A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units.

Journal article


Willock, Jane, Habiballah, Laila, Long, Deborah, Palmer, Kelli and Anthony, Denis 2016. A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units. Journal of Tissue Viability. https://doi.org/10.1016/j.jtv.2016.03.001
AuthorsWillock, Jane, Habiballah, Laila, Long, Deborah, Palmer, Kelli and Anthony, Denis
Abstract

Aims To compare the predictive ability of two risk assessment scales used in children. Background There are several risk assessment scales (RASs) employed in paediatric settings but most have been modified from adult scales such as the Braden Q whereas the Glamorgan was an example of a scale designed for children. Methods Using incidence data from 513 paediatric hospital admissions, receiver operating characteristic (ROC) was employed to compare the two scales. The area under the curve (AUC) was the outcome of interest. Results The two scales were similar in this population in terms of area under the curve. Neonatal and paediatric intensive care were similar in terms of AUC for both scales but in general paediatric wards the Braden Q may be superior in predicting risk. Conclusion Either scale could be used if the predictive ability was the outcome of interest. The scales appear to work well with neonatal, paediatric intensive care and general children’s wards. However the Glamorgan scale is probably preferred by childrens’ nurses as it is easy to use and designed for use in children. There is some suggestion that while the two scales are similar in intensive care, for general paediatrics the Braden Q may be the better scale.

Aims
To compare the predictive ability of two risk assessment scales used in children.
Background
There are several risk assessment scales (RASs) employed in paediatric settings but most have been modified from adult scales such as the Braden Q whereas the Glamorgan was an example of a scale designed for children.
Methods
Using incidence data from 513 paediatric hospital admissions, receiver operating characteristic (ROC) was employed to compare the two scales. The area under the curve (AUC) was the outcome of interest.
Results
The two scales were similar in this population in terms of area under the curve. Neonatal and paediatric intensive care were similar in terms of AUC for both scales but in general paediatric wards the Braden Q may be superior in predicting risk.
Conclusion
Either scale could be used if the predictive ability was the outcome of interest. The scales appear to work well with neonatal, paediatric intensive care and general children’s wards. However the Glamorgan scale is probably preferred by childrens’ nurses as it is easy to use and designed for use in children. There is some suggestion that while the two scales are similar in intensive care, for general paediatrics the Braden Q may be the better scale.

Keywordspressure ulcers; risk assessment; paediatrics
Year2016
JournalJournal of Tissue Viability
PublisherElsevier
ISSN0965-206X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jtv.2016.03.001
Web address (URL)http://hdl.handle.net/10545/623320
hdl:10545/623320
Publication dates15 Mar 2016
Publication process dates
Deposited18 Jan 2019, 09:27
Accepted03 Mar 2016
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ContributorsUniversity of Leeds and University of Oxford
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