Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review.
Ricardo Jorge de Barros Romeira Picoito, Sara Maria May Pereira da Cruz Lapuente, Alexandra Catarina Parreira Ramos and 3 others
PMID 37820213WHAT IT FOUND
For adults in ICU, pressure ulcer risk tools designed for critical care, especially CALCULATE and EVARUCI, were reported to have better accuracy and usability than generalist tools.
Key findings
01The review included 22 studies and grouped pressure ulcer risk tools into six generalist and seven ICU-specific instruments.
02The Braden scale often classified ICU patients as high risk, producing false positives and overestimated risk.
03The authors concluded that EVARUCI and CALCULATE had better performance-indicator results, and users rated CALCULATE and EVARUCI highest for ease and limitations.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No protocol was registered for this scoping review. Only English, Portuguese, and Spanish studies from 2008 to April 2023 were included, so relevant work in other languages or earlier periods was not reviewed. The included studies were methodologically heterogeneous, which restricted comparison of results. The review used content analysis and narrative description rather than pooling results, so it does not provide a single pooled accuracy estimate.
Declared interests
The paper states that no conflicting interests were detected among authors.
The easy way to misread this
Do not conclude that CALCULATE or EVARUCI prevents pressure ulcers. The review mapped reported accuracy and user ratings, did not test patient outcomes, and included heterogeneous studies.