Willock J, Baharestani MM, Anthony D, et al.
Journal of wound care. Date of publication 2009 Jan 1;volume 18(1):17-21.
1. J Wound Care. 2009 Jan;18(1):17-21. doi: 10.12968/jowc.2009.18.1.32135.
The development of the Glamorgan paediatric pressure ulcer risk assessment
scale.
Willock J(1), Baharestani MM, Anthony D.
Author information:
(1)Faculty of Health and Sports Sciences, University of Glamorgan, UK.
OBJECTIVE: To develop a predictive pressure ulcer risk assessment scale based on
patient data.
METHOD: Detailed questionnaires, based on a review of the paediatric and adult
literature and discussion with paediatric nurses with expertise in this area,
were used to obtain data on patient characteristics from 265 inpatients in a
children's hospital and 54 children with pressure ulcers and 17 children without
pressure ulcers from 11 hospitals. These data were then combined to compare the
characteristics of children with and without pressure ulcers (using the
chi-square test).
RESULTS: The Glamorgan paediatric pressure ulcer risk assessment scale was
developed, based on the significance values identified by the statistical
analysis. Variables that were significantly (p<0.01) associated with pressure
ulceration included: difficult to position, anaemia, equipment pressing or
rubbing against skin, reduced mobility for age, prolonged surgery and persistent
pyrexia. The sensitivity, specificity and predictive validity of the Glamorgan
scale was found to be greater than those for the Braden Q scale, which is widely
used to assess pressure ulcer risk in children in the US.
CONCLUSION: Using patient data from children and young people in the development
of risk assessment tools for this age group may be preferable to modifying
existing adult tools.
DOI: 10.12968/jowc.2009.18.1.32135
PMID: 19131913 [Indexed for MEDLINE]
Appears in following Topics:
