Pressure ulcer risk assessment immediately after cardiac surgery – does it make a difference? A comparison of three pressure ulcer risk assessment instruments within a cardiac surgery population

Nursing in Critical Care

Volumn 12, Issue 1, 2007, Pages 42-49

  Feuchtinger, Johanna ^a   Halfens, Ruud ^b   Dassen, Theo ^c  

^a UNIVERSITY OF FREIBURG   (Germany)

^b MAASTRICHT UNIVERSITY   (Netherlands)

^c HUMBOLDT UNIVERSITY   (Germany)

Author keywords

Cardiac surgery; Intensive care unit; Pressure ulcer; Risk assessment

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; ARTICLE; COMPARATIVE STUDY; DECUBITUS; FEMALE; GERMANY; HEART SURGERY; HOSPITALIZATION; HUMAN; INCIDENCE; INTENSIVE CARE; INTENSIVE CARE UNIT; LENGTH OF STAY; MALE; METHODOLOGY; MIDDLE AGED; NURSING; NURSING ASSESSMENT; POSTOPERATIVE COMPLICATION; PREDICTION AND FORECASTING; PROGNOSIS; PROSPECTIVE STUDY; RISK ASSESSMENT; SEX RATIO; STANDARD; TIME;

ADULT; AGE DISTRIBUTION; AGED; AGED, 80 AND OVER; CARDIAC SURGICAL PROCEDURES; FEMALE; GERMANY; HUMANS; INCIDENCE; INTENSIVE CARE; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; MIDDLE AGED; NURSING ASSESSMENT; POSTOPERATIVE COMPLICATIONS; PREDICTIVE VALUE OF TESTS; PRESSURE ULCER; PROGNOSIS; PROSPECTIVE STUDIES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; SEX DISTRIBUTION; TIME FACTORS;

EID: 38449117385     PISSN: 13621017     EISSN: 14785153     Source Type: Journal    
DOI: 10.1111/j.1478-5153.2006.00198.x     Document Type: Article

References (33)

1. Bergstrom N, Braden BJ, Laguza A, Holman V. (1987). The Braden scale for predicting pressure sore risk. Nursing Research; 36: 205–210.
2. Bienstein C. (1991). Risikopatienten erkennen mit der erweiterten Nortonskala [Risk patients detected with the extended Norton scale]. In: Dekubitus DBfK, (eds), Prophylaxe – Therapie. 2. Aufl. Frankfurt/Main: Verlag Krankenpflege.
3. Crow R, Clark M. (1990). Current management for the prevention of pressure sores. In: Bader DL, (ed), Pressure Sores: Clinical Practice and Scientific Approach. Basingstoke, London: MacMillan Press Ltd.
4. Cuddigan J, Ayello EA, Sussman C., (eds). (2001). Pressure Ulcers in America: Prevalence Incidence, and Implications for the Future. Virginia: National Pressure Ulcer Advisory Panel.
5. Deutsches Netzwerk für Qualitätsentwicklung in der Pflege. (2002). Expertenstandard Dekubitusprophylaxe in der Pflege, Entwicklung – Konsertierung – Implementierung [Expert Standard Pressure Ulcer Prevention in Nursing Care, Development – Consensus – Implementation]. Osnabrück, Germany: Deutsches Netzwerk für Qualitätsentwicklung in der Pflege.
6. Edwards M. (1994). The rationale for the use of risk calculators in pressure sore prevention, and the evidence of the reliability and validity of published scales. Journal of Advanced Nursing; 20: 288–296.
7. European Medicines Agency. (2002). Note for guidance on good clinical practice. http://www.emea.eu.int/pdfs/human/ich/013595en.pdf (accessed 07/09/06).
8. European Pressure Ulcer Advisory Panel. (2005a). Pressure ulcer prevention guidelines. http://www.epuap.org/glprevention.html (accessed 01/03/06).
9. European Pressure Ulcer Advisory Panel. (2005b). Pressure ulcer treatment guidelines. http://www.epuap.org/gltreatment.html (accessed 01/03/06)
10. Feuchtinger J, de Bie R, Dassen T, Halfens R. (2006). A 4cm thermoactive viscoelastic foam pad on the operating room table to prevent pressure ulcer during cardiac surgery. Journal of Clinical Nursing; 15: 162–167.
11. Fife C, Otto G, Capsuto EG, Brandt K, Lyssy K, Murphy K, Short C. (2001). Incidence of pressure ulcers in a neurologic intensive care unit. Critical Care Medicine; 2: 283–290.
12. Gosnell DJ. (1973). An assessment tool to identify pressure sores. Nursing Research; 22: 55–59.
13. Gunningberg L. (2005). Are patients with or at risk of pressure ulcers allocated appropriate prevention measures? International Journal of Nursing Practice; 11: 58–67.
14. Halfens RJG. (2000). Risk assessment scales for pressure ulcers: a theoretical, methodological, and clinical perspective. Ostomy and Wound Management; 46: 36–44.
15. Halfens RJG, Van Achterberg T, Bal RM. (2000). Validity and reliability of the Braden scale and the influence of other risk factors: a multi-centre prospective study. International Journal of Nursing Studies; 37: 313–319.
16. Jiricka MK, Ryan P, Carvalho MA, Bukvich J. (1995). Pressure ulcer risk factors in an ICU population. American Journal of Critical Care; 4: 361–367.
17. Kosiak M. (1959). Etiology and pathology of ischemic ulcers. Archives of Physical Medicine & Rehabilitation; 40: 62–69.
18. Lewicki LJ, Mion L, Splane KG, Samstag D, Secic M. (1997). Patient risk factors for pressure ulcer during cardiac surgery. AORN Journal; 65: 933–942.
19. Lilienfeld DE. (1994). Foundations of Epidemiology, 3rd edn [revised by Lilienfeld DE, Stolley PD]. New York: Oxford University Press.
20. McGough A. (1999). A Systematic Review of the Effectiveness of Risk Assessment Scales Used in the Prevention and Management of Pressure Scores. MSc Thesis. University of York, York.
21. National Pressure Ulcer Advisory Panel. (1989). Pressure ulcers – incidence, economics and risk assessment. Care-Science and Practice; 7: 96–99.
22. Nixon J, McElvenny D, Mason S, Brown J, Bond S. (1999). A sequential randomised controlled trial comparing a dry viscoelastic polymer pad and standard operating table mattress in the prevention of post-operative pressure sores. International Journal of Nursing Studies; 35: 193–203.
23. Norton D, McLaren R, Exton-Smith AN. (1975). An Investigation of Geriatric Nursing Problems in Hospital. Edinburgh: Churchill Livingstone.
24. Pancorbo-Hidalgo PL, Garcia-Fernandez FP, Lopez-Medina IM, Alvarez-Nieto C. (2006). Risk assessment for pressure ulcer prevention: a systematic review. Journal of Advanced Nursing; 54: 94–110.
25. Panel for the Prediction and Prevention of Pressure Ulcers in Adults. (1992). Pressure Ulcer in Adults: Prediction and Prevention. Clinical Practice Guideline, Number 3. AHCPR Publication No. 92–0047. Maryland: Agency for Health Care Policy and Research, Public Health Service, US Department of Heath and Human Services.
26. Papantonio CT, Wallop KB, Kolodner KB. (1994). Sacral ulcers following cardiac surgery: incidence and risks. Advanced Wound Care; 7: 24–26.
27. Pokorny ME, Koldjeski D, Swanson M. (2003). Skin care intervention for patients having cardiac surgery. American Journal of Critical Care; 12: 535–544.
28. Prölß J, Elbers P, Caspers A. (1996). Entwicklung einer Dekubitusrisikoskala für Intensivpatienten [Development of a pressure ulcer risk assessment scale for intensive care patients]. Intensiv; 4: 260–271.
29. Schoonhoven L, Haalboom JRE, Bousema MT, Algra A, Grobbee DE, Grypdonck MH, Buskens E. (2002). Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. British Medical Journal; 325: 797–801.
30. Smith LN, Booth N, Douglas D, Robertson WR, Walker A, Durie M, Fraser A, Hillan EH, Swaffield J. (1995). A critique of ‘at risk’ pressure sore assessment tools. Journal of Clinical Nursing; 4: 153–159.
31. Stordeur S, Laurent S, D’Hoore W. (1998). The importance of repeated risk assessment for pressure sores in cardiovascular surgery. Journal of Cardiovascular Surgery; 39: 343–349.
32. Waterlow J. (1985). A risk assessment card. Nursing Times; 27: 49, 51, 55.
33. World Medical Association. (2004). Declaration of Helsinki. http://www.wma.net/e/policy/pdf/17c.pdf (accessed 07/09/06).