Can the Braden scale predict the development of pressure injuries in intensive care?

Submitted: June 24, 2023
Accepted: November 14, 2023
Published: December 14, 2023
Abstract Views: 349
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PDF (Italiano): 111
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This study aims to establish the effective predictivity of the Braden Scale in intensive care units (ICUs). A retrospective observational study was conducted by analyzing computerized medical records of patients admitted to an ICU in 2019. Patients admitted to the ICU in 2019 without pressure ulcers at the time of admission and with a hospital stay of at least 72 hours were considered for the study. Patients who developed pressure ulcers within the first 72 hours were excluded. Of the 239 patients considered suitable for the study, 230 (96.2%) had a Braden scale value lower than 16 and were considered at ‘severe risk of developing lesions’, and only 9 (3.7%) patients who had a value equal to or higher than 16 were considered at moderate risk. The Braden scale demonstrated very high sensitivity (100%) at the expense of low specificity (4.7%). The Braden scale calculated when patients enter intensive care is not capable of estimating the risk of developing lesions on its own due to its low specificity, which, therefore, makes it unsuitable for use in this context.

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How to Cite

Pazzini, A., Biselli, B., Vannini, C., Fabbri, E., Falabella, F., Santandrea, M. G., … Di Biasi, V. (2023). Can the Braden scale predict the development of pressure injuries in intensive care?. Italian Journal of Wound Care, 7(3). https://doi.org/10.4081/ijwc.2023.104

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