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Published on: September 30, 2020
Admission Braden Scale Score Is Associated with In-Hospital Mortality in ICU Patients Admitted After a Same-Level
Temel Kayan1, Hasan Oktay Emir2, Fatih Seğmen3
1Department of Intensive Care, Şanlıurfa Mehmet Akif İnan Research and Training Hospital, 63300 Sanliurfa, Türkiye.
Diagnostics (Basel, Switzerland)
|August 13, 2026
Summary
Ground-level falls (GLFs) are a major cause of death in older adults. The Braden scale at intensive care unit (ICU) admission predicts mortality in these patients, improving risk stratification when combined with other clinical factors.
Area of Science:
- Gerontology
- Critical Care Medicine
- Clinical Risk Stratification
Background:
- Ground-level falls (GLFs) are the leading cause of injury-related deaths in older adults.
- A validated bedside tool for early mortality risk stratification in GLF patients is lacking.
- The Braden scale has demonstrated prognostic value in various critical illness populations.
Purpose of the Study:
- To assess the association between admission Braden score and in-hospital mortality in ICU patients following a GLF.
- To develop a simple bedside clinical risk score for mortality prediction in this cohort.
Main Methods:
- A retrospective cohort study of 500 adult patients admitted to a mixed ICU following a GLF.
- Analysis included multivariable logistic regression and derivation of a five-component integer-weighted bedside risk score.
- Internal validation was performed using 1000-fold bootstrap resampling.
Main Results:
- In-hospital mortality occurred in 16.8% of patients.
- Lower admission Braden scores were significantly associated with increased mortality (p < 0.001).
- The derived five-component risk score (Braden, INR, emergency admission, serum sodium, procalcitonin) achieved a bootstrap-corrected AUC of 0.833.
Conclusions:
- The admission Braden score is an independent predictor of in-hospital mortality in older adults following GLFs.
- A novel bedside risk score combining the Braden score with routine variables demonstrates improved discriminative performance.
- External validation is recommended prior to clinical implementation.