Predicting pressure ulcer risk: a multisite study of the predictive validity of the Braden Scale

摘要: Background There have been no studies that tested the Braden Scale for predictive validity and established cutoff points assessing risk specific to different settings. Objectives To evaluate of in a variety settings (tertiary care hospitals, Veterans Administration Medical Centers [VAMCs], skilled nursing facilities [SNFs]). determine critical point classifying these whether this differs between optimal timing across Method Randomly selected subjects (N= 843) older than 19 years age from who did not pressure ulcers on admission were included. Subjects 63% men, 79% Caucasian, had mean 63 (+/-16) years. assessed using every 48 72 hours 1 4 weeks. The score skin assessment independently rated, data collectors blind findings other measures. Results One hundred eight 843 (12.8%) developed ulcers. incidence was 8.5%, 7.4%, 23.9% tertiary VAMCs, SNFs, respectively. more likely be female those develop scores significantly (p = .0001) lower Overall, predicting 18. Risk is highly ulcer development all but as completed after admission. Conclusions important timely planning preventive strategies. Ongoing SNFs VAMCs improves prediction permits fine-tuning risk-based prevention protocols. In most accurate occurs at time plan can refined.