FOURTEENTH ANNUAL EUROPEAN PRESSURE ULCER ...
FOURTEENTH ANNUAL EUROPEAN PRESSURE ULCER ...
FOURTEENTH ANNUAL EUROPEAN PRESSURE ULCER ...
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Thursday September 1st<br />
INTRODUCTION<br />
Proceedings of the 14th Annual European Pressure Ulcer Meeting<br />
Oporto, Portugal<br />
Validation and implementation of the Braden Q Scale<br />
Miguéns Cristina 1* , Ferreira Pedro 2<br />
1* Community Health Centre Figueira da Foz, Portugal, cristina.miguens67@gmail.com<br />
2 CEISUC,Portugal<br />
Many are the pressure ulcer risk assessment tools<br />
available for adult patients, valid and reliable.<br />
For paediatric population there are just a few<br />
tools, and in Portugal none is valid.<br />
To remedy this, we translate and validate the<br />
Braden Q scale for Portuguese paediatric<br />
population.<br />
OBJECTIVES: The purpose of this study was to:<br />
( 1) establish the predictive validity of Braden Q<br />
Scale for the Portuguese paediatric population;(2)<br />
determine the critical cut-off point for classifying<br />
children risk; (3)evaluate the prevalence and<br />
incidence rates during the all study<br />
METHODS: Multisite prospected cohort<br />
descriptive study. Sample of 263 children<br />
inpatient for at least 24 hours without pre-existing<br />
pressure ulcers or congenital heart disease, were<br />
enrolled from 4 wards ( Intensive Care Unit,<br />
Medicine, Surgery, Orthopaedics /<br />
Neurosurgery).The Braden Q score and Skin<br />
Assessment were independently rated and data<br />
collectors were blind to the other measures.<br />
Children were observed at each 48 hours, until<br />
discharge.<br />
Four prevalence studies were taking during the all<br />
study: 1 study, before start the application of the<br />
Braden Q and Skin Assessment.<br />
RESULTS:<br />
15 children developed pressure ulcers during the<br />
study (incidence rate = 5,7%).<br />
Most pressure ulcers (60%) developed at the third<br />
observation.<br />
The cut-off point of 22 for the paediatric<br />
Portuguese population, the sensitivity was 0,89<br />
and the specificity was 0,64.<br />
Interrater reliability between the coordinator<br />
group and local researchers was evaluated twice<br />
79<br />
during the study and the agreement is quite good<br />
for all subscales > 0,72 , except to subscale<br />
Moisture.<br />
The prevalence study demonstrates a decreased in<br />
the number of pressure ulcers, particularly<br />
following the use of the Braden Q scale and the<br />
Skin Assessment instrument.<br />
Actually , there are several Portuguese hospitals,<br />
paediatrics and no paediatrics, using the Braden Q<br />
scale, for the paediatric population.<br />
Copyright © 2011 by EPUAP
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