Pressure Ulcers Risk Assessment According to Nursing Criteria

Dominguez-Nogueira, C (通讯作者),Junta Andalucia, Consejeria Salud & Familias, Delegac Terr Granada, Inspecc Prov Serv Sanitarios, Seville 41071, Spain.
2022-8
Pressure ulcers (PU) represent a health problem with a significant impact on the morbidity and mortality of immobilized patients, and on the quality of life of affected people and their families. Risk assessment of pressure ulcers incidence must be carried out in a structured and comprehensive manner. The Braden Scale is the result of an analysis of risk factors that includes subscales that define exactly what should be interpreted in each one. The healthcare work with evidence-based practice with an objective criterion by the nursing professional is an essential addition for the application of preventive measures. Explanatory models based on the different subscales of Braden Scale purvey an estimation to level changes in the risk of suffering PU. A binary-response logistic regression model, supported by a study with an analytical, observational, longitudinal, and prospective design in the Granada-Metropolitan Primary Healthcare District (DSGM) in Andalusia (Southern Spain), with a sample of 16,215 immobilized status patients, using a Braden Scale log, is performed. A model that includes the mobility and activity scales achieves a correct classification rate of 86% (sensitivity (S) = 87.57%, specificity (SP) = 81.69%, positive predictive value (PPV) = 91.78%, and negative preventive value (NPV) = 73.78%), while if we add the skin moisture subscale to this model, the correct classification rate is 96% (S = 90.74%, SP = 88.83%, PPV = 95.00%, and NPV = 80.42%). The six subscales provide a model with a 99.5% correct classification rate (S = 99.93%, SP = 98.50%, PPV = 99.36%, and NPV = 99.83%). This analysis provides useful information to help predict this risk in this group of patients through objective nursing criteria.
HEALTHCARE
卷号:10|期号:8
收录类别:SCIE
语种
英语
来源机构
Instituto de Investigacion Biosanitaria IBS Granada; University of Granada; University of Granada
资助机构
Consejeria de Salud, Junta de Andalucia (Fundacion Publica Andaluza Progreso y Salud)
资助信息
This study has been totally funded by Consejeria de Salud, Junta de Andalucia (Fundacion Publica Andaluza Progreso y Salud, Proyecto AP-0086-2016). Funding has been received for data collection, analysis, interpretation of data, and manuscript writing.
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
5
2013以来使用计数
5
EISSN
2227-9032
出版年
2022-8
DOI
10.3390/healthcare10081438
学科领域
循证公共卫生
关键词
activity Braden Scale immobilized patients logistic regression mobility pressure ulcers
WOS学科分类
Health Care Sciences & Services Health Policy & Services