liu.seSearch for publications in DiVA
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Predictive validity of 4 risk assessment scales for prediction of pressure ulcer development in a hospital setting
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Hälsouniversitetet.ORCID-id: 0000-0002-2027-1663
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Hälsouniversitetet.
2014 (engelsk)Inngår i: Advances in Skin & Wound Care, ISSN 1527-7941, E-ISSN 1538-8654, Vol. 27, nr 2, s. 70-76Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVES:

The aims of this study were to examine and compare the predictive validity of 4 risk assessment scales used for the prediction of pressure ulcer (PrU) development and to identify risk factors.

DESIGN:

Cross-sectional descriptive study.

SETTING:

A general hospital in Sweden.

PARTICIPANTS:

Patients (all aged ≥18 years) admitted to medical, surgical, orthopedic, oncology, and rehabilitation wards. Of 412 patients available, a total of 346 patients participated in the study.

METHOD:

Data were collected using the Swedish version of the European Pressure Ulcer Advisory Panel minimum data set as well as the Norton, Modified Norton, Braden, and Risk Assessment Pressure Sore (Ulcer) (RAPS) scales. The predictive validity was estimated by measuring sensitivity, specificity, positive predictive value, and negative predictive value. Multiple logistic regression analysis was used to determine risk factors associated with PrUs.

RESULTS:

The RAPS scale reached best balance between sensitivity and specificity at the recommended cutoff level of ≤29, followed by the Braden scale and the Norton scale at recommended cutoff levels ≤18 versus ≤16, respectively. The modified Norton scale also reached an acceptable balance between sensitivity and specificity but at the cutoff level of ≤23, which is a higher cutoff level than recommended. General physical condition, physical activity, moisture, friction, and shear emerged as significant risk factors.

CONCLUSIONS:

The results support that the recommended cutoff levels of the RAPS, Norton, and Braden scales are valid in a general hospital setting. However, the recommended cutoff level of the modified Norton scale (≤20) has to be increased when used in this care context.

sted, utgiver, år, opplag, sider
Lippincott Williams & Wilkins, 2014. Vol. 27, nr 2, s. 70-76
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-104219DOI: 10.1097/01.ASW.0000439059.72199.41ISI: 000335387600005PubMedID: 24440864OAI: oai:DiVA.org:liu-104219DiVA, id: diva2:695507
Tilgjengelig fra: 2014-02-11 Laget: 2014-02-11 Sist oppdatert: 2017-12-06bibliografisk kontrollert

Open Access i DiVA

fulltext(511 kB)1504 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 511 kBChecksum SHA-512
99bbb0eb292acbec02e9a85ebcfaeaa2bb8918a4db13450ce24468cf23cb743609d4586f0dd308f37abf7c15de283f7985f1095e6c7bbc3e562a92a6d557b8d4
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMed

Personposter BETA

Källman, UlrikaLindgren, Margareta

Søk i DiVA

Av forfatter/redaktør
Källman, UlrikaLindgren, Margareta
Av organisasjonen
I samme tidsskrift
Advances in Skin & Wound Care

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 1504 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 399 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf