Skin breakdown in acute care pediatrics...this article originally appeared in Pediatric Nursing, 31(12), 132-138, 148, and is reprinted here with the permission of the publisher

The purpose of this study was to develop a simple, single page measurement tool that evaluates risk of skin breakdown in the pediatric population and apply it to the acutely hospitalized child.Data were collected over a 15-month period from 347 patients on four in-patient units (PICU, medical-surgic...

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Publicado en:Dermatology Nursing Vol. 18; no. 2; pp. 155 - 162
Autores principales: Suddaby EC, Barnett SD, Facteau L
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Jannetti Publications, Inc. Apr2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2006
      vid: 18
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      pub: Jannetti Publications, Inc.
      place: Pitman, New Jersey
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        atl: Skin breakdown in acute care pediatrics...this article originally appeared in Pediatric Nursing, 31(12), 132-138, 148, and is reprinted here with the permission of the publisher
      aug:
        au:
          Suddaby EC
          Barnett SD
          Facteau L
        affil: Pediatric Cardiovascular Clinical Nurse Specialist, Inova Fairfax Hospital for Children, Falls Church, VA
      sug:
        subj:
          Child, Hospitalized
          Instrument Construction
          Instrument Validation
          Pressure Ulcer Prevention and Control
          Risk Assessment
          Acute Care
          Child
          Clinical Assessment Tools
          Coefficient alpha
          Conceptual Framework
          Confidence Intervals
          Data Analysis Software
          Interrater Reliability
          Logistic Regression
          Odds Ratio
          Pressure Ulcer Risk Factors
          Reliability
          Scales
          Sensitivity and Specificity
          Skin Care
          Skin Diseases Prevention and Control
          Validation Studies
          Human
          Child: 6-12 years
      ab: The purpose of this study was to develop a simple, single page measurement tool that evaluates risk of skin breakdown in the pediatric population and apply it to the acutely hospitalized child.Data were collected over a 15-month period from 347 patients on four in-patient units (PICU, medical-surgical, oncology, and adolescents) on skin breakdown using the AHCPR staging guidelines and compared to the total score on the Starkid SkinScale in order to determine its ability to predict skin breakdown.The inter-rater reliability of the Starkid Skin Scale was r[2] = 0.85 with an internal reliablity of 0.71. The sensitivity of the total score was low (175%) but highly specific (98.5%). The prevalence of skin breakdown in the acutely hospitalized child was 23%, the majority (775%) occurring as erythema of the skin. Buttocks, perineum, and occiput were the most common locations of breakdown. Occiput breakdown was more common in critically ill (PICU) patients while diaper dermatitis was more common in the general medical-surgical population.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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