The Association of BMI and Braden Total Score on the Occurrence of Pressure Ulcers
| Autor: | Martha Keehner Engelke, Gloria Baker, Wanda Waters, Laurie Clark-Reed, Frank Watkins, Daniel J. Drake, Melvin Swanson, Marie E. Pokorny, Mary Ann Rose |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Predictive validity medicine.medical_specialty Adolescent Cross-sectional study Risk Assessment Severity of Illness Index Body Mass Index Young Adult Predictive Value of Tests Risk Factors Internal medicine Severity of illness Prevalence medicine Humans Obesity Aged Aged 80 and over Pressure Ulcer Advanced and Specialized Nursing business.industry Medical record Case-control study Reproducibility of Results Middle Aged Medical–Surgical Nursing Cross-Sectional Studies Case-Control Studies Predictive value of tests Female Risk assessment business Body mass index |
| Zdroj: | Journal of Wound, Ostomy & Continence Nursing. 37:367-371 |
| ISSN: | 1071-5754 |
| DOI: | 10.1097/won.0b013e3181e45774 |
| Popis: | Purpose We compared pressure ulcer (PU) prevalence patients with a body mass index (BMI) of 40 or more, and Braden Scale scores of 16 or more to patients with lower BMI. Methods A cross-sectional study by using existing data was conducted combining patient skin status with BMI. Subjects underwent skin assessment for evidence of skin breakdown by nurses trained in PU assessment. Data from this assessment were combined with historic data gathered from review of medical records and BMI. Subjects and setting The study was carried out in a tertiary medical center in Eastern North Carolina. Three hundred sixty-two patients were included in the prevalence study. Results Fourteen percent of all patients had at least 1 PU. The prevalence among patients with a BMI of less than 40 was 12.5% as compared to 26% in patients with a BMI of more than 40 (P 5 .01). When controlling for the effects of BMI, patients with a Braden Scale score of 16 or less were almost 6 times more likely to have a PU as compared to those with Braden Scale scores of more than 16 (P, .001). Body mass index had an independent association with the probability of PU occurrence. Patients with BMIs of more than 40 were almost 3 times more likely to have a PU compared to those with BMIs of 40 or less, after controlling for Braden risk (P 5 .01). Conclusion A BMI of more than 40 and Braden Scale score of 16 or less were found to have an independent and statistically significant association with PU occurrence. Future studies should investigate the predictive validity of BMI along with individual Braden subscales. |
| Databáze: | OpenAIRE |
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