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Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study

BACKGROUND: Pressure injures are a common adverse event in a hospital, and they are one of the most important quality indicators of patient care. Risk assessment is recommended as the first step in the prevention of pressure injuries. A Prevent Pressure Injury Risk Assessment Tool is a new tool for...

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Autores principales: Heikkilä, Anniina, Kotila, Jaana, Junttila, Kristiina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762808/
https://www.ncbi.nlm.nih.gov/pubmed/35039032
http://dx.doi.org/10.1186/s12912-021-00799-6
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author Heikkilä, Anniina
Kotila, Jaana
Junttila, Kristiina
author_facet Heikkilä, Anniina
Kotila, Jaana
Junttila, Kristiina
author_sort Heikkilä, Anniina
collection PubMed
description BACKGROUND: Pressure injures are a common adverse event in a hospital, and they are one of the most important quality indicators of patient care. Risk assessment is recommended as the first step in the prevention of pressure injuries. A Prevent Pressure Injury Risk Assessment Tool is a new tool for risk assessment that was developed by the Helsinki University Hospital. AIM: The aim of this study was to evaluate the predictive validity and the concurrent validity of the Prevent Pressure Injury Risk Assessment Tool in acute care. METHOD: The prospective observational study was conducted in 19 in-patient wards representing internal medicine, neurology, and surgery during 2017–2018. The participants’ inclusion criteria were: age ≥18 years old, no pressure injury on admission to the hospital and consenting to participate. The data collected by physical assessment of patients was combined with data from electronic patient records. Each patient was assessed by two different nurses with the Prevent Pressure Injury Risk Assessment Tool and the Braden Scale at patient admission. Furthermore, skin condition was observed throughout the hospital stay. RESULTS: Of the 637 patients accepted for the study, 10 (1.6%) developed a pressure injury during the hospital stay. Poisson regression analysis showed that pressure injuries were more likely in high–risk patients compared to those with low-risk. The sensitivity of the Prevent Pressure Injury Risk Assessment Tool was adequate (75%), while specificity was poor (40%). A moderate correlation was found between the Prevent Pressure Injury Risk Assessment Tool and the Braden Scale. CONCLUSIONS: The Prevent Pressure Injury Risk Assessment Tool may be useful for identifying the adult pressure injury risk patients in acute care. Further research is needed to evaluate interrater reliability, and usability and validity with different patient populations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-021-00799-6.
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spelling pubmed-87628082022-01-18 Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study Heikkilä, Anniina Kotila, Jaana Junttila, Kristiina BMC Nurs Research BACKGROUND: Pressure injures are a common adverse event in a hospital, and they are one of the most important quality indicators of patient care. Risk assessment is recommended as the first step in the prevention of pressure injuries. A Prevent Pressure Injury Risk Assessment Tool is a new tool for risk assessment that was developed by the Helsinki University Hospital. AIM: The aim of this study was to evaluate the predictive validity and the concurrent validity of the Prevent Pressure Injury Risk Assessment Tool in acute care. METHOD: The prospective observational study was conducted in 19 in-patient wards representing internal medicine, neurology, and surgery during 2017–2018. The participants’ inclusion criteria were: age ≥18 years old, no pressure injury on admission to the hospital and consenting to participate. The data collected by physical assessment of patients was combined with data from electronic patient records. Each patient was assessed by two different nurses with the Prevent Pressure Injury Risk Assessment Tool and the Braden Scale at patient admission. Furthermore, skin condition was observed throughout the hospital stay. RESULTS: Of the 637 patients accepted for the study, 10 (1.6%) developed a pressure injury during the hospital stay. Poisson regression analysis showed that pressure injuries were more likely in high–risk patients compared to those with low-risk. The sensitivity of the Prevent Pressure Injury Risk Assessment Tool was adequate (75%), while specificity was poor (40%). A moderate correlation was found between the Prevent Pressure Injury Risk Assessment Tool and the Braden Scale. CONCLUSIONS: The Prevent Pressure Injury Risk Assessment Tool may be useful for identifying the adult pressure injury risk patients in acute care. Further research is needed to evaluate interrater reliability, and usability and validity with different patient populations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-021-00799-6. BioMed Central 2022-01-17 /pmc/articles/PMC8762808/ /pubmed/35039032 http://dx.doi.org/10.1186/s12912-021-00799-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Heikkilä, Anniina
Kotila, Jaana
Junttila, Kristiina
Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study
title Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study
title_full Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study
title_fullStr Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study
title_full_unstemmed Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study
title_short Validation of the Helsinki University Hospital prevent pressure Injury Risk Assessment Tool: a prospective observational study
title_sort validation of the helsinki university hospital prevent pressure injury risk assessment tool: a prospective observational study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8762808/
https://www.ncbi.nlm.nih.gov/pubmed/35039032
http://dx.doi.org/10.1186/s12912-021-00799-6
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