Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale

Detalhes bibliográficos
Autor(a) principal: Vocci, Marcelli Christine [UNESP]
Data de Publicação: 2023
Outros Autores: Amante Miot, Hélio [UNESP], Mendes Bertoncello Fontes, Cassiana [UNESP], Fernandes Abbade, Luciana Patricia [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1097/01.ASW.0000918880.95690.e5
http://hdl.handle.net/11449/248387
Resumo: OBJECTIVE To validate the Glamorgan Scale and compare its predictive ability in assessing pressure injury risk among patients in a pediatric ICU (PICU) with that of the Braden Q Scale. METHODS A prospective cohort study was performed to validate the Glamorgan Scale and compare its predictive ability with the Braden Q Scale in a PICU population. A total of 83 patients admitted in the PICU between February and July 2020 met the inclusion criteria and were included in the study, leading to 639 measurements. The authors tested the psychometric properties of the Glamorgan Scale to validate whether the characteristics of the original version were preserved. To this end, reliability (internal consistency) and concurrent and predictive validity (sensitivity and specificity) were assessed. For the predictive comparison, the authors performed the same tests with the Braden Q Scale. RESULTS The predictive validity, as assessed by the receiver operator characteristic curve and calculation of the area under the curve, showed satisfactory performance for the Glamorgan Scale (0.77; CI, 0.72-0.82); the Braden Q Scale values were similar (0.78; CI 0.73-0.84). The Spearman correlation coefficient showed a strong correlation between the total scores of the Glamorgan Scale (ρ = -0.76; P <.01), corroborating its validation. CONCLUSIONS The Glamorgan Scale was validated and showed good accuracy and consistency for pressure injury risk assessment in critically ill pediatric patients in Brazil. Its accuracy was similar to that of the Braden Q Scale.
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spelling Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scalenursingpediatric ICUpressure injurypsychometricssensitivityspecificityOBJECTIVE To validate the Glamorgan Scale and compare its predictive ability in assessing pressure injury risk among patients in a pediatric ICU (PICU) with that of the Braden Q Scale. METHODS A prospective cohort study was performed to validate the Glamorgan Scale and compare its predictive ability with the Braden Q Scale in a PICU population. A total of 83 patients admitted in the PICU between February and July 2020 met the inclusion criteria and were included in the study, leading to 639 measurements. The authors tested the psychometric properties of the Glamorgan Scale to validate whether the characteristics of the original version were preserved. To this end, reliability (internal consistency) and concurrent and predictive validity (sensitivity and specificity) were assessed. For the predictive comparison, the authors performed the same tests with the Braden Q Scale. RESULTS The predictive validity, as assessed by the receiver operator characteristic curve and calculation of the area under the curve, showed satisfactory performance for the Glamorgan Scale (0.77; CI, 0.72-0.82); the Braden Q Scale values were similar (0.78; CI 0.73-0.84). The Spearman correlation coefficient showed a strong correlation between the total scores of the Glamorgan Scale (ρ = -0.76; P <.01), corroborating its validation. CONCLUSIONS The Glamorgan Scale was validated and showed good accuracy and consistency for pressure injury risk assessment in critically ill pediatric patients in Brazil. Its accuracy was similar to that of the Braden Q Scale.São Paulo State University, BotucatuDermatology Department UNESP Medical SchoolDepartment of Nursing São Paulo State UniversityDepartment of Infectious Diseases Dermatology Diagnostic Imaging and Radiotherapy UNESP Medical SchoolSão Paulo State University, BotucatuDermatology Department UNESP Medical SchoolDepartment of Nursing São Paulo State UniversityDepartment of Infectious Diseases Dermatology Diagnostic Imaging and Radiotherapy UNESP Medical SchoolUniversidade Estadual Paulista (UNESP)Vocci, Marcelli Christine [UNESP]Amante Miot, Hélio [UNESP]Mendes Bertoncello Fontes, Cassiana [UNESP]Fernandes Abbade, Luciana Patricia [UNESP]2023-07-29T13:42:37Z2023-07-29T13:42:37Z2023-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1-7http://dx.doi.org/10.1097/01.ASW.0000918880.95690.e5Advances in Skin and Wound Care, v. 36, n. 3, p. 1-7, 2023.1538-86541527-7941http://hdl.handle.net/11449/24838710.1097/01.ASW.0000918880.95690.e52-s2.0-85148396124Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengAdvances in Skin and Wound Careinfo:eu-repo/semantics/openAccess2024-08-15T18:46:57Zoai:repositorio.unesp.br:11449/248387Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-15T18:46:57Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
title Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
spellingShingle Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
Vocci, Marcelli Christine [UNESP]
nursing
pediatric ICU
pressure injury
psychometrics
sensitivity
specificity
title_short Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
title_full Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
title_fullStr Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
title_full_unstemmed Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
title_sort Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale
author Vocci, Marcelli Christine [UNESP]
author_facet Vocci, Marcelli Christine [UNESP]
Amante Miot, Hélio [UNESP]
Mendes Bertoncello Fontes, Cassiana [UNESP]
Fernandes Abbade, Luciana Patricia [UNESP]
author_role author
author2 Amante Miot, Hélio [UNESP]
Mendes Bertoncello Fontes, Cassiana [UNESP]
Fernandes Abbade, Luciana Patricia [UNESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
dc.contributor.author.fl_str_mv Vocci, Marcelli Christine [UNESP]
Amante Miot, Hélio [UNESP]
Mendes Bertoncello Fontes, Cassiana [UNESP]
Fernandes Abbade, Luciana Patricia [UNESP]
dc.subject.por.fl_str_mv nursing
pediatric ICU
pressure injury
psychometrics
sensitivity
specificity
topic nursing
pediatric ICU
pressure injury
psychometrics
sensitivity
specificity
description OBJECTIVE To validate the Glamorgan Scale and compare its predictive ability in assessing pressure injury risk among patients in a pediatric ICU (PICU) with that of the Braden Q Scale. METHODS A prospective cohort study was performed to validate the Glamorgan Scale and compare its predictive ability with the Braden Q Scale in a PICU population. A total of 83 patients admitted in the PICU between February and July 2020 met the inclusion criteria and were included in the study, leading to 639 measurements. The authors tested the psychometric properties of the Glamorgan Scale to validate whether the characteristics of the original version were preserved. To this end, reliability (internal consistency) and concurrent and predictive validity (sensitivity and specificity) were assessed. For the predictive comparison, the authors performed the same tests with the Braden Q Scale. RESULTS The predictive validity, as assessed by the receiver operator characteristic curve and calculation of the area under the curve, showed satisfactory performance for the Glamorgan Scale (0.77; CI, 0.72-0.82); the Braden Q Scale values were similar (0.78; CI 0.73-0.84). The Spearman correlation coefficient showed a strong correlation between the total scores of the Glamorgan Scale (ρ = -0.76; P <.01), corroborating its validation. CONCLUSIONS The Glamorgan Scale was validated and showed good accuracy and consistency for pressure injury risk assessment in critically ill pediatric patients in Brazil. Its accuracy was similar to that of the Braden Q Scale.
publishDate 2023
dc.date.none.fl_str_mv 2023-07-29T13:42:37Z
2023-07-29T13:42:37Z
2023-03-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1097/01.ASW.0000918880.95690.e5
Advances in Skin and Wound Care, v. 36, n. 3, p. 1-7, 2023.
1538-8654
1527-7941
http://hdl.handle.net/11449/248387
10.1097/01.ASW.0000918880.95690.e5
2-s2.0-85148396124
url http://dx.doi.org/10.1097/01.ASW.0000918880.95690.e5
http://hdl.handle.net/11449/248387
identifier_str_mv Advances in Skin and Wound Care, v. 36, n. 3, p. 1-7, 2023.
1538-8654
1527-7941
10.1097/01.ASW.0000918880.95690.e5
2-s2.0-85148396124
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Advances in Skin and Wound Care
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 1-7
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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