| Development and validation of a pressure ulcer risk assessment tool for acute hospital patients. | |
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MedLine Citation:
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PMID: 21134037 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this study was to develop and validate a pressure ulcer risk assessment for acute hospitals. This tool was developed in a cohort of 342 patients with a mean age 63 years (SD 19.82) and validated in a second cohort of 165 patients with a mean age 68 years (SD 18.40). Risk factors for inclusion on The Northern Hospital Pressure Ulcer Prevention Plan (TNH-PUPP) were identified from the literature then examined and weighted using logistic regression. Risk factors included on the TNH-PUPP were requires assistance to move in bed (odds ratio [OR] 5.15; 95% confidence interval [CI]: 2.49-10.65), admission to intensive care during current admission (OR 2.98; 95% CI: 1.33-6.67), aged ≥ 65 years (OR 2.81; 95% CI: 1.24-6.36), reduced sensation (OR 2.29; 95% CI: 1.19-4.42), and cognitive impairment (OR 2.26; 95% CI: 1.09-4.67). The TNH-PUPP was validated in a prospective sample. The new tool had high diagnostic validity (area under the receiver operating curve=0.86), consistent in the validation sample (area under the receiver operating curve=0.90). The TNH-PUPP has a moderate positive predictive value (development=0.50; validation=0.13), and a high negative predictive value (development=0.94; validation=0.99) enabling low-risk patients to be screened out, as noncandidates for pressure ulcer prevention interventions. An accurate pressure ulcer risk assessment has been developed and validated, which identifies a high-risk group to whom limited pressure ulcer prevention resources should be directed. The TNH-PUPP facilitates effective resource allocation and is likely to reduce unnecessary patient harm and costs from pressure ulcers in acute hospitals. |
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Authors:
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Karen Nicola Page; Anna Lucia Barker; Jeannette Kamar |
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Publication Detail:
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Type: Journal Article Date: 2010-12-06 |
Journal Detail:
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Title: Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society Volume: 19 ISSN: 1524-475X ISO Abbreviation: Wound Repair Regen Publication Date: 2011 Jan-Feb |
Date Detail:
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Created Date: 2011-01-17 Completed Date: 2011-07-26 Revised Date: 2012-03-02 |
Medline Journal Info:
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Nlm Unique ID: 9310939 Medline TA: Wound Repair Regen Country: United States |
Other Details:
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Languages: eng Pagination: 31-7 Citation Subset: IM |
Copyright Information:
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© 2010 by the Wound Healing Society. |
Affiliation:
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St Vincent's Centre for Nursing Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia. k.page@patrick.acu.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Cohort Studies Female Health Status Indicators* Hospitalization Humans Male Middle Aged Predictive Value of Tests Pressure Ulcer / diagnosis*, etiology*, prevention & control ROC Curve Reproducibility of Results Risk Assessment |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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