use in the Clinical Setting?

Cited by 44 publications

References 52 publications

Predictive validity of the Braden scale for pressure ulcer risk in critical care patients

Predictive validity of the Braden scale for pressure ulcer risk in critical care patients

Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

Predictors of Pressure Ulcers in Adult Critical Care Patients

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