https://doi.org/10.4081/ijwc.2023.104
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
Accepted: November 14, 2023
Abstract Views: 541
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PDF (Italiano): 124
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
Amini M, Mansouri F, Vafaee K, et al. Factors affecting the incidence and prevalence of pressure ulcers in COVID-19 patients admitted with a Braden scale below 14 in the intensive care unit: Retrospective cohort study. Int Wound J 2022;19:2039-54.
DOI: https://doi.org/10.1111/iwj.13804
McEvoy N, Patton D, Avsar P, et al. Effects of vasopressor agents on the development of pressure ulcers in critically ill patients: A systematic review. J Wound Care 2022;31:266-77.
DOI: https://doi.org/10.12968/jowc.2022.31.3.266
Serpa LF, Santos VL, Campanili TC, Queiroz M. Predictive validity of the Braden scale for pressure ulcer risk in critical care patients. Revista latino-americana de enfermagem 2011;19:50-7.
DOI: https://doi.org/10.1590/S0104-11692011000100008
Coyer F, Chaboyer W, Lin F, et al. Pressure injury prevalence in Australian intensive care units: A secondary analysis. Aust Crit Care 2022;35:701-8.
DOI: https://doi.org/10.1016/j.aucc.2021.10.009
Higgins J, Casey S, Taylor E, et al. Comparing the Braden and Jackson/Cubbin pressure injury risk scales in trauma-surgery ICU patients. Crit Care Nurs 2020;40:52-61.
DOI: https://doi.org/10.4037/ccn2020874
Labeau SO, Afonso E, Benbenishty J, et al. Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: The DecubICUs study. Intensive Care Med 2021;47:160-9.
DOI: https://doi.org/10.1007/s00134-020-06327-5
Nowicki JL, Mullany D, Spooner A, et al. Are pressure injuries related to skin failure in critically ill patients? Aust Crit Care 2018;31:257-63.
DOI: https://doi.org/10.1016/j.aucc.2017.07.004
El-Marsi J, Zein-El-Dine S, Zein B, et al. Predictors of pressure injuries in a critical care unit in Lebanon: Prevalence, characteristics, and associated factors. J Wound Ostomy Cont Nurs 2018;45:131-6.
DOI: https://doi.org/10.1097/WON.0000000000000415
Martin-Loeches I, Rose L, Afonso E, et al. Epidemiology and outcome of pressure injuries in critically ill patients with chronic obstructive pulmonary disease: A propensity score adjusted analysis. Int J Nurs Stud 2022;129:104222.
DOI: https://doi.org/10.1016/j.ijnurstu.2022.104222
Smit I, Harrison L, Letzkus L, Quatrara B. What factors are associated with the development of pressure ulcers in a medical intensive care unit? Dimens Crit Care Nurs 2016;35:37-41.
DOI: https://doi.org/10.1097/DCC.0000000000000153
Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden Scale for Predicting Pressure Sore Risk. Nurs Res 1987;36;205-10.
DOI: https://doi.org/10.1097/00006199-198707000-00002
Cox J. Predictive power of the Braden scale for pressure sore risk in adult critical care patients: a comprehensive review. J Wound Ostomy Continence Nurs Soc 2012;39:613-23.
DOI: https://doi.org/10.1097/WON.0b013e31826a4d83
González-Ruiz J, Núñez-Méndez PM, Balugo-Huertas S, et al. Estudio de validez de la Escala de Valoración Actual del Riesgo de desarrollar Úlceras por presión en Cuidados Intensivos (EVARUCI). [Validity study of the current risk assessment scale for pressure ulcers in intensive care (EVARUCI)] Enferm. Intensiva 2008;19:123-31.
DOI: https://doi.org/10.1016/S1130-2399(08)72754-8
Cobos-Vargas A, Guardia Mesa MF, Garófano Jerez JR, et al. Diseño y estudio de la validez y fiabilidad de una nueva escala de valoración del riesgo de úlceras por presión en UCI. Índice COMHON [Design and study of the validity and reliability of a new rating scale to assess the risk of pressure ulcers in the ICU. COMHON Index]. Evidentia: Revista de enfermera basada en la evidencia [Evidence-Based Nursing Journal]. 2013;10(42) [Online]. Available from: http://www.index-f.com/evidentia/n42/ev8013.php
Richardson A, Barrow I. Part 1: Pressure ulcer assessment - the development of Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE). Nurs Criti Care 2015;20:308-14.
DOI: https://doi.org/10.1111/nicc.12173
Efteli E, Güneş Ü. Assessing the Validity and Reliability of a New Pressure Ulcer Risk Assessment Scale for Patients in Intensive Care Units. Wound Manag Prevent 2020;66:24-33.
DOI: https://doi.org/10.25270/wmp.2020.2.2433
Wåhlin I, Ek AC, Lindgren M, et al. Development and validation of an ICU-specific pressure injury risk assessment scale. Scand J Caring Sci 2021;35:769-78.
DOI: https://doi.org/10.1111/scs.12891
Cho I, Noh M.. Braden Scale: evaluation of clinical usefulness in an intensive care unit. J Adv Nurs 2010;66:293-302.
DOI: https://doi.org/10.1111/j.1365-2648.2009.05153.x
Iranmanesh S, Rafiei H, Sabzevari S. Relationship between Braden scale score and pressure ulcer development in patients admitted in trauma intensive care unit. Int Wound J 2012;9:248-52.
DOI: https://doi.org/10.1111/j.1742-481X.2011.00852.x
Hyun S, Vermillion B, Newton C, et al. Predictive validity of the Braden scale for patients in intensive care units. American journal of critical care: an official publication. Am Assoc Crit Care Nurs 2013;22:514-20.
DOI: https://doi.org/10.4037/ajcc2013991
Lima-Serrano M, González-Méndez MI, Martín-Castaño C, et al. Predictive validity and reliability of the Braden scale for risk assessment of pressure ulcers in an intensive care unit. Med Intensiva, 2018;42:82-91.
DOI: https://doi.org/10.1016/j.medine.2018.01.007
Wei M, Wu L, Chen Y, et al. Predictive Validity of the Braden Scale for Pressure Ulcer Risk in Critical Care: A Meta-Analysis. Nurs Crit Care 2020;25:165-70.
DOI: https://doi.org/10.1111/nicc.12500
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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