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Predictive accuracy of the Braden Q Scale in risk assessment for paediatric pressure ulcer: A meta-analysis

Yaoji Liao1, Guozhen Gao2, Lulu Mo1

  • 1School of Nursing, Guangzhou Medical University, Guangzhou, China.

International Journal of Nursing Sciences
|August 14, 2019
PubMed

Insights

The Braden Q scale shows moderate predictive ability for pediatric pressure ulcers, with medium sensitivity but low specificity in hospitalized children. Further tool development is recommended for improved accuracy in this population.

Area of Science:

  • Pediatric Nursing
  • Clinical Risk Assessment
  • Evidence-Based Practice

Background:

  • Pediatric pressure ulcers pose a significant healthcare challenge.
  • Early identification of pressure ulcer risk is crucial for effective intervention.
  • The Braden Q scale is a common but debated tool for assessing pediatric pressure ulcer risk.

Purpose of the Study:

  • To conduct a meta-analysis evaluating the predictive power of the Braden Q scale for pressure ulcers in hospitalized children.
  • To provide recommendations for clinical decision-making regarding the Braden Q scale's utility.

Main Methods:

  • Systematic search of multiple English and Chinese databases for relevant studies.
  • Screening by two independent reviewers and risk of bias assessment using QUADAS-2.
  • Meta-analysis of pooled sensitivity, specificity, and ROC curves using random-effects models.

Main Results:

  • Significant heterogeneity was observed among the included studies (I² = 61.7%).
  • Pooled sensitivity was 0.73 (95% CI: 0.67-0.78) and pooled specificity was 0.61 (95% CI: 0.59-0.63).
  • The area under the ROC curve was 0.7078, indicating moderate overall predictive accuracy.

Conclusions:

  • The Braden Q scale demonstrates moderate predictive validity for pressure ulcers in hospitalized children.
  • The scale exhibits medium sensitivity and low specificity, suggesting limitations in its current application.
  • Further refinement and modification of the Braden Q scale are necessary for optimal use in pediatric populations.
Abstract

Keywords:
Braden Q scaleChildPressure injuryPressure ulcerRisk assessmentSensitivity and specificity

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