Braden scale: validity in community-based older adults receiving home health care.

The purpose of this study was to examine the validity of the Braden Scale and optimal frequency of risk reassessment in older adults receiving home health care. Data were collected from the records of 1,711 nonhospice patients aged 60 years or older who did not have pressure ulcers at the beginning of home health care. Patient records were followed forward chronologically to one of two outcomes: pressure ulcer development or pressure ulcer absence (pressure ulcer free when home health services were no longer required, institutionalization, death, or end of study period). After commencement of home health care, 108 subjects developed a stage I-IV pressure ulcer (incidence = 6.3%). A Braden Scale cutoff score of 19 provided the best measure of sensitivity (61%) and specificity (68%). Findings suggest initial assessment of pressure ulcer risk for older adults should begin on entry into home health care, and they indicate the need for weekly reassessments for the first 4 weeks with every other week reassessments thereafter until day 62, dependent on patient condition and the frequency of home visits. Reassessment with each subsequent 62-day recertification period may be sufficient for patients remaining on the active caseload.

Bergquist S ，Frantz R 《APPLIED NURSING RESEARCH》

Pressure ulcers in community-based older adults receiving home health care. Prevalence, incidence, and associated risk factors.

Bergquist S ，Frantz R 《-》

Predicting pressure ulcer risk with the modified Braden, Braden, and Norton scales in acute care hospitals in Mainland China.

Kwong E ，Pang S ，Wong T ，Ho J ，Shao-ling X ，Li-jun T ... -  《APPLIED NURSING RESEARCH》

An interrater reliability study of the assessment of pressure ulcer risk using the Braden scale and the classification of pressure ulcers in a home care setting.

Kottner J ，Halfens R ，Dassen T 《-》

Subscales, subscores, or summative score: evaluating the contribution of Braden Scale items for predicting pressure ulcer risk in older adults receiving home health care.

Bergquist S 《Journal of Wound Ostomy and Continence Nursing》