A Comparison of the Braden Q and the Braden QD Scale to Assess Pediatric Risk for Pressure Injuries During Noninvasive Ventilation.
BACKGROUND: Noninvasive ventilation (NIV) masks are implicated in 59% of respiratory devicerelated pressure injuries in hospitalized children. Historically, the Braden Q scale was not adequate in identifying risk for pressure injury associated with devices and, therefore, was modified to the Braden...
| Publicado en: | Respiratory Care Vol. 66; no. 8; pp. 1234 - 1240 |
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| Autores principales: | , , , , , |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151671542&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151671542 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2021 vid: 66 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 151671542 151671542 151671542 10.4187/respcare.08536 151671542 ppf: 1234 ppct: 6 formats: fmt: @attributes: type: P tig: atl: A Comparison of the Braden Q and the Braden QD Scale to Assess Pediatric Risk for Pressure Injuries During Noninvasive Ventilation. aug: au: Lauderbaugh, Denise L. Billman, Glenn Popien, Toni L. Hauseur, Shelley Euyhyun Lee O'Haver, Judith affil: Department of Respiratory Therapy, Rady Children's Hospital and Health Center-San Diego, San Diego, CA sug: subj: Pediatric Care Noninvasive Procedures Respiration, Artificial Adverse Effects Pressure Ulcer Risk Factors Risk Assessment Methods Clinical Assessment Tools Evaluation Human Education, Continuing (Credit) Scales Retrospective Design Record Review McNemar's Test Infant Child, Preschool Child Adolescence Adult Male Female Descriptive Statistics Two-Tailed Test Data Analysis Software Confidence Intervals Funding Source Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Male Female ab: BACKGROUND: Noninvasive ventilation (NIV) masks are implicated in 59% of respiratory devicerelated pressure injuries in hospitalized children. Historically, the Braden Q scale was not adequate in identifying risk for pressure injury associated with devices and, therefore, was modified to the Braden QD scale. The purpose of this study was to evaluate whether the Braden QD scoring tool is better able to identify pediatric patients receiving NIV who are at risk for the development of pressure injury as compared to the previously used Braden Q scale. METHODS: This was a retrospective chart review of all pediatric subjects with NIV mask-related pressure injury. Demographics and Braden Q/Braden QD scores were extracted from the electronic health record at admission, at 48 h prior to pressure injury, at 24 h before injury, and at resolution. The scores were dichotomized into "no risk" or "at risk" score ranges on the basis of each scale's scoring parameters. The McNemar test was used to assess whether Braden Q and Braden QD have the same level of classification. RESULTS: Forty-five unique subjects, ages 1 m -- 23 y with NIV mask-related pressure injury were identified (24 [53.3%] female; 21 [46.7%] male). Braden QD had a significant correlation with maskrelated pressure injury at admission (P < .001), at 48 h prior to injury (P < .001), at 24 h prior to injury (P < .001), at time of injury (P < .001), and at resolution of the pressure injury (P < .001). The Braden Q score did not identify pressure injury at admission, at identification of pressure injury, nor at 24 h or 48 h prior to injury. CONCLUSIONS: No significant differences were found among groups in relationship to age or gender. 85% of the subjects identified as "at risk" with the Braden QD scale developed pressure injury; conversely, virtually all of the subjects with pressure injury were identified as "no risk" with the Braden Q scale. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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