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Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis
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Seong-Hi Park, Yu-Sun Park
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J Korean Acad Nurs 2014;44(6):595-607. Published online December 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.6.595
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 Abstract
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Purpose
The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluate the Braden Scale for predicting pressure ulcer development.
Methods
Articles published 1946 and 2013 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: 'pressure ulcer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.
Results
Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included. Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75 (95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneity between studies.
Conclusion
The Braden Scale's predictive validity of risk for pressure ulcer is interpreted as at a moderate level. However there is a limitation to the interpretation of the results, because of high heterogeneity among the studies.
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Citations
Citations to this article as recorded by  - Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef - The Interrater Agreement for the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers by Nurses in A Medium-Sized Hospital
Hyung-Ju Na, Sung-Hee Yoo, Young-Ran Kwon, Min-Jeng Ahn
Korean Journal of Adult Nursing.2020; 32(1): 35. CrossRef - A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score
Fazila Aloweni, Shin Yuh Ang, Stephanie Fook‐Chong, Nurliyana Agus, Patricia Yong, Meh Meh Goh, Lisa Tucker‐Kellogg, Rick Chai Soh
International Wound Journal.2019; 16(1): 164. CrossRef - Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit
Ja Eun Choi, Sun-Kyung Hwang
Journal of Korean Critical Care Nursing.2019; 12(2): 26. CrossRef - A Phenomenological Study on Illness Experience of Patients with Pressure Ulcer
Misoo Yoo, Myungsun Yi
Korean Journal of Adult Nursing.2015; 27(5): 515. CrossRef
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