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Predicting pressure ulcer development in surgical patients.

¹Department of Physiological Nursing, School of Nursing, University of California, San Francisco 94143-0610.

Heart & Lung : the Journal of Critical Care

|November 1, 1988

Summary

The modified Norton scale did not effectively predict pressure ulcer development in surgical patients. Further research is needed to identify at-risk individuals in acute care settings.

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Patients with existing pressure ulcers admitted to acute care.

Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society·2000

Area of Science:

Medical Research
Surgical Patient Care
Wound Prevention

Background:

Pressure ulcers are a significant concern in hospitalized patients, particularly those undergoing surgery.
Predictive tools are crucial for implementing timely preventive interventions.

Purpose of the Study:

To evaluate the predictive accuracy of the modified Norton scale for pressure ulcer development in surgical patients.
To identify patient characteristics associated with pressure ulcer risk.

Main Methods:

A cohort of 387 adult patients undergoing elective cardiovascular or neurosurgery was studied.
Regression analysis was used to assess the relationship between modified Norton scale scores and pressure ulcer incidence.
Patient demographics, hospitalization duration, and ulcer severity were recorded.

Main Results:

The modified Norton scale scores did not differ between patients who developed pressure ulcers and those who did not.
Pressure ulcers developed in 67 subjects during hospitalization.
Longer hospitalization periods correlated with more severe pressure ulcers. The knee and lateral malleolus were most commonly affected.

Conclusions:

The modified Norton scale, upon hospital admission, is not a reliable predictor of pressure ulcer development in this surgical patient cohort.
Additional research is necessary to identify reliable risk assessment tools for pressure ulcer prevention in acute care settings.

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