title: A comparison of the performance of the Braden Q and the Glamorgan paediatric pressure ulcer risk assessment scales in general and intensive care paediatric and neonatal units.
abstract: OBJECTIVE
  To compare the predictive ability of two risk assessment scales used in children.
  
  
  BACKGROUND
  There are several risk assessment scales (RASs) employed in paediatric settings but most have been modified from adult scales such as the Braden Q whereas the Glamorgan was an example of a scale designed for children.
  
  
  METHODS
  Using incidence data from 513 paediatric hospital admissions, receiver operating characteristic (ROC) was employed to compare the two scales. The area under the curve (AUC) was the outcome of interest.
  
  
  RESULTS
  The two scales were similar in this population in terms of area under the curve. Neonatal and paediatric intensive care were similar in terms of AUC for both scales but in general paediatric wards the Braden Q may be superior in predicting risk.
  
  
  CONCLUSIONS
  Either scale could be used if the predictive ability was the outcome of interest. The scales appear to work well with neonatal, paediatric intensive care and general children's wards. However the Glamorgan scale is probably preferred by childrens' nurses as it is easy to use and designed for use in children. There is some suggestion that while the two scales are similar in intensive care, for general paediatrics the Braden Q may be the better scale.
authors.affiliation: University of South Wales, United Kingdom. Electronic address: willock@tesco.net.
authors.forename: Jane
authors.initials: J
authors.lastname: Willock
authors.affiliation: Irbid National University, Jordan. Electronic address: lailahabeeb2007@yahoo.com.
authors.forename: Laila
authors.initials: L
authors.lastname: Habiballah
authors.affiliation: Griffith University, Australia. Electronic address: Debbie.Long2@health.qld.gov.au.
authors.forename: Deborah
authors.initials: D
authors.lastname: Long
authors.affiliation: Royal Children's Hospital, Brisbane, Australia. Electronic address: Kelli.Palmer@health.qld.gov.au.
authors.forename: Kelli
authors.initials: K
authors.lastname: Palmer
authors.affiliation: University of Leeds, United Kingdom; Harris Manchester College, University of Oxford, United Kingdom. Electronic address: d.anthony@leeds.ac.uk.
authors.forename: Denis
authors.initials: D
authors.lastname: Anthony
mesh_terms: D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D003668:Pressure Ulcer / Q000209:etiology*; D018570:Risk Assessment / Q000379:methods*
keywords: Children; Pressure ulcers; Risk assessment