Validity of pressure ulcer risk assessment scales; Cubbin and Jackson, Braden, and Douglas scale
Validity of pressure ulcer risk assessment scales; Cubbin and Jackson, Braden, and Douglas scale
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DOI：
10.1016/s0020-7489(03)00135-4
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发表时间：
2004-02-01
影响因子：
8.1
通讯作者：
Younghee, RNL
中科院分区：
文献类型：
--
作者：
Seongsook, RNJ;Ihnsook, RNJ;Younghee, RNL
本研究比较了三种压疮风险工具的有效性：Cubbin和杰克逊，Braden和道格拉斯量表。在2000年12月11日至2001年2月10日期间，根据压疮预测和预防小组（1994）开发的三种压疮风险评估量表和皮肤评估工具，从韩国蔚山一家教育医院的112名重症监护室（ICU）患者入院后48至72 h每周三次收集数据。当患者在评估时发生压疮时，患者被归类为“压疮组”，当患者直到死亡、转移到其他病房或出院时才发生压疮时，患者被归类为“非压疮组”。计算了有效性和受试者工作特征（ROC）曲线下面积（AUC）四项指标。根据开发者提供的截断点，敏感性、特异性、阳性预测值、阴性预测值分别为：Cubbin和杰克逊量表：89%、61%、51%、92%，Braden量表：97%、26%、37%、95%，道格拉斯量表：100%、18%、34%、100%。Cubbin、杰克逊、Braden、道格拉斯的ROC曲线AUC分别为0.826、0.707、0.791。总的来说，Cubbin和杰克逊量表在测试的量表中显示出最好的效度，我们推荐它用于该ICU。(C)2003爱思唯尔有限公司。保留所有权利。
This study was to compare the validity of three pressure ulcer risk tools: Cubbin and Jackson, Braden, and Douglas scales. Data were collected three times per week from 48 to 72 h after admission based on the three pressure ulcer risk assessment scales and skin assessment tool developed by the Panel for the Prediction and Prevention of Pressure Ulcers (1994) from 112 intensive care unit (ICU) patients in a educational hospital Ulsan, Korea during December 11, 2000 to February 10, 2001. When a patient developed a pressure ulcer at the time of assessment, the patient was classified into 'pressure ulcer group', and when patients did not have a pressure ulcer until they died, moved to other wards or were discharged from the hospital, they were classified into 'not pressure ulcer group'. Four indices of validity and area under the curves (AUC) of receiver operating characteristic (ROC) were calculated. Based on the cut-off point presented by the developer, sensitivity, specificity, positive predictive value, negative predictive value were as follows: Cubbin and Jackson scale: 89%, 61%, 51%, 92%, respectively, Braden scale: 97%, 26%, 37%, 95%, respectively, and Douglas scale: 100%, 18%, 34%, 100%, respectively. AUCs of ROC curve were 0.826 for Cubbin and Jackson, 0.707 for Braden, and 0.791 for Douglas. Overall, the Cubbin and Jackson scale showed the best validity among scales tested and we recommended it for this ICU. (C) 2003 Elsevier Ltd. All rights reserved.