Comparison of the predictive validity of the Braden and Waterlow scales in intensive care unit patients: A multicentre study.

التفاصيل البيبلوغرافية
العنوان:	Comparison of the predictive validity of the Braden and Waterlow scales in intensive care unit patients: A multicentre study.
المؤلفون:	Tao H; The First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu, China.; Gansu Medical College, Pingliang, Gansu, China., Zhang H; Department of Nursing, Gansu Provincial Hospital, Lanzhou, Gansu, China., Ma Y; Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, Gansu, China., Lv L; Wound and Ostomy Care Center, Gansu Provincial Hospital, Lanzhou, Gansu, China., Pei J; The First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu, China., Jiao Y; Evidence-Based Nursing, School of Nursing, Lanzhou University, Lanzhou, Gansu, China., Han L; The First School of Clinical Medicine, Lanzhou University, Lanzhou, Gansu, China.; Department of Nursing, Gansu Provincial Hospital, Lanzhou, Gansu, China.
المصدر:	Journal of clinical nursing [J Clin Nurs] 2024 May; Vol. 33 (5), pp. 1809-1819. Date of Electronic Publication: 2023 Nov 29.
نوع المنشور:	Multicenter Study; Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 9207302 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2702 (Electronic) Linking ISSN: 09621067 NLM ISO Abbreviation: J Clin Nurs
أسماء مطبوعة:	Original Publication: Oxford ; Boston : Blackwell Scientific Publications, c1992-
مواضيع طبية MeSH:	Pressure Ulcer/diagnosis , Pressure Ulcer/epidemiology , Pressure Ulcer*/prevention & control, Humans ; Prospective Studies ; Cross-Sectional Studies ; Risk Assessment ; Intensive Care Units ; Predictive Value of Tests ; Risk Factors
مستخلص:	Background: The first step in preventing pressure injuries (PIs), which represent a significant burden on intensive care unit (ICU) patients and the health care system, is to assess the risk for developing PIs. A valid risk assessment scale is essential to evaluate the risk and avoid PIs. Objectives: To compare the predictive validity of the Braden scale and Waterlow scale in ICUs. Design: A multicentre, prospective and cross-sectional study. Methods: We conducted this study among 6416 patients admitted to ICUs in Gansu province of China from April 2021 to October 2022. The incidence and characteristics of PIs were collected. The risk assessment of PIs was determined using the Braden and Waterlow scale. The sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve of the two scales were compared. Results: Out of 5903 patients, 72 (1.2%) developed PIs. The sensitivity, specificity, positive and negative predictive, and the area under the curve of the Braden scale were 77.8%, 50.9%, 0.014 and 0.996, and 0.689, respectively. These values for the Waterlow scale were 54.2%, 71.1%, 0.017, 0.994 and 0.651. Conclusions: Both scales could be used for risk assessment of PIs in ICU patients. However, the accuracy of visual inspection for assessment of skin colour, nursing preventive measures for patients and scales inter-rater inconsistency may limited the predictive validity statistics. Relevance to Clinical Practice: Both scales could be used for PIs risk assessment. The low specificity of the Braden scale and low sensitivity of the Waterlow scale remind medical staff to use them in combination with clinical judgement and other objective indicators. Patient or Public Contribution: This study was designed to enhance the management of PIs. Patients and the general public were not involved in the study design, analysis, and interpretation of the data or manuscript preparation. (© 2023 John Wiley & Sons Ltd.)
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معلومات مُعتمدة:	China Medical Board; National Research Training Program of Gansu Provincial Hospital; Natural Science Foundation for Young Scholars of Gansu Province; Provincial Talent Project of Gansu Province (Organization Department of the CPC Gansu Provincial Committee (2022) Number 77) "Internet + Regional Medical Alliance" Enabling Nursing High Quality Development and Health Support Innovative Talent Training Project; Scientific Research Project of Health Industry of Gansu Province; Splendid Master/Doctoral Cultivation Program of Gansu Provincial Hospital
فهرسة مساهمة:	Keywords: Braden scale; ICU patients; Waterlow scale; predictive validity; pressure injuries; preventive measures
تواريخ الأحداث:	Date Created: 20231130 Date Completed: 20240403 Latest Revision: 20240403
رمز التحديث:	20240403
DOI:	10.1111/jocn.16946
PMID:	38031387
قاعدة البيانات:	MEDLINE

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تدمد:	1365-2702
DOI:	10.1111/jocn.16946