Evaluation of the pressure ulcers risk scales with critically ill patients: a prospective cohort study

Author:

Borghardt Andressa Tomazini1,Prado Thiago Nascimento do1,Araújo Thiago Moura de2,Rogenski Noemi Marisa Brunet3,Bringuente Maria Edla de Oliveira1

Affiliation:

1. Universidade Federal do Espirito Santo, Brazil

2. Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Brazil

3. Universidade de São Paulo, Brazil

Abstract

AIMS: to evaluate the accuracy of the Braden and Waterlow risk assessment scales in critically ill inpatients.METHOD: this prospective cohort study, with 55 patients in intensive care units, was performed through evaluation of sociodemographic and clinical variables, through the application of the scales (Braden and Waterlow) upon admission and every 48 hours; and through the evaluation and classification of the ulcers into categories.RESULTS: the pressure ulcer incidence was 30.9%, with the Braden and Waterlow scales presenting high sensitivity (41% and 71%) and low specificity (21% and 47%) respectively in the three evaluations. The cut off scores found in the first, second and third evaluations were 12, 12 and 11 in the Braden scale, and 16, 15 and 14 in the Waterlow scale.CONCLUSION: the Braden scale was shown to be a good screening instrument, and the Waterlow scale proved to have better predictive power.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference21 articles.

1. Pressure ulcer prevalence and incidence in intensive care patients: a literature review;Shahin ES;Nurs Crit Care.,2008

2. Avaliação de risco para úlcera por pressão em idosos acamados no domicílio;Moraes GLA;Acta Paul Enferm.,2012

3. Associação das sub-escalas de Braden como risco do desenvolvimento de úlcera por pressão;Zambonato BP;Rev Gaucha Enferm.,2013

4. The incidence of pressure ulcers after the implementation of a prevention protocol;Rogenski NMB;Rev. Latino-Am. Enfermagem.,2012

5. Comparação de escalas de avaliação de risco para úlcera por pressão em pacientes em estado crítico;Araujo TM;Acta Paul Enferm.,2011

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