Pressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scale

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dc.contributor.authorVocci, Marcelli Christine [UNESP]
dc.contributor.authorAmante Miot, Hélio [UNESP]
dc.contributor.authorMendes Bertoncello Fontes, Cassiana [UNESP]
dc.contributor.authorFernandes Abbade, Luciana Patricia [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T13:42:37Z
dc.date.available2023-07-29T13:42:37Z
dc.date.issued2023-03-01
dc.description.abstractOBJECTIVE To validate the Glamorgan Scale and compare its predictive ability in assessing pressure injury risk among patients in a pediatric ICU (PICU) with that of the Braden Q Scale. METHODS A prospective cohort study was performed to validate the Glamorgan Scale and compare its predictive ability with the Braden Q Scale in a PICU population. A total of 83 patients admitted in the PICU between February and July 2020 met the inclusion criteria and were included in the study, leading to 639 measurements. The authors tested the psychometric properties of the Glamorgan Scale to validate whether the characteristics of the original version were preserved. To this end, reliability (internal consistency) and concurrent and predictive validity (sensitivity and specificity) were assessed. For the predictive comparison, the authors performed the same tests with the Braden Q Scale. RESULTS The predictive validity, as assessed by the receiver operator characteristic curve and calculation of the area under the curve, showed satisfactory performance for the Glamorgan Scale (0.77; CI, 0.72-0.82); the Braden Q Scale values were similar (0.78; CI 0.73-0.84). The Spearman correlation coefficient showed a strong correlation between the total scores of the Glamorgan Scale (ρ = -0.76; P <.01), corroborating its validation. CONCLUSIONS The Glamorgan Scale was validated and showed good accuracy and consistency for pressure injury risk assessment in critically ill pediatric patients in Brazil. Its accuracy was similar to that of the Braden Q Scale.en
dc.description.affiliationSão Paulo State University, Botucatu
dc.description.affiliationDermatology Department UNESP Medical School
dc.description.affiliationDepartment of Nursing São Paulo State University
dc.description.affiliationDepartment of Infectious Diseases Dermatology Diagnostic Imaging and Radiotherapy UNESP Medical School
dc.description.affiliationUnespSão Paulo State University, Botucatu
dc.description.affiliationUnespDermatology Department UNESP Medical School
dc.description.affiliationUnespDepartment of Nursing São Paulo State University
dc.description.affiliationUnespDepartment of Infectious Diseases Dermatology Diagnostic Imaging and Radiotherapy UNESP Medical School
dc.format.extent1-7
dc.identifierhttp://dx.doi.org/10.1097/01.ASW.0000918880.95690.e5
dc.identifier.citationAdvances in Skin and Wound Care, v. 36, n. 3, p. 1-7, 2023.
dc.identifier.doi10.1097/01.ASW.0000918880.95690.e5
dc.identifier.issn1538-8654
dc.identifier.issn1527-7941
dc.identifier.scopus2-s2.0-85148396124
dc.identifier.urihttp://hdl.handle.net/11449/248387
dc.language.isoeng
dc.relation.ispartofAdvances in Skin and Wound Care
dc.sourceScopus
dc.subjectnursing
dc.subjectpediatric ICU
dc.subjectpressure injury
dc.subjectpsychometrics
dc.subjectsensitivity
dc.subjectspecificity
dc.titlePressure Injury Risk Assessment in Pediatric Intensive Care: A Prospective Validation Study of the Glamorgan Scale and Predictive Comparison with the Braden Q Scaleen
dc.typeArtigo
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt
unesp.departmentDermatologia e Radioterapia - FMBpt
unesp.departmentDoenças Tropicais e Diagnósticos por Imagem - FMBpt
unesp.departmentEnfermagem - FMBpt

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Botucatu - FMB - Faculdade de Medicina