Luo WJ, Zhou XZ, Lei JY, Xu Y, Huang RH, et al.
World journal of clinical cases. Date of publication 2021 Dec 16;volume 9(35):10956-10968.
1. World J Clin Cases. 2021 Dec 16;9(35):10956-10968. doi:
10.12998/wjcc.v9.i35.10956.
Predictive risk scales for development of pressure ulcers in pediatric patients
admitted to general ward and intensive care unit.
Luo WJ(1), Zhou XZ(2), Lei JY(1), Xu Y(1), Huang RH(1).
Author information:
(1)Sun Yat-sen Memorial Hospital, Guangzhou 510235, Guangdong Province, China.
(2)Sun Yat-sen Memorial Hospital, Guangzhou 510235, Guangdong Province, China.
956287439@qq.com.
BACKGROUND: More than ten special scales are available to predict the risk of
pressure ulcers in children. However, the performances of those scales have not
yet been compared in China.
AIM: To compare the Waterlow, Braden Q, and Glamorgan scales, and identify more
suitable pressure ulcer evaluation scale for the pediatric intensive care unit
(PICU).
METHODS: Trained nurses used the Waterlow, Braden Q, and Glamorgan scales to
assess pediatric patients at Sun Yat-sen Memorial Hospital (China) within 24 h
of admission from May 2017 to December 2020 in two stages. Skin examination was
carried out to identify pressure ulcers every 3 d for 3 wk.
RESULTS: The incidence of pressure ulcers was 3/28 (10.7%) in the PICU and 5/314
(1.6%) in the general pediatric ward. For children in the general ward, the
Waterlow, Braden Q, and Glamorgan scales had comparable area under the operating
characteristic curve (AUC) of 0.870, 0.924, and 0.923, respectively, and optimal
cut-off values of 14, 14, and 29 points. For PICU, the Waterlow, Braden Q, and
Glamorgan scales had slightly lower AUC of 0.833, 0.733, and 0.800,
respectively, and optimal cut-off values of 13, 16, and 27 points. Braden Q
demonstrated a satisfactory specificity, and during the second stage of the
study for PICU patients, the AUC of the Braden Q scale was 0.810, with an
optimal cut-off value of 18.35 points.
CONCLUSION: The Waterlow, Braden Q, and Glamorgan scales have comparable
performance, while the Braden Q scale demonstrates a better specificity and can
be successfully used by pediatric nurses to identify patients at high risk of
pressure ulcers in PICU.
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights
reserved.
DOI: 10.12998/wjcc.v9.i35.10956
PMCID: PMC8678852
PMID: 35047606
Conflict of interest statement: Conflict-of-interest statement: There are no
conflicts of interest to report.
