Prediction of In-Hospital Pressure Ulcer Development

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DOI

  • Simon Lebech Cichosz
  • ,
  • Anne-Birgitte Voelsang, *Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus C, Denmark †The Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark ‡Department of Surgery, Aarhus University Hospital, Aarhus C, Denmark.
  • ,
  • Lise Tarnow, Steno Diabetes Center, Sjaelland, Denmark.
  • ,
  • John Michael Hasenkam
  • Jesper Fleischer

Objective: The development of in-hospital acquired pressure ulcers (PUs) is of great concern for both patients and professionals in health care. Based on the hypothesis that identification of patients who are prone to develop PU will enhance preventive measures in this group of patients, we investigated a new tool, Qscale, for in-hospital prediction of PU. Approach: A total of 383 patients were recruited from three departments. The investigations were performed in two steps: 252 patients were used to train the algorithm, and 131 patients were used in the validation. The new scale combines observational and on-site available information regarding patient mobility. Results: The validation data yielded an area under the curve (AUC) of 0.82. The Qscale had a significantly higher AUC compared with that of the Braden Scale with an AUC of 0.76 (p < 0.05). When comparing the performance at specific thresholds, a sensitivity of 47% and a specificity of 94% were observed. This was significantly (p < 0.05) better than the Braden score with a sensitivity of 20% and a specificity of 94%. Innovation: Our study showed promising results on both the training and validation data of the Qscale in comparison with the Braden Scale. Conclusion: The new scale has a potential benefit in the prevention of PU in a hospital setting.

Original languageEnglish
JournalAdvances in wound care
Volume8
Issue1
Pages (from-to)1-6
Number of pages6
ISSN2162-1918
DOIs
Publication statusPublished - 1 Jan 2019

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