Which pressure ulcer risk assessment scales are valid for use in the clinical setting?

Journal of Wound, Ostomy and Continence Nursing

Volumn 34, Issue 4, 2007, Pages 368-381

  Bolton, Laura ^a,b  

^a UNIVERSITY OF MEDICINE AND DENTISTRY OF NEW JERSEY   (United States)

^b NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 34547802697     PISSN: 10715754     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.WON.0000281653.32955.9b     Document Type: Review

References (72)

1. Garza S, Okere V, Igbinoba J, Novosad K, Pexton C. Reducing hospital-acquired pressure ulcers. March/April 2006 Patient Safety & Quality Healthcare. Orlando, FL: Lionheart Publishing, Inc. Available at: http://www.psqh.com/marapr06/sixsigma.html. Accessed April 24, 2006.
2. Bates-Jensen BM. Quality indicators for prevention and management of pressure ulcers in vulnerable elders. Ann Intern Med. 2001;135:744-751.
3. Margolis DJ, Bilker W, Knauss J, Baumgarten M, Strom BL. The incidence and prevalence of pressure ulcers among elderly patients in general medical practice. Ann Epidemiol. 2002;12(5):321-325.
4. Cuddigan J, Ayello EA, Sussman C, eds. National Pressure Ulcer Advisory Panel. Pressure Ulcers in America: Prevalence, Incidence and Implications for the Future. Reston, VA: NPUAP; 2001.
5. Hanson DS, Langemo D, Olson B, Hunter S, Burd C. Decreasing the prevalence of pressure ulcers using agency standards. Home Healthc Nurse. 1996;14(7):525-531.
6. Gould D, Goldstone L, Kelly D, Gammon J. Examining the validity of pressure ulcer risk assessment scales: a replication study. Int Nurs Stud. 2004;41(3):331-339.
7. Mausner JS, Kramer S. Mausner & Bahn Epidemiology: An Introductory Text. Philadelphia: W. B. Saunders; 1985.
8. Fisher LD, van Belle G. Biostatistics: A Methodology for the Health Sciences. New York: John Wiley & Sons, Inc.; 1993.
9. Pancorbo-Hidalgo PL, Garcia-Fernandez FP, Lopez-Medina IM, Alvarez-Nieto C. Risk assessment scales for pressure ulcer prevention: a systematic review. J Adv Nurs. 2006;54(1):94-110.
10. Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden Scale for predicting pressure sore risk. Nurs Res. 1987;36(4): 205-210.
11. Braden BJ, Bergstrom N. Predictive validity of the Braden Scale for pressure sore risk in a nursing home population. Res Nurs Health. 1994;17:459-470.
12. Lewicki LJ, Mion LC, Secic M. Sensitivity and specificity of the Braden Scale in the cardiac surgical population. J Wound Ostomy Continence Nurs. 2000;27(1):36-41.
13. Ayello E, Braden B. How and why to do pressure ulcer risk assessment. Adv Skin Wound Care. 2002;15(3):125-133.
14. Bergquist S, Frantz R. Braden scale: validity in communitybased older adults receiving home health care. Appl Nurs Res. 2001;14(1):36-43.
15. Goodridge DM, Sloan JA, LeDoyen YM, McKenzie JA, Knight WE, Gayari M. Risk-assessment scores, prevention strategies, and the incidence of pressure ulcers among the elderly in four Canadian health-care facilities. Can J Nurs Res. 1998; 30(2):23-44.
16. Pang S, Wong TK. Predicting pressure sore risk with the Norton, Braden, and Waterlow scales in a Hong Kong rehabilitation hospital. Nurs Res. 1998;47:147-153.
17. Bridel J. Pressure sore risk in operating theatres. Nurs Stand. 1993;7:4-10.
18. Hanson DS, Langemo D, Olson B, Hunter S, Burd C. Decreasing the prevalence of pressure ulcers using agency standards. Home Healthc Nurse. 1996;14(7):525-531.
19. Lyder CH, Shannon R, Empleo-Frazier O, McGeHee D, White C. A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes. Ostomy Wound Manage. 2002;48(4):52-62.
20. Xakellis GC, Frantz RA, Arteaga M, Nguyen M, Lewis A. A comparison of patient risk for pressure ulcer development with nursing use of preventive interventions. JAm Geriatr Soc. 1992;40(12):1250-1254.
21. Powers GC, Zentner T, Nelson F, Bergstrom N. Validation of the mobility subscale of the Braden Scale for predicting pressure sore risk. Nurs Res. 2004;53(5):340-346.
22. Richardson GM, Gardner S, Frantz RA. Nursing assessment: impact on type and cost of interventions to prevent pressure ulcers. J Wound Ostomy Continence Nurs. 1998;25(6):273-280.
23. O'Malley MS, Fletcher SW. Screening for breast cancer with breast self-examination. J Amer Med Assn. 1987;257:2197-2193.
24. Maylor ME. Complications of adapting pressure ulcer risk assessment scales. Br J Nurs. 2006;15(6):S26-S31.
25. Halfens RJ. Risk assessment scales for pressure ulcers: a theoretical, methodological, and clinical perspective. Ostomy Wound Manage. 2000;46(8):36-40, 42-44.
26. Defloor T, Grypdonck MFH. Validation of pressure ulcer risk assessment scales: a critique. J Adv Nurs. 2004;48(6):613-621.
27. Seaman S, Shively M. Predictive validity of the Braden Scale in oncology and cardiac hospice patients: a pilot study. Proceedings of the 31st Wound Ostomy Continence Nursing Annual Conference, 2000, Salt Lake City, Utah.
28. Anthony D, Reynolds T, Russell L. An investigation into the use of serum albumin in pressure sore prediction. J Adv Nurs. 2000;32(2):359-365.
29. Halfens RJ, Van Achterberg T, Bal RM. Validity and reliability of the Braden scale and the influence of other risk factors: a multicentre prospective study. Int J Nurs Stud. 2000;37(4):313-319.
30. Bergstrom N, Demuth P J, Braden BJ. A clinical trial of the Braden Scale for predicting pressure sore risk. Nurs Clin North Am. 1987;22(2):417-428.
31. Baldwon KM, Ziegler SM. Pressure ulcer risk following critical traumatic injury. Adv Wound Care. 1998;11(4):168-173.
32. Salvadalena GD, Snyder ML, Brogdon KE. Clinical trial of the Braden Scale on an acute care medical unit. J ET Nurs. 1992; 19:160-165.
33. Capobianco ML, McDonald DD. Factors affecting the predictive validity of the Braden Scale. Adv Wound Care. 1996;9(6): 32-36.
34. Harrison MB, Wells G, Fisher A, Prince M. Practice guidelines for the prediction and prevention of pressure ulcers: evaluating the evidence. Applied Nurs Res. 1996;9(1):9-17.
35. VandenBosch T, Montoye C, Satwica M, Durkee-Leonard, Boylan-Lewis B. Predictive validity of the Braden Scale and nurse perception in identifying pressure ulcer risk. Appl Nurs Res. 1996;9(2):80-86.
36. Baggerly J, DiBlasi M. Pressure sores and pressure sore prevention in a rehabilitation setting: building information for improving outcomes and allocating resources. Rehabil Nurs. 1996;21(6):321-325.
37. Schue RM, Langemo DK. Pressure ulcer prevalence and incidence and a modification of the Braden Scale for a rehabilitation unit. J. Wound Ostomy Continence Nurs. 1998;25(1):36-43.
38. Barnes D, Payton RG. Clinical application of the Braden Scale in the acute-care setting. Dermatol Nurs. 1993;5(5):386-388.
39. Bergstrom N, Braden B, Kemp M, Champagne M, Ruby E. Predicting pressure ulcer risk: a multisite study of the predictive validity of the Braden Scale. Nurs Res. 1998;47(5):261-269.
40. Curley MA, Razmus IS, Roberts KE, Wypij D. Predicting pressure ulcer risk in pediatric patients: the Braden Q Scale. Nurs Res. 2003;52(1):22-33.
41. Gray M. Which pressure ulcer risk scales are valid and reliable in a pediatric population? J Wound Ostomy Continence Nurs. 2004;31(4):157-160.
42. Huffines B, Lodgson MC. The neonatal skin risk assessment scale for predicting skin breakdown in neonates. Issues Compr Pediatr Nurs. 1997;20:103-114.
43. Perneger TV, Rae AC, Gaspoz JM, Borst F, Vitek O, Heliot C. Screening for pressure ulcer risk in an acute care hospital: development of a brief bedside scale. J Clin Epidemiol. 2002; 55(5):498-504.
44. Roberts BV, Goldstone LA. A survey of pressure sores in the over sixties on two orthopaedic wards. Int. J Nursing Studies. 1979;16:355-364.
45. Goldstone LA, Goldstone J. The Norton score: an early warning of pressure sores? J Adv Nurs. 1982;1:419-426.
46. Lincoln R, Roberts R, Maddox A, Levine S, Patterson C. Use of the Norton pressure sore risk assessment scoring system with elderly patients in acute care. J Enterostomal Ther. 1986; 13:17-23.
47. Norton D, McLaren R, Exton-Smith AN. An Investigation of Geriatric Nursing Problems in Hospital. New York: Churchill Livingstone, 1975.
48. Bridel J. Assessing the risk of pressure sores. Nurs Stand. 1993;7(25):32-35.
49. Lindgren M, Unosson M, Krantz AM, Ek AC. A risk assessment scale for the prediction of pressure sore development: reliability and validity. J Adv Nurs. 2002;38(2):190-199.
50. Weststrate JT, Hop WC, Aalbers AG, Vreeling AW, Bruining HA. The clinical relevance of the Waterlow pressure sore risk scale in the ICU. Intensive Care Med. 1998;24(8):815-820.
51. Waterlow J. The Waterlow card for the prevention and management of pressure sores: towards a pocket policy. Care Science and Practice. 1988;6(1):8-12.
52. Schoonhoven L, Haalboom JR, Bousema MT, et al. The prevention and pressure ulcer risk score evaluation study. Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. BMJ. 2002; 325(7368), 797-800.
53. Boyle M, Green M. Pressure sores in intensive care: defining their incidence and associated factors and assessing the utility of two pressure sore risk assessment tools. Aust Crit Care. 2001;14(1):24-30.
54. Langemo DK, Olson B, Hunter S, Hanson D, Burd C, Cathcart-Silverberg T. Incidence and prediction of pressure ulcers in five patient care settings. Decubitus. 1991;4(3):25-36, passim.
55. Bergstrom N, Braden BJ. Predictive validity of the Braden Scale among Black and White subjects. Nurs Res. 2002;51(6):398-403.
56. Jalali R, Rezaie M. Predicting pressure ulcer risk: comparing the predictive validity of 4 scales. Adv Skin Wound Care. 2005;18:92-97.
57. Defloor T, Grypdonck MF. Pressure ulcers: validation of two risk assessment scales. J Clin Nurs. 2005;14(3):373-382.
58. Kwong E, Pang S, Wong T, Ho J, Shao-ling X, Li-jun T. Predicting pressure ulcer risk with the modified Braden, Braden, and Norton scales in acute care hospitals in Mainland China. Appl Nurs Res. 2005;18(2):122-128.
59. Seongsook J, Ihnsook J, Younghee L. Validity of pressure ulcer risk assessment scales: Cubbin and Jackson, Braden, and Douglas scale. Int J Nurs Stud. 2004;41(2):199-204.
60. Lee YH, Jeong IS, Jeon SS. [A comparative study on the predictive validity among pressure ulcer risk assessment scales] [Article in Korean: cited information from English abstract]. Taehan Kanho Hakhoe Chi. 2003;33(2):162-169.
61. Ramundo JM. Reliability and validity of the Braden Scale in the home care setting. J Wound Ostomy Continence Nurs. 1995; 22(3):128-134.
62. Oot-Giromini BA. Pressure ulcer prevalence, incidence and associated risk factors in the community. Decubitus. 1993; 6(5):24-32.
63. Edwards M. The levels of reliability and validity of the Waterlow pressure sore risk calculator. J Wound Care. 1995;4(8):373-378.
64. Lyder CH, Yu C, Emerling J, Mangat R, Stevenson D, Empleo-Frazier O. The Braden Scale for pressure ulcer risk: evaluating the predictive validity in Black and Latino/Hispanic elders. Appl Nurs Res. 1999;12(2):60-68.
65. Okuwa M, Sanada H, Sugama J, et al. A prospective cohort study of lower extremity pressure ulcer risk among among bedfast older adults. Adv Skin Wound Care. 2006;19(7):391-397.
66. Bergstrom N, Braden B. A prospective study of pressure sore risk among institutionalized elderly. J Am Geriatr Soc. 1992;40:747-758.
67. Halek M, Mayer H. [Predictive validity of the original and expanded Norton Scale in geriatric nursing] [Article in German] Pflege. 2002;15(6):309-317.
68. Anthony D, Barnes J, Unsworth J. An evaluation of current risk assessment scales for decubitus ulcer in general inpatients and wheelchair users. Clin Rehabil. 1998;12(2): 136-142.
69. Henoch I, Gustafsson M. Pressure ulcers in palliative care: development of a hospice pressure ulcer risk assessment scale. M J Palliat Nurs. 2003;9(11) :474-484.
70. Chaplin J. Pressure sore risk assessment in palliative care. J Tissue Viability. 2000;10(1):27-31.
71. Gosnell DJ. An assessment tool to identify pressure sores. Nurs Res. 1973;22:55-59.
72. Gosnell DJ. Pressure sore risk assessment: a critique. Decubitus. 1989;2(3):32-38.