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

Autor:	Borghardt AT; Hospital Universitário Cassiano Antônio Moraes, Universidade Federal do Espirito Santo, Vitória, ES, Brazil., Prado TN; Departamento de Enfermagem, Universidade Federal do Espirito Santo, Vitória, ES, Brazil., Araújo TM; Instituto de Ciências da Saúde, Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Redenção, CE, Brazil., Rogenski NM; Hospital Universitário, Universidade de São Paulo, São Paulo, SP, Brazil., Bringuente ME; Universidade Federal do Espirito Santo, Vitória, ES, Brazil.
Jazyk:	English; Portuguese; Spanish; Castilian
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2015 Jan-Feb; Vol. 23 (1), pp. 28-35.
DOI:	10.1590/0104-1169.0144.2521
Abstrakt:	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.
Databáze:	MEDLINE
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