Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Authors

  • Ricardo Jorge de Barros Romeira Picoito Universidade Católica Portuguesa, Escola de Enfermagem do Instituto de Ciências de Saúde, Lisboa, Portugal. Hospital de São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal. http://orcid.org/0000-0002-7719-5227
  • Sara Maria May Pereira da Cruz Lapuente Universidade Católica Portuguesa, Escola de Enfermagem do Instituto de Ciências de Saúde, Lisboa, Portugal. Hospital de São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal. http://orcid.org/0000-0002-2225-3944
  • Alexandra Catarina Parreira Ramos Universidade Católica Portuguesa, Escola de Enfermagem do Instituto de Ciências de Saúde, Lisboa, Portugal. Hospital de São Francisco Xavier, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal. http://orcid.org/0000-0001-5487-7877
  • Isabel Cristina Mascarenhas Rabiais Universidade Católica Portuguesa, Escola de Enfermagem do Instituto de Ciências de Saúde, Lisboa, Portugal. http://orcid.org/0000-0002-8342-1171
  • Sérgio Joaquim Deodato Universidade Católica Portuguesa, Escola de Enfermagem do Instituto de Ciências de Saúde, Lisboa, Portugal. http://orcid.org/0000-0002-8076-8276
  • Elisabete Maria Garcia Teles Nunes Escola Superior de Enfermagem de Lisboa, Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa (CIDNUR), Lisboa, Portugal. http://orcid.org/0000-0001-7598-0670

DOI:

https://doi.org/10.1590/1518-8345.6659.3985

Keywords:

Risk Assessment; Pressure Ulcer; Intensive Care Units; Predictive Value of Tests; Sensibility and Specificity; Adult

Abstract

Objective: to map the instruments for risk assessment of pressure ulcers in adults in critical situation in intensive care units; identify performance indicators of the instrument, and the appreciation of users regarding the instruments’ use/limitations. Method: a scoping review. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews in the writing of the study. We carried out the searches in the EBSCOhost search tool for 8 databases, resulting in 1846 studies, of which 22 studies compose the sample. Results: we identified two big instrument groups: generalist [Braden, Braden (ALB), Emina, Norton-MI, RAPS, and Waterlow]; and specific (CALCULATE, Cubbin & Jackson, EVARUCI, RAPS-ICU, Song & Choi, Suriaidi and Sanada, and COMHON index). Regarding the predictive value, EVARUCI and CALCULATE presented better results for performance indicators. Concerning appreciation/limitations indicated by users, we highlight the CALCULATE scale, followed by EVARUCI and RAPS-ICU, although they still need future adjustments. Conclusion: the mapping of the literature showed that the evidence is sufficient to indicate one or more instruments for the risk assessment of pressure ulcers for adults in critical situation in intensive care units.

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Published

2023-10-06

Issue

Vol. 31 (2023)

Section

Review Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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How to Cite

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review. (2023). Revista Latino-Americana De Enfermagem, 31, e3985. https://doi.org/10.1590/1518-8345.6659.3985