Predicting pressure ulcer risk: A multifactorial approach to assess risk factors in a large university hospital population

Journal of Clinical Nursing

Volumn 18, Issue 1, 2009, Pages 99-107

  Nonnemacher, Michael ^a   Stausberg, Jürgen ^b   Bartoszek, Gabriele ^c   Lottko, Birgit ^c   Neuhaeuser, Markus ^b   Maier, Irene ^c  

^a UNIVERSITY OF DUISBURG ESSEN   (Germany)

^b Institute for Medical Informatics   (United States)

^c UNIVERSITY HOSPITAL ESSEN   (Germany)

Author keywords

Hospital; Logistic model; Nurses; Nursing; Pressure ulcer; Risk assessment

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; DECUBITUS; FEMALE; GERMANY; HUMAN; MALE; MIDDLE AGED; RISK FACTOR; SENSITIVITY AND SPECIFICITY; UNIVERSITY HOSPITAL;

ADULT; AGED; COHORT STUDIES; FEMALE; GERMANY; HOSPITALS, UNIVERSITY; HUMANS; MALE; MIDDLE AGED; PRESSURE ULCER; RISK FACTORS; SENSITIVITY AND SPECIFICITY;

EID: 57649219293     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2008.02425.x     Document Type: Article

References (32)

1. Allman RM (1997) Pressure ulcer prevalence, incidence, risk factors and impact. Clinical Geriatrics and Medicine 13, 421 436.
2. Anthony D, Clark M Dallender J (2000) An optimization of the Waterlow score using regression and artificial neural networks. Clinical Rehabilitation 14, 102 109.
3. Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (1999) Dekubitus- Therapie und Prophylaxe. Available at: http://www.awmf-online.de/ll/036-005.htm
4. Bedi A (1993) A tool to fill the gap. Developing a wound risk assessment chart for children. Professional Nurse 9, 112 120.
5. Bergstrom N Braden BJ (2002) Predictive validity of the Braden Scale among Black and White subjects. Nursing Research 51, 398 403.
6. Braden BJ Bergstrom N (1989) Clinical utility of the Braden scale for Predicting Pressure Sore Risk. Decubitus 2, 44 46.
7. Defloor T (1999) The risk of pressure sores: a conceptual scheme. Journal of Clinical Nursing 8, 206 216.
8. Deutsches Netzwerk für Qualitätsentwicklung in der Pflege - DNQP (2004) Expertenstandard Dekubitusprophylaxe in der Pflege, Entwicklung - Konsentierung - Implementierung. 2.Aufl. Fachhochschule Osnabrück, Osnabrück.
9. European Pressure Ulcer Advisory Panel (EPUAP) Pressure ulcer prevention and treatment guidelines. Available at: http://www.epuap.org/glprevention.html
10. Fisher AR, Wells G Harrison MB (2004) Factors associated with pressure ulcers in adults in acute care hospitals. Advances in Skin and Wound Care 17, 80 90.
11. Gosnell DJ (1989a) Pressure sore risk assessment: a critique. Part I. The Gosnell scale. Decubitus 2, 32 38.
12. Gosnell DJ (1989b) Pressure sore risk assessment. Part II. Analysis of risk factors. Decubitus 2, 40 43.
13. Halfens RJ (2000) Risk assessment scales for pressure ulcers: a theoretical, methodological and clinical perspective. Ostomy Wound Management 46, 36 40.
14. Jakobs B (2000) Skalen zur Einschätzung des Dekubitusrisikos: Reliabilität und Validität der Norton- und Bradenskala. Schlütersche, Hannover.
15. Jalali R Rezaie M (2005) Predicting pressure ulcer risk: comparing the predictive validity of 4 scales. Advances in Skin and Wound Care 18, 92 97.
16. Jun Seongsook RN, Jeong Ihnsook RN Lee Younghee RN (2004) Validity of pressure ulcer risk assessment scales; Cubbin and Jackson, Braden and Douglas scale. International Journal of Nursing Studies 41, 199 204.
17. Krause T, Anders J von Renteln-Kruse W (2005) Inkontinenz als Risikofaktor für Dekubitus hält kritischer Überprüfung nicht stand. Pflege 18, 299 303.
18. Kröger K, Stausberg J, Maier I, Schneider H Niebel W (2005) Preexisting risk factors in intensive care patients with pressure ulcers. Intensivmed 42, 270 274. (in German).
19. Leffmann C, Anders J, Heinemann A, Leutenegger M Pröfener F (2003) Gesundheitsberichterstattung des Bundes: Heft 12 Dekubitus. Available at: http://www.rki.de/cln_006/nn_226040/DE/Content/GBE/Gesundheitsberichterstattung/ GBEDownloadsT/dekubitus,templateId=raw,property=publicationFile.pdf/dekubitus.
20. Lottko B, Bartoszek G, Maier I, Stausberg J Dahlmann C (2004) Der Essener Dekubitus-Score - ein Einschätzungsinstrument zur Dekubitusgefä hrdung. Z Wundheilung 9, 180 182.
21. Lyne PA, Papanikolaou P Lycett E (2000) An empirical investigation of pressure ulcer risk factors. Nurse Standard 14, 46-48, 50, 53.
22. National Pressure Ulcer Advisory Panel (NPUAP) (2001) Pressure ulcer prevention: a competency-based curriculum. Available at: http://www.npuap.org/ PDF/prevcurr.pdf.
23. Norton D (1989) Calculating the risk: reflections on the Norton Scale. Decubitus 2, 24-31. Erratum in: Decubitus 2, 10.
24. Perneger TV, Rae AC, Gaspoz JM, Borst F, Vitek O Heliot C (2002) Screening for pressure ulcer risk in an acute care hospital: development of a brief bedside scale. Journal of Clinical Epidemiology 55, 498 504.
25. Powers GC, Zentner T, Nelson F Bergstrom N (2004) Validation of the mobility subscale of the Braden Scale for predicting pressure sore risk. Nursing Research 53, 340 346.
26. Schlömer G. (2003) Dekubitusrisikoskalen als Screeninginstrumente - Ein systematischer Überblick externer Evidenz. Z Arztl Fortbild Qualitatssich 97, 33 46.
27. Schoonhoven L, Haalboom JRE, Bousema MT, Algra A, Grobbee DE, Grypdonck MH Buskens E for the prePURSE study group (2002) Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. BMJ 325, 797 800.
28. Stausberg J, Kröger K, Maier I, Niebel W Schneider H (2005a) Frequency of decubitus ulcer in patients of a university medical center. Combination of routine documentation and cross-sectional study. Deutsche Medizinische Wochenschrift 130, 2311 2315. (in German).
29. Stausberg J, Kröger K, Maier I, Schneider H Niebel W (2005b) Pressure ulcers in secondary care: incidence, prevalence and relevance. Advances in Skin and Wound Care 18, 140 145.
30. Waterlow J (1998) The history and use of the Waterlow card. Nursing Times 94, 63 67.
31. Whittington K Briones R (2004) National prevalence and incidence study: 6-year sequential acute care data. Advances in Skin Wound Care 17, 490 494.
32. Zhan C Miller M (2003) Excess length of stay, charges and mortality attributable to medical injuries during hospitalization. JAMA 290, 1868 1873.