Luo WJ, Zhou XZ, Lei JY, Xu Y, Huang RH. Predictive risk scales for development of pressure ulcers in pediatric patients admitted to general ward and intensive care unit. World J Clin Cases 2021; 9(35): 10956-10968 [PMID: 35047606 DOI: 10.12998/wjcc.v9.i35.10956]
Corresponding Author of This Article
Xue-Zhen Zhou, MS, Chief Nurse, Sun Yat-sen Memorial Hospital, No. 107 Yanjiang West Road, Yuexiu District, Guangzhou 510235, Guangdong Province, China. 956287439@qq.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Wen-Jun Luo, Xue-Zhen Zhou, Jia-Ying Lei, Ying Xu, Rui-Hua Huang, Sun Yat-sen Memorial Hospital, Guangzhou 510235, Guangdong Province, China
Author contributions: Luo WJ and Zhou XZ contributed to the study conception and design; Luo WJ collected the data; Huang RH contributed to the data analysis and interpretation; Luo WJ drafted the article; Zhou XZ and Huang RH contributed to the critical revision of the article.
Institutional review board statement: The study was approved by the ethics committee of Sun Yat-sen Memorial hospital [approval number: 2017(23)]
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Zhen Zhou, MS, Chief Nurse, Sun Yat-sen Memorial Hospital, No. 107 Yanjiang West Road, Yuexiu District, Guangzhou 510235, Guangdong Province, China. 956287439@qq.com
Received: June 19, 2021 Peer-review started: June 19, 2021 First decision: July 16, 2021 Revised: August 26, 2021 Accepted: October 25, 2021 Article in press: October 25, 2021 Published online: December 16, 2021 Processing time: 174 Days and 3.7 Hours
ARTICLE HIGHLIGHTS
Research background
Many scales are available to predict the risk of pressure ulcers in children. However, the performances of those scales have not yet been compared in China.
Research motivation
To explore the value of pressure ulcer evaluation scales in Chinese pediatric patients.
Research objectives
To compare the Waterlow, Braden Q, and Glamorgan scales, and identify more suitable pressure ulcer evaluation scale for the pediatric intensive care unit (PICU).
Research methods
Trained nurses used the Waterlow, Braden Q, and Glamorgan scales to assess pediatric patients at Sun Yat-sen Memorial Hospital (China) within 24 h of admission, from May 2017 to December 2020 in two stages. Skin examination was carried out to identify pressure ulcers every 3 d for 3 wk.
Research results
For PICU, the Waterlow, Braden Q, and Glamorgan scales had slightly lower area under the operating characteristic curve (AUC) of 0.833, 0.733, and 0.800, respectively, and optimal cut-off values of 13, 16, and 27 points. Braden Q demonstrated a satisfactory specificity, and during the second stage of the study for PICU patients, the AUC of the Braden Q scale was 0.810, with an optimal cut-off value of 18.35 points.
Research conclusions
The Waterlow, Braden Q, and Glamorgan scales have comparable performance, while the Braden Q scale demonstrates a better specificity and can be successfully used by pediatric nurses to identify patients at high risk of pressure ulcers in PICU.
Research perspectives
In our study, the Braden Q scale is an optimal tool for predicting pressure ulcers in PICU patients, and additional studies across multiple centers with a larger sample size would substantiate the current findings.
