scholarly journals Predictive validity of the braden scale for pressure injury risk assessment in adults: A systematic review and meta‐analysis

Nursing Open ◽  
2021 ◽  
Author(s):  
Can Huang ◽  
Yuxia Ma ◽  
Chenxia Wang ◽  
Mengyao Jiang ◽  
Loretta Yuet Foon ◽  
...  
2021 ◽  
Vol 67 (9) ◽  
pp. 34-46
Author(s):  
Bing-Bing Wu ◽  
Dong-Zhou Gu ◽  
Jia-Ning Yu ◽  
Li-Peng Feng ◽  
Rong Xu ◽  
...  

BACKGROUND: Smoking is a risk factor for many diseases. PURPOSE: This study explored the relationship between current or past smoking and pressure injury (PI) risk through a systematic review and meta-analysis. METHODS: The databases PubMed, Web of Science, and China National Knowledge Infrastructure were searched for the years between 2001 and 2020. Quality of evidence was estimated by the Newcastle-Ottawa Scale. The random effects model was applied to assess the odds ratios (OR) and 95% confidence intervals (CI); pooled adjusted OR and 95% CI, subgroup analysis, publication bias, sensitivity analyses, and meta-regression analysis were performed. RESULTS: Fifteen (15) studies (12 retrospective and 3 prospective) comprising data on 11 304 patients were eligible for inclusion in the review. The meta-analysis demonstrated that smoking increased the risk of PI (OR = 1.498; 95% CI, 1.058-2.122), and the pooled adjusted OR (1.969) and 95% CI (1.406-2.757) confirmed this finding. Publication bias was not detected by funnel plot, Begg’s test (P = .322), or Egger’s test (P = .666). Subgroup analyses yielded the same observations in both retrospective (OR = 1.607; 95% CI, 1.043-2.475) and prospective (OR = 1.218; 95% CI, 0.735-2.017) studies. The results were consistent across sensitivity analyses (OR = 1.07; 95% CI, 1.043-2.475). Relevant heterogeneity moderators were not identified by meta-regression analysis with PI incidence (P = .466), years of patient data included (P = .637), mean patient age (P = .650), and diabetes mellitus diagnosis (P = .509). CONCLUSION: This study found that individuals who are current or formers smokers have an almost 1.5 times higher risk of PI development than do those who do not smoke.


2018 ◽  
Vol 23 (5) ◽  
pp. 387-403
Author(s):  
Siti Zubaidah Mordiffi ◽  
Bridie Kent ◽  
Nicole M. Phillips ◽  
Gerald Koh Choon Huat

Background Pressure injury is known to cause not only debilitating physical effects, but also substantial psychological and financial burdens. A variety of pressure injury risk assessment tools are in use worldwide, which include a number of factors. Evidence now suggests that assessment of a single factor, mobility, may be a viable alternative for assessing pressure injury risk. Aims The aim of this study was to ascertain whether using the Braden mobility subscale alone is comparable to the full Braden scale for predicting the development of pressure injury. Methods This study, a retrospective case-control design, was conducted in a large tertiary acute care hospital in Singapore. Medical records of 100 patients with hospital-acquired pressure injury were matched with 100 medical records of patients who had no pressure injury at a 1:1 ratio. Results Patients who were assessed using the Braden mobility subscale as having ‘very limited mobility’ or worse were 5.23 (95% confidence interval (CI) 2.66–10.20) times more likely to develop pressure injury compared with those assessed as having ‘slightly limited’ mobility or ‘no limitation’. Conversely, patients assessed using the Braden scale as having ‘low risk’ or higher were 3.35 (95% CI 1.77–6.33) times more likely to develop pressure injury compared with those assessed as ‘no risk’. Using full model logistic regression analysis, the Braden mobility subscale was the only factor that was a significant predictor of pressure injury and it remained significant when analysed for the most parsimonious model using backward logistic regression. Conclusions These findings provide the empirical evidence that using the Braden mobility subscale alone as an assessment tool for predicting pressure injury development is comparable to using the full Braden scale. Use of this single factor would simplify pressure injury risk assessment and support its use within busy clinical settings.


Chemosphere ◽  
2021 ◽  
Vol 270 ◽  
pp. 129382
Author(s):  
Majid Kermani ◽  
Mohsen Dowlati ◽  
Mitra Gholami ◽  
Hamid Reza Sobhi ◽  
Ali Azari ◽  
...  

2020 ◽  
Vol Volume 13 ◽  
pp. 2031-2041
Author(s):  
Masushi Kohta ◽  
Takehiko Ohura ◽  
Kunio Tsukada ◽  
Yoshinori Nakamura ◽  
Mishiho Sukegawa ◽  
...  

2018 ◽  
Vol 42 (2) ◽  
pp. 82-91 ◽  
Author(s):  
M. Lima-Serrano ◽  
M.I. González-Méndez ◽  
C. Martín-Castaño ◽  
I. Alonso-Araujo ◽  
J.S. Lima-Rodríguez

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