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Risk Tool Predicts Pressure Injuries in Hospitalized Children

Risk Tool Predicts Pressure Injuries in Hospitalized Children

Tue, Feb 13, 2018

TUESDAY, Feb. 13, 2018 (HealthDay News) -- The Braden QD Scale reliably predicts both immobility-related and device-related pressure injuries in hospitalized pediatric patients, according to a study published in the January issue of the Journal of Pediatrics.

Martha A.Q. Curley, R.N., Ph.D., from the University of Pennsylvania in Philadelphia, and colleagues tested the Braden QD Scale to predict the risk of pressure injury from both immobility and medical devices in 625 hospitalized pediatric patients.

The researchers found that 86 hospital-acquired pressure injures were observed in 49 patients. Specifically, 22 were immobility-related pressure injuries in 14 patients, while 64 were medical device-related pressure injuries in 42 patients. Overall, the Braden QD Scale performed well in predicting both pressure injuries, with an area under the curve of 0.78. Using a Braden QD Scale cutoff score of 13, the AUC was 0.72, yielding a sensitivity of 0.86, specificity of 0.59, positive predictive value of 0.15, negative predictive value of 0.98, and a positive likelihood ratio of 2.09.

"The Braden QD Scale reliably predicts both immobility-related and device-related pressure injuries in the pediatric acute care environment and will be helpful in monitoring care and in guiding resource use in the prevention of hospital-acquired pressure injuries," the authors write.

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