scholarly journals Selected Biochemical Blood Parameters and a Risk of Pressure Ulcers in Patients Receiving Treatment in Intensive Care Units

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 177
Author(s):  
Dariusz Bazaliński ◽  
Beata Midura ◽  
Anna Wójcik ◽  
Paweł Więch
Keyword(s):  
Intensive Care ◽  
Pressure Ulcers ◽  
Venous Blood ◽  
Blood Parameters ◽  
Albumin Level ◽  
Albumin Concentration ◽  
Braden Scale ◽  
The Mean ◽  
Observation Protocol ◽  
Normal Albumin

Background and Objectives: This study aimed to assess the level of selected biochemical parameters in venous blood and their potential effects on the development of pressure ulcers in patients treated in intensive care settings. Materials and Methods: Fifty patients hospitalised in an intensive care unit (ICU) were enrolled for the study. The methods used included controlled observation, literature review and medical record analysis. The observation protocol applied in the study consisted of two parts comprising the basic information, sociodemographic data, results of laboratory tests (CRP, PCT, albumin, protein and haemoglobin concentrations) as well as the Braden Scale for Predicting Pressure Ulcer Risk. Results: The subjects presented moderate to high risk of pressure ulcers, reflected by the mean score of 8.18 ± 1.3 points, with minimum and maximum scores of 6 and 12 points, respectively. Normal albumin level was identified in only five subjects (10.0%) while 45 subjects (90.0%) were found with results below the norm. A statistical relationship was observed between such variables as albumin concentration (p < 0.01) and total protein level (p = 0.007). The findings show a strong correlation between the score in the Braden Scale and the level of albumins (R = 0.55). Conclusions: In our study, lower concentrations of albumins and total proteins correspond to a greater risk of pressure ulcers.

Predicting the risk of pressure ulcers in critically ill patients

1999 ◽  
Vol 8 (4) ◽  
pp. 262-269 ◽  
Author(s):  
EV Carlson ◽  
MG Kemp ◽  
S Shott
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Pressure Ulcers ◽  
Sensory Perception ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care ◽  
Braden Scale ◽  
The Mean

BACKGROUND: Critically ill patients are at high risk for pressure ulcers. OBJECTIVES: To determine the contributions of the Braden subscales in predicting pressure ulcers in critically ill patients and to investigate how often the Braden scale should be completed to assess the risk for pressure ulcers in critically ill patients. METHOD: The Braden scale was used to assess repeatedly 136 adult patients without pressure ulcers in a medical intensive care unit, a surgical intensive care unit, and a noninvasive respiratory care unit, and the patients' skin was inspected routinely for pressure ulcers. RESULTS: A total of 36 pressure ulcers, most commonly on the sacrum or coccyx and the heels (15 stage 1, 20 stage 2, 1 stage 3), developed in 17 patients (12%). In 14 (82%) of the 17, the ulcers developed within 72 hours of admission to the intensive care unit. The risk for pressure ulcers increased as the mean sensory perception (P = .01) and the mean total Braden (P = .046) scores decreased. The mean sensory perception scores obtained at 12 and 36 hours after admission also had a significant relationship to the risk for pressure ulcers (P = .03). CONCLUSIONS: Patients in intensive care units have an increased risk for pressure ulcers. Although waiting until 12 hours after a patient's admission to the intensive care unit to obtain the initial Braden rating may be reasonable (with the second rating obtained 36 hours after admission), additional research is needed before this practice can be recommended.

Predictive validity and reliability of the Braden scale for risk assessment of pressure ulcers in an intensive care unit

2018 ◽  
Vol 42 (2) ◽  
pp. 82-91 ◽  
Author(s):  
M. Lima-Serrano ◽  
M.I. González-Méndez ◽  
C. Martín-Castaño ◽  
I. Alonso-Araujo ◽  
J.S. Lima-Rodríguez
Keyword(s):  
Risk Assessment ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Predictive Validity ◽  
Pressure Ulcers ◽  
Validity And Reliability ◽  
Braden Scale

Pressure ulcer risk factors in an ICU population

1995 ◽  
Vol 4 (5) ◽  
pp. 361-367 ◽  
Author(s):  
MK Jiricka ◽  
P Ryan ◽  
MA Carvalho ◽  
J Bukvich
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Motor Vehicle ◽  
Convenience Sample ◽  
Medical Diagnoses ◽  
Trauma Population ◽  
Braden Scale

BACKGROUND: Although it is well known that pressure ulcers are associated with negative patient outcomes and increased hospital cost, there is little research related to pressure ulcers in an intensive care unit population. OBJECTIVE: To determine the relative contribution of risk factors in the development of pressure ulcers in intensive care unit patients. METHOD: In an exploratory descriptive design, a convenience sample of 85 adults was used. Patients were enrolled in the study within 24 hours of admission to the intensive care unit; data were collected every other day until discharge from the intensive care unit. Instruments included a demographic data form, Braden Scale for Predicting Pressure Sore Risk, Skin Assessment Tool, and Decubitus Ulcer Potential Analyzer. RESULTS: The most common reasons for admission to the intensive care unit included multiple trauma from motor vehicle accidents, gunshot and stab wounds, and gastrointestinal bleeding. A pressure ulcer developed in 48 subjects. There were no significant differences in age, gender, history of diabetes or smoking, or medical diagnoses between patients in whom a pressure ulcer developed and those in whom it did not. Data analysis indicated that a Braden Scale score of 11, rather than the recommended score of 16, was statistically significant for predicting pressure ulcer risk. CONCLUSIONS: The results suggest that a cut-off score on the Braden Scale could be specific to an intensive care unit trauma population.

Intensive Care Nurses’ Knowledge of Pressure Ulcers: Development of an Assessment Tool and Effect of an Educational Program

2008 ◽  
Vol 17 (4) ◽  
pp. 338-346 ◽  
Author(s):  
Carol Tweed ◽  
Mike Tweed
Keyword(s):  
Intensive Care ◽  
Test Scores ◽  
Educational Program ◽  
Pressure Ulcers ◽  
Assessment Tool ◽  
Demographic Data ◽  
Intensive Care Nurses ◽  
The Mean ◽  
The Impact ◽  
Nurses Knowledge

Background Critically ill patients are at high risk for pressure ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this complication. Objective To assess intensive care nurses’ knowledge of pressure ulcers and the impact of an educational program on knowledge levels. Methods A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed 3 times: before an educational program, within 2 weeks after the program, and 20 weeks later. Multivariate analysis was performed to determine if attributes such as length of time since qualifying or level of intensive care unit experience were associated with test scores. The content and results of the assessment test were evaluated. Results Completion of the educational program resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational program. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Conclusion Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational program, but soon returned to baseline.

scholarly journals Escala de Braden: a importância da avaliação do risco de úlcera de pressão em pacientes em uma unidade de terapia intensiva

2016 ◽  
pp. 36
Author(s):  
Cristiane Ribeiro da Costa ◽  
Laís Moreira da Costa ◽  
Daniela Maria Nantes Boução
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Calidad De Vida ◽  
Braden Scale ◽  
Factores De Riesgo ◽  
Terapia Intensiva ◽  
Developed Pressure ◽  
The Impact

As úlceras por pressão (UP) são definidas como lesões cutâneas ou de partes moles, superficiais ou profundas, que ocorrem devido à falta de oxigênio e/ou nutrientes em uma área para preencher as necessidades dos tecidos. A partir da prática na Fundação de Clinicas Gaspar Viana (FHCGV), foi possível observar o impacto na qualidade de vida dos pacientes que foram acometidos no decorrer da internação por úlcera de pressão. É de extrema relevância qualificar a equipe de enfermagem quanto à utilização dos instrumentos e dos recursos. A partir disto compreende-se a utilização de uma escala preditiva (Braden). Através da aplicação desta é possível avaliar o grau de risco de cada paciente, bem como a aplicação da mesma na prevenção de úlcera de pressão em pacientes em uma unidade de terapia intensiva. O objetivo deste trabalho foi identificar o perfil dos pacientes na unidade de terapia intensiva que evoluíram com úlcera de pressão segundo o risco preditivo.Descritores: Enfermagem, Úlcera por Pressão, Fatores de Risco. Braden scale: the importance of evaluation of pressure ulcer risk in patients in an intensive care unitAbstract: Pressure ulcers (PU) are defined as skin injuries or soft tissue, superficial or underlying injuries, that occur due to lack of oxygen and/or nutrients in an area to meet the needs of the tissues. From the practice In the Clinicas Gaspar Viana Foundation (FHCGV), it was possible to observe the impact on the quality of life of the patients that were affected in the course of hopitalization by pressure ulcer.  It is extremely relevant to qualify the nursing staff on the use of instruments and resources. From this comprises the use of a predictive scale (Braden). By applying that, it is possible to assess the degree of risk of each patient, as well as evaluate the application of the later in pressure ulcer prevention in patients at an intensive care unit. The goal of this work is to identify the profile of patients in the intensive care unit that developed pressure ulcers according to the predictive risk.Descriptors: Nursing, Pressure Ulcer, Risk Factors. Escala de Braden: la importancia de la evaluación de riesgo de úlcera de presión en pacientes en una unidad de cuidados intensivosResumen: Las úlceras por presión (UP) se definen como lesiones en la piel o en el tejido blando, superficial o profundo, que ocurren debido a la falta de oxígeno y/o nutriente en un area para satisfacer las necesidades de los tejidos. Partiendo de la práctica en la Fundación de Clínicas Gaspar Viana (FHCGV), fue posible observar el impacto en la calidad de vida de los pacientes que fueron afectados a lo largo de la hospitalización por la úlcera por presión. Es de gran importancia calificar el equipo de enfermería cuanto a la utilización de las herramientas y de los recursos. Partiendo de ahí se puede comprender la utilización de una escala predictiva (Braden). A través de la aplicación de la misma es posible evaluar el grado de riesgo de cada paciente, así como la aplicabilidad de la misma en la prevención de úlceras de presión en pacientes en unidad de cuidados intensivos (UCI). El objetivo de este trabajo fue identificar el perfil de los pacientes en la UCI que evolucionaron con úlceras de presión según el riesgo predictivo.Descriptores: Enfermería, Úlceras por Presión, Factores de Riesgo.

scholarly journals Escala de Braden: a importância da avaliação do risco de úlcera de pressão em pacientes em uma unidade de terapia intensiva

2016 ◽  
Vol 6 (17) ◽  
pp. 36
Author(s):  
Cristiane Ribeiro da Costa ◽  
Laís Moreira da Costa ◽  
Daniela Maria Nantes Boução
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Calidad De Vida ◽  
Braden Scale ◽  
Factores De Riesgo ◽  
Terapia Intensiva ◽  
Developed Pressure ◽  
The Impact

As úlceras por pressão (UP) são definidas como lesões cutâneas ou de partes moles, superficiais ou profundas, que ocorrem devido à falta de oxigênio e/ou nutrientes em uma área para preencher as necessidades dos tecidos. A partir da prática na Fundação de Clinicas Gaspar Viana (FHCGV), foi possível observar o impacto na qualidade de vida dos pacientes que foram acometidos no decorrer da internação por úlcera de pressão. É de extrema relevância qualificar a equipe de enfermagem quanto à utilização dos instrumentos e dos recursos. A partir disto compreende-se a utilização de uma escala preditiva (Braden). Através da aplicação desta é possível avaliar o grau de risco de cada paciente, bem como a aplicação da mesma na prevenção de úlcera de pressão em pacientes em uma unidade de terapia intensiva. O objetivo deste trabalho foi identificar o perfil dos pacientes na unidade de terapia intensiva que evoluíram com úlcera de pressão segundo o risco preditivo.Descritores: Enfermagem, Úlcera por Pressão, Fatores de Risco. Braden scale: the importance of evaluation of pressure ulcer risk in patients in an intensive care unitAbstract: Pressure ulcers (PU) are defined as skin injuries or soft tissue, superficial or underlying injuries, that occur due to lack of oxygen and/or nutrients in an area to meet the needs of the tissues. From the practice In the Clinicas Gaspar Viana Foundation (FHCGV), it was possible to observe the impact on the quality of life of the patients that were affected in the course of hopitalization by pressure ulcer.  It is extremely relevant to qualify the nursing staff on the use of instruments and resources. From this comprises the use of a predictive scale (Braden). By applying that, it is possible to assess the degree of risk of each patient, as well as evaluate the application of the later in pressure ulcer prevention in patients at an intensive care unit. The goal of this work is to identify the profile of patients in the intensive care unit that developed pressure ulcers according to the predictive risk.Descriptors: Nursing, Pressure Ulcer, Risk Factors. Escala de Braden: la importancia de la evaluación de riesgo de úlcera de presión en pacientes en una unidad de cuidados intensivosResumen: Las úlceras por presión (UP) se definen como lesiones en la piel o en el tejido blando, superficial o profundo, que ocurren debido a la falta de oxígeno y/o nutriente en un area para satisfacer las necesidades de los tejidos. Partiendo de la práctica en la Fundación de Clínicas Gaspar Viana (FHCGV), fue posible observar el impacto en la calidad de vida de los pacientes que fueron afectados a lo largo de la hospitalización por la úlcera por presión. Es de gran importancia calificar el equipo de enfermería cuanto a la utilización de las herramientas y de los recursos. Partiendo de ahí se puede comprender la utilización de una escala predictiva (Braden). A través de la aplicación de la misma es posible evaluar el grado de riesgo de cada paciente, así como la aplicabilidad de la misma en la prevención de úlceras de presión en pacientes en unidad de cuidados intensivos (UCI). El objetivo de este trabajo fue identificar el perfil de los pacientes en la UCI que evolucionaron con úlceras de presión según el riesgo predictivo.Descriptores: Enfermería, Úlceras por Presión, Factores de Riesgo.

scholarly journals Association Between Hypoalbuminemia, Degree of Proteinuria, and Lupus Nephritis Class: A Single-Center Cross-Sectional Biopsy Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ngoc Nguyen Thi ◽  
Dien Tran Minh ◽  
Huong Nguyen Thu ◽  
Phuong Luong Thi ◽  
Nam Thai Thien ◽  
...  
Keyword(s):  
Lupus Nephritis ◽  
Serum Albumin ◽  
Renal Biopsy ◽  
Serum Albumin Level ◽  
Albumin Level ◽  
Viet Nam ◽  
Albumin Concentration ◽  
Single Center ◽  
Cross Sectional ◽  
The Mean

Background: The current study intended to determine whether serum albumin level and urine protein/creatinine rate (uPCR) are appropriate predictors of severe lupus nephritis in childhood-onset SLE. Objectives: Following a cross-sectional single-center design, 85 LN children referred to the National Children Hospital, Ha Noi, Viet Nam, from 6/2019 to 6/2020 were recruited. Renal biopsy was performed for all participants. Methods: Following a cross-sectional single-center design, 85 LN children referred to the National Children Hospital, Ha Noi, Viet Nam, from 6/2019 to 6/2020 were recruited. Renal biopsy was performed for all participants. Results: The mean SLEDAI score of all patients was 14.69. The proportion of patients with high and very high SLEDAI was 61.2 and 17.6%, respectively. The mean concentration of serum albumin was 28.55 g/L, and the proportion of decreased albumin concentration was 55.3%. The median uPCR was 446.6 mg/mmol in which 76.5% of values were ≥ 200 mg/mmol. Pathological morphology of LN class from I to VI was observed in 0%, 17.6%, 37.6 %, 37.6%, 7.1%, and 0%, respectively. Serum albumin level and uPCR presented the predictive value for severe and active LN (class IV and V); (AUC: 0.725 P < 0.001 for both). Conclusions: Serum albumin and uPCR were appropriate predictors for severe and active LN in Vietnamese children.

scholarly journals Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units

2008 ◽  
Vol 16 (6) ◽  
pp. 973-978 ◽  
Author(s):  
Luciana Magnani Fernandes ◽  
Maria Helena Larcher Caliri
Keyword(s):  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
University Hospital ◽  
Major Health ◽  
Braden Scale ◽  
Hospital Patients ◽  
Patients At Risk ◽  
Pressure Ulcer Development ◽  
Critical Patients

Pressure ulcers remain a major health issue for critical patients. The purpose of this descriptive and exploratory study was to analyze the risk factors for the development of pressure ulcers in patients hospitalized at an intensive care unit of a university hospital. Patients were assessed through the Braden scale to determine the risk for the development of pressure ulcers and to identify individual risks, and the Glasgow scale was used to assess their consciousness. It was found that the risks associated with pressure ulcer development were: low scores on the Braden Scale on the first hospitalization day and low scores on the Glasgow scale. The results showed that these tools can help nurses to identify patients at risk, with a view to nursing care planning.

scholarly journals Predicting the Risk for Hospital-Acquired Pressure Ulcers in Critical Care Patients

2017 ◽  
Vol 37 (4) ◽  
pp. e1-e11 ◽  
Author(s):  
Xiaohong Deng ◽  
Ting Yu ◽  
Ailing Hu
Keyword(s):  
Logistic Regression ◽  
Critical Care ◽  
Intensive Care ◽  
Decision Tree ◽  
Pressure Ulcers ◽  
Prediction Models ◽  
Risk Prediction Models ◽  
Braden Scale ◽  
Hospital Acquired ◽  
Critical Care Patients

BACKGROUND Assessments of risk for pressure ulcers in critical care patients may not include important predictors. OBJECTIVE To construct risk-prediction models of hospital-acquired pressure ulcers in intensive care patients and compare the models’ predictive validities with validity of the Braden Scale. METHODS Data were collected retrospectively on patients admitted to intensive care from October 2011 through October 2013. Logistic regression and decision trees were used to construct the risk-prediction models. Predictive validity was measured by using sensitivity, specificity, positive and negative predictive values, and area under the curve. RESULTS With logistic regression analysis, 6 factors were significant independent predictors. With the decision tree, 4 types of high-risk populations were identified. Predictive validity of Braden Scale scores was lower than the validities of the logistic regression and the decision tree models. CONCLUSION Risk for hospital-acquired pressure ulcers is overpredicted with the Braden Scale, with low specificity and low positive predictive value

scholarly journals Low serum albumin level as an independent risk factor for the onset of pressure ulcers in intensive care unit patients

2012 ◽  
Vol 11 (5) ◽  
pp. 550-553 ◽  
Author(s):  
Raffaele Serra ◽  
Santo Caroleo ◽  
Gianluca Buffone ◽  
Marina Lugarà ◽  
Vincenzo Molinari ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Risk Factor ◽  
Intensive Care ◽  
Serum Albumin ◽  
Independent Risk Factor ◽  
Pressure Ulcers ◽  
Serum Albumin Level ◽  
Albumin Level ◽  
Low Serum
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