Braden scale has low reliability in different patients under care in intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022000901221 |
Resumo: | SUMMARY OBJECTIVE: The aim of this study was to assess the inter-reliability of the Braden scale and its subscales for different patients assisted in the intensive care unit. We hypothesized that the Braden scale has low reliability in different populations. METHODS: This reliability study involved the Braden scale in intensive care unit of a hospital. A total of 200 patients were admitted to the intensive care unit in four different groups: neurological patients, sepsis, elderly, and adults affected by trauma. The Braden scale is a tool composed of six subscales for patient assessment: sensory perception, humidity, activity, mobility, nutrition, and friction. The total score was also calculated. The Braden scale was applied by two different nurses with an interval of 20–30 min between applications. RESULTS: For all populations, kappa values considered unsuitable were observed for most categories of the Braden scale, ranging from 0.06–0.25. Only for the total Braden scale score was moderate reliability identified in all groups evaluated, with intraclass correlation coefficient values ranging from 0.48–0.75. CONCLUSIONS: Braden scale is not a reliable tool to be used in the intensive care unit, and we do not recommend the use of this scale to assess the risk of developing pressure injury. |
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Braden scale has low reliability in different patients under care in intensive care unitRisk assessmentValidation studyIntensive care unitPressure injuriesSUMMARY OBJECTIVE: The aim of this study was to assess the inter-reliability of the Braden scale and its subscales for different patients assisted in the intensive care unit. We hypothesized that the Braden scale has low reliability in different populations. METHODS: This reliability study involved the Braden scale in intensive care unit of a hospital. A total of 200 patients were admitted to the intensive care unit in four different groups: neurological patients, sepsis, elderly, and adults affected by trauma. The Braden scale is a tool composed of six subscales for patient assessment: sensory perception, humidity, activity, mobility, nutrition, and friction. The total score was also calculated. The Braden scale was applied by two different nurses with an interval of 20–30 min between applications. RESULTS: For all populations, kappa values considered unsuitable were observed for most categories of the Braden scale, ranging from 0.06–0.25. Only for the total Braden scale score was moderate reliability identified in all groups evaluated, with intraclass correlation coefficient values ranging from 0.48–0.75. CONCLUSIONS: Braden scale is not a reliable tool to be used in the intensive care unit, and we do not recommend the use of this scale to assess the risk of developing pressure injury.Associação Médica Brasileira2022-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022000901221Revista da Associação Médica Brasileira v.68 n.9 2022reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.20220249info:eu-repo/semantics/openAccessVeiga,Thalita PereiraRêgo,Adriana SousaMontenegro,Widlani SousaFerreira,Patrícia RodriguesRocha,Daniel SantosFelipe,Ilana Mírian AlmeidaSantos-de-Araújo,Aldair DarlanMendes,Renata GonçalvesTavarez,Rudys Rodolfo de JesusBassi-Dibai,Danielaeng2022-11-23T00:00:00Zoai:scielo:S0104-42302022000901221Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2022-11-23T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Braden scale has low reliability in different patients under care in intensive care unit |
title |
Braden scale has low reliability in different patients under care in intensive care unit |
spellingShingle |
Braden scale has low reliability in different patients under care in intensive care unit Veiga,Thalita Pereira Risk assessment Validation study Intensive care unit Pressure injuries |
title_short |
Braden scale has low reliability in different patients under care in intensive care unit |
title_full |
Braden scale has low reliability in different patients under care in intensive care unit |
title_fullStr |
Braden scale has low reliability in different patients under care in intensive care unit |
title_full_unstemmed |
Braden scale has low reliability in different patients under care in intensive care unit |
title_sort |
Braden scale has low reliability in different patients under care in intensive care unit |
author |
Veiga,Thalita Pereira |
author_facet |
Veiga,Thalita Pereira Rêgo,Adriana Sousa Montenegro,Widlani Sousa Ferreira,Patrícia Rodrigues Rocha,Daniel Santos Felipe,Ilana Mírian Almeida Santos-de-Araújo,Aldair Darlan Mendes,Renata Gonçalves Tavarez,Rudys Rodolfo de Jesus Bassi-Dibai,Daniela |
author_role |
author |
author2 |
Rêgo,Adriana Sousa Montenegro,Widlani Sousa Ferreira,Patrícia Rodrigues Rocha,Daniel Santos Felipe,Ilana Mírian Almeida Santos-de-Araújo,Aldair Darlan Mendes,Renata Gonçalves Tavarez,Rudys Rodolfo de Jesus Bassi-Dibai,Daniela |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Veiga,Thalita Pereira Rêgo,Adriana Sousa Montenegro,Widlani Sousa Ferreira,Patrícia Rodrigues Rocha,Daniel Santos Felipe,Ilana Mírian Almeida Santos-de-Araújo,Aldair Darlan Mendes,Renata Gonçalves Tavarez,Rudys Rodolfo de Jesus Bassi-Dibai,Daniela |
dc.subject.por.fl_str_mv |
Risk assessment Validation study Intensive care unit Pressure injuries |
topic |
Risk assessment Validation study Intensive care unit Pressure injuries |
description |
SUMMARY OBJECTIVE: The aim of this study was to assess the inter-reliability of the Braden scale and its subscales for different patients assisted in the intensive care unit. We hypothesized that the Braden scale has low reliability in different populations. METHODS: This reliability study involved the Braden scale in intensive care unit of a hospital. A total of 200 patients were admitted to the intensive care unit in four different groups: neurological patients, sepsis, elderly, and adults affected by trauma. The Braden scale is a tool composed of six subscales for patient assessment: sensory perception, humidity, activity, mobility, nutrition, and friction. The total score was also calculated. The Braden scale was applied by two different nurses with an interval of 20–30 min between applications. RESULTS: For all populations, kappa values considered unsuitable were observed for most categories of the Braden scale, ranging from 0.06–0.25. Only for the total Braden scale score was moderate reliability identified in all groups evaluated, with intraclass correlation coefficient values ranging from 0.48–0.75. CONCLUSIONS: Braden scale is not a reliable tool to be used in the intensive care unit, and we do not recommend the use of this scale to assess the risk of developing pressure injury. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022000901221 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302022000901221 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-9282.20220249 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.68 n.9 2022 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
_version_ |
1754212838448037888 |