Document Detail

Development and validation of a pressure ulcer risk assessment tool for acute hospital patients.
MedLine Citation:
PMID:  21134037     Owner:  NLM     Status:  MEDLINE    
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.
Karen Nicola Page; Anna Lucia Barker; Jeannette Kamar
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Publication Detail:
Type:  Journal Article     Date:  2010-12-06
Journal Detail:
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:
Created Date:  2011-01-17     Completed Date:  2011-07-26     Revised Date:  2012-03-02    
Medline Journal Info:
Nlm Unique ID:  9310939     Medline TA:  Wound Repair Regen     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-7     Citation Subset:  IM    
Copyright Information:
© 2010 by the Wound Healing Society.
St Vincent's Centre for Nursing Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia.
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MeSH Terms
Age Factors
Cohort Studies
Health Status Indicators*
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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