Development of a new risk assessment scale for predicting pressure ulcers in an intensive care unit.
Development of a new risk assessment scale for predicting pressure ulcers in an intensive care unit.
复制标题
DOI：
10.1111/j.1478-5153.2007.00250.x
复制
发表时间：
2008-01-01
影响因子：
3
通讯作者：
Subuh, Muhammad
中科院分区：
文献类型：
--
作者：
Suriadi;Sanada, Hiromi;Subuh, Muhammad
目标和目标：本研究旨在评估一种新的压疮风险评估量表在两个印度尼西亚重症监护病房（ICU）的预测有效性和准确性。背景：几个风险评估量表已被设计用于确定患者在ICU发生压疮的风险。然而，在这些量表中，没有描述导致压疮发展的每个变量的相对权重，以便于设计风险评估量表。目前，压力性溃疡发展的危险因素包括界面压力，体温和吸烟。设计：一项前瞻性队列研究进行了两个ICU在Pontianak，Indonesia.METHODS：共253例患者被招募到这两个医院的研究。数据收集包括新的风险评估量表[即Suriadi和Sanada（S.S.）量表]评分、人口统计学、压疮严重程度评分（基于国家压疮顾问小组）和皮肤状况测量。使用SS规模，受过训练的数据收集者对患者进行一次评分，并每天评估体温，直到患者出院。此外，每天的数据也收集有关患者的皮肤状况和阶段的压力ulcus.Results：出253例患者，72（28.4%）开发压疮。在ICU A中，发生率为27%;压疮发展为I期（41.7%）、II期（45.8%）、III期（10.4%）和IV期（2.1%）。在ICU B，发生率为31.6%;压疮的发生率在I期为48%，在II期为52%。使用预测效度检验，S.S.在临界值为4时，量表平衡了灵敏度（81%）和特异性（83%）。受试者工作特征曲线下面积为0.888（可信区间0.84-0.93）。量表被认为是一个有效的风险评估工具，以确定患者在印尼ICU的压力溃疡的风险。
AIMS AND OBJECTIVES: The study aimed to evaluate the predictive validity and accuracy of a new pressure ulcer risk assessment scale in two Indonesia intensive care units (ICUs).BACKGROUND: Several risk assessment scales have been designed to identify patients at risk of developing pressure ulcers in ICU. However, the relative weight of each variable that contributes to pressure ulcer development in these scales is not described to enable designing of a risk assessment scale. Currently, the risk factors contributing to pressure ulcer development include interface pressure, body temperature and cigarette smoking.DESIGN: A prospective cohort study was conducted in two ICUs in Pontianak, Indonesia.METHODS: A total of 253 patients were recruited to the study from both hospitals. Data collection included new risk assessment scale [i.e. the Suriadi and Sanada (S.S.) scale] scoring, demographic, pressure ulcer severity scores (based on the National Pressure Ulcer Advisory Panel) and skin condition measures. Using the S.S. scale, trained data collectors scored patients once and assessed the body temperature daily until patients were discharged. Additionally, daily data were also collected in relation to the patient's skin condition and stage of pressure ulcer.RESULTS: Out of the 253 patients, 72 (28.4%) developed pressure ulcers. In ICU A, the incidence was 27%; pressure ulcers developed into stage I (41.7%), stage II (45.8%), stage III (10.4%) and stage IV (2.1%). In ICU B, the incidence was 31.6%; the development of pressure ulcers was 48% in stage I and 52% in stage II. Using the predictive validity test, the S.S. scale balanced sensitivity (81%) and specificity (83%) at a cut-off score of 4. The area under the receiver-operating characteristic curve was 0.888 (confidence interval: 0.84-0.93).CONCLUSION: The S.S. scale was found to be a valid risk assessment tool to identify the patients at risk of developing pressure ulcers in Indonesia ICU.