Clinical application of the Braden Scale in the acute-care setting.
The Braden Scale for Predicting Pressure Sore Risk was designed to predict patients at risk of forming pressure sores and has been tested in a variety of settings. In two studies with a cumulative n of 199, the sensitivity was 100% using 16 as a cut-off and the specificity ranged from 64% to 90%. In this study of 361 patients in a large, tertiary, acute-care facility, the Braden Scale sensitivity was 73% and specificity was 91%. Using 16 as the cut-off point, this instrument would have over-predicted pressure sore formation, but, more importantly, inadequate preventative measures would have been provided for 27% of the patient population.
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D000368:Aged; D015400:Clinical Nursing Research; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D003668:Pressure Ulcer / Q000453:epidemiology* / Q000451:nursing*; D015203:Reproducibility of Results; D012307:Risk Factors; D012680:Sensitivity and Specificity