Relationship between Braden scale score and pressure ulcer development in patients admitted in trauma intensive care unit

Iranmanesh, Sedigheh; Rafiei, Hossein; Sabzevari, Sakineh

doi:10.1111/j.1742-481x.2011.00852.x

Cited by 44 publications

(32 citation statements)

References 14 publications

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“…Patients of ICU are always at risk of rare skin problems such as pressure ulcer because of their unconsciousness or being sedated (1–3); therefore, they are unable to self‐report their skin problems. Our patient showed that even chest lead could result in skin problems, which in turn increases the responsibility of ICU nurses to consider more skin care in critically ill patients.…”

mentioning

confidence: 99%

Skin irritation because of electrocardiograph lead in patients in intensive care unit

Rafiei¹,

Amiri²,

Moghaddasi³

2012

International Wound Journal

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confidence: 99%

Skin irritation because of electrocardiograph lead in patients in intensive care unit

Rafiei¹,

Amiri²,

Moghaddasi³

2012

International Wound Journal

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“…Subsequently, research [12][13][14][15][16][17][18] has been focused on additional risk factors observed in ICU patients to develop a new critical care risk scale. In 2 studies, 12,13 oxygen and perfusion variables were examined as risk factors for pressure ulcers.…”

mentioning

confidence: 99%

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Bly

Schallom

Sona

et al. 2016

American Journal of Critical Care

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This article has been designated for CE contact hour(s). The evaluation tests your knowledge of the following objectives: Background Although most intensive care patients are at risk for pressure ulcers, not all experience such ulcers.Objective To examine a model of variables related to extrinsic and intrinsic pressure on skin and underlying tissues, oxygenation, perfusion, and baseline comorbid conditions to identify risk factors associated with pressure ulcers in critically ill adults. Method A retrospective chart review was conducted on patients identified by weekly rounds from January 2010 through October 2010 to determine the prevalence of pressure ulcers. Variables were analyzed via bivariate analysis and logistic regression for unit-acquired pressure ulcers. Results Data on 345 patients with 436 intensive care admissions were reviewed. Variables were significant in each model category at P < .05. In the regression analysis of first admission only (n = 306), the model was significant (P < .001) and yielded correct classification of 86.3% of patients. For all intensive care admissions (n = 391), the model was significant (P < .001) and yielded correct classification of 83.9% of patients. In both models, 4 of the same variables were significant: any transport off the unit, number of days to bed change, systolic blood pressure less than 90 mm Hg, and use of more than 1 vasopressor. History of pulmonary disease and presence of a feeding tube were also significant in regression analyses. Conclusions Several variables within the model of pressure, oxygenation, and perfusion were significantly associated with development of pressure ulcers.

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“…Limited data are available that describe the complete time frame for pressure injury manifestation, especially for deep tissue injury . The Braden Scale has been used to predict pressure injury risk in critically ill patients . Ranzini found that although the original Braden scale measured at ICU admission was a valuable tool for predicting pressure injuries in critically ill patients, it was not as accurate for patients on a ventilator, those receiving renal replacement therapy, or surgical patients.…”

Section: Literature Reviewmentioning

confidence: 99%

OR Time and Sacral Pressure Injuries in Critically Ill Surgical Patients

Grap¹,

Schubert²,

Munro³

et al. 2019

AORN Journal

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Critically ill patients are at risk for developing pressure injuries during operative and other invasive procedures. The purpose of this secondary analysis was to explore the relationship of OR time to sacral pressure injuries in critically ill patients using high frequency ultrasound as a method of assessment. The 41 participants examined in this study had both time in the OR and up to eight days of pressure injury data. The multivariable model containing OR bed time, body mass index, and Braden Scale score produced the best prediction of pressure injury (area under the curve = 0.859). A higher body mass index (P = .09), shorter OR bed time (P = .01), and lower Braden Scale score (P = .05) were associated with a greater chance of pressure injury. These results suggest that use of high frequency ultrasound may identify tissue changes before observable skin changes, leading to earlier pressure injury prevention strategies.Key words: pressure injury, OR time, critically ill surgical patients, high frequency ultrasound, Braden Scale. STATEMENT OF PURPOSEAlthough studies have described the effect of OR time on the development of pressure injuries, we are unaware of any work using a noninvasive technology similar to HFU

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Relationship between Braden scale score and pressure ulcer development in patients admitted in trauma intensive care unit

Cited by 44 publications

References 14 publications

Skin irritation because of electrocardiograph lead in patients in intensive care unit

Skin irritation because of electrocardiograph lead in patients in intensive care unit

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

OR Time and Sacral Pressure Injuries in Critically Ill Surgical Patients

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