J Korean Clin Nurs Res.  2024 Apr;30(1):35-44. 10.22650/JKCNR.2024.30.1.35.

Comparison of the Predictive Validity of the Pressure Injury Risk Assessment in Pediatric Patients: Braden, Braden Q and Braden QD Scale

• Kang JH
• Lim EY
• Lee NJ
• Yu HM

• KMID: 2555878
• DOI: http://doi.org/10.22650/JKCNR.2024.30.1.35

Abstract

Purpose
The purpose of this study is to compare the predictive validity of pressure injury risk assessment, Braden, Braden Q and Braden QD for pediatric patients.
Methods
Prospective observational study included patients under the age of 19 who were hospitalized to general wards, intensive care units of a children’s hospital. Characteristics related to pressure injury were collected, and predicted validity was compared by calculating the areas under the curve (AUC) of the Braden, Braden Q, and Braden QD scales.
Results
A total of 689 patients were included in the study. A total of 13 (1.9%) patients had pressure injuries, and the number of pressure injuries was 17. Factors related to the occurrence of pressure injuries were 9 (52.9%) immobility-related and 8 (47.1%) medical device-related. The AUC for each scale was .91 (95% CI .89~.94) for Braden, .92 (95% CI .90~.95) for Braden Q, and .94(95% CI .92~.96) for Braden QD. The optimal cut-off points were identified as 16 for Braden (sensitivity=88.8%, specificity=86.4%), 17 for Braden Q(sensitivity=63.6%, specificity=94.9%), and 12 for Braden QD (sensitivity=94.4%, specificity=88.7%).
Conclusion
The Braden QD scale demonstrated the highest predictive validity for pressure injuries in pediatric patients and is expected to be valuable tool in preventing pediatrics pressure injuries.

Keyword

Pediatrics; Predictive Value of Tests; Pressure Injury; Risk Assessment; ROC Curve