Exploring the Braden QD Scale Assessment Performance and Related Hospital-Acquired Pressure Injury Influencing Factors among Critically Ill Adult Patients.
Xiuli Zhu, Linhe Yang, Junjie Ning and 3 others
PMID 40249357WHAT IT FOUND
In 316 ICU adults with devices, the Braden QD scale identified patients who developed hospital-acquired pressure injuries, including device-related injuries, while the usual Braden scale did not reliably predict device-related injuries.
It does not prove using it prevents injuries.
Key findings
01Hospital-acquired pressure injuries occurred in 79 of 316 patients (25.0%), and medical device-related pressure injuries occurred in 35 of 316 (11.1%).
02Both on admission and during hospitalization, the Braden QD scale predicted hospital-acquired pressure injuries, pressure injuries, and device-related injuries, while the Braden scale did not predict device-related injuries.
03The analysis identified age, consciousness, mobility, vasoactive drug use, and number of each device as factors associated with hospital-acquired pressure injury.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It was conducted in only two tertiary hospitals in Sichuan Province, China, and the authors say further validation in a multicenter, large-sample study is needed. The authors describe this as the first study to investigate the Braden QD Scale in critically ill adults. Nurses on duty, rather than certified specialists, performed the admission full-body skin examination, which may have introduced assessment bias. Skin checks were performed daily at 8:00 am, which could delay detection of pressure injuries. Suspected injuries were confirmed from photographs when possible, rather than by direct specialist observation. All patients received standard pressure-injury protective measures, so the study does not show whether changing the assessment tool changes patient outcomes. The study reports associations and scale performance, not proof that using the Braden QD Scale prevents pressure injuries.
Declared interests
The supplied text does not include a conflicts-of-interest or funding statement; the publication types note non-U.S. government research support.
The easy way to misread this
Do not conclude that using the Braden QD Scale prevents pressure injuries. The study measured how well the scales identified patients who developed injuries, and all patients received standard prevention; it did not test whether changing the assessment tool changed outcomes.