Integrative Review of Chronic Wound Care in Terms of Risk Assessment


The study aimed at identifying the most reliable and effective risk assessment tool for predicting pressure ulcer development. An integrative literature review was designed and a predetermined explicit methodology used to comprehensively search for, select and appraise studies from 1995 to 2010. Ten valid studies were included in total. Through a comparison of sensitivity, specificity, PPV and NPV of four popularly used pressure ulcer risk assessment scales (the Norton Scale, Braden Scale, Waterlow Scale and Cubbin & Jackson Scale), the Braden Scale was found to be demonstrably more powerful than the others and the Cubbin & Jackson Scale more appropriate for use in ICU, though analysis of variance (ANOVA) results indicated there was no statistical significance. Further clinical trial studies are needed to validate these two scales’ effectiveness among local populations.


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