Sensitivity and specificity of the Braden QD pressure injury risk assessment scale (Thai version) in pediatric patients : Diagnostic accuracy study
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Abstract
Background: Incidence of pressure injury is an important indicator of nursing care quality. The pressure injury risk assessment scale with predictive accuracy is crucial for pressure injury prevention.
Objectives: To study the sensitivity and specificity of the Barden QD scale (Thai version) and identify an appropriate cut-off point in pediatric patients.
Methods: The sample was 366 neonates and children aged 1 to 15 years old hospitalized in intensive care units and pediatric medical and surgical wards. The Braden scale, the Braden Q, the Braden QD scale (Thai version), the Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System, and the information record form were used in this study. Data were analyzed by using descriptive statistics, Chi-square, and the receiver operating characteristic (ROC) curve.
Results: The results showed that in a total of 366 cases, 44 cases (12%) developed pressure injuries with 53 wounds; 34 (64.15%) occurred from immobilization and 19 (35.85%) from medical devices. The Braden QD scale performed relatively well in predicting pressure injuries with an AUC of .74 (95%CI .67-.81). At a cut-off score 12, the AUC was .68 (95%CI .60-.76), providing a sensitivity of .82 (95% CI .70-.93), specificity of .54 (95%CI. .48-.59), the positive predictive value of 0.19 (95%CI .14-.25), the negative predictive value of 0.96 (95%CI .93-.99), and positive likelihood ratio of 1.77 (95%CI 1.47-2.12).
Conclusion: The Braden QD scale has an acceptable level of accuracy in predicting pressure injuries in newborn and up to 15 years old hospitalized children.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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