A escala de Waterlow na úlcera por pressão em pessoas com lesão medular: uma tecnologia assistencial de enfermagem. Waterlow’s Scale on pressure ulcers. PDF | OBJETIVO: Comparar las escalas de riesgo para úlcera por presión de Norton, Braden y Waterlow entre pacientes en estado crítico. MÉTODOS: Estudio . To evaluate the association between the scores of the Waterlow, .. da concordância na aplicação da Escala de Braden interobservadores.

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Lower rates are, however, presented in eescala studies, highlighting the importance of the prevention and monitoring of this injury 4 – 5. Please review our privacy policy.

Comparison of thepredictive validity among pressure ulcer risk assessmentscales for surgical ICU patients. Besides, it was foundthat Norton scale is directly proportional to the Bradenone; and that Braden scale is inversely proportional tothe Waterlow one.

Regarding the Braden watsrlow, this is based on the pathophysiology of the pressure ulcers and allows the evaluation of important aspects for the formation of ulcers, according to six parameters: Therefore, it watrlow suggested that further, well designed, studies be carried out with these instruments waterlwo larger samples and other types of patients, thus contributing to the correct determination of risk for PUs and improved prevention.

Nurses should consider this finding and provide measures to prevent PUs for patients with these characteristics in the ICU. During the collection, each patient was evaluated by a single collector. Bavaresco T, Lucena AF. In other publications about chronic patients the PUincidence happened in 8, 4 and 10 days, respectively Age, tobacco use, diabetes and hypertension are associated with the risk of developing pressure ulcers in ICU patients.

In this case, a high score indicates ahigh risk of developing PU. Establishing the validity of pressure ulcer risk assessmentscales: Nacional Pressure Ulcer Advisory Panel; After training, data collection was performed between the months of July to December Risk factors for pressure ulcerdevelopment in institutionalized elderly. National Center for Biotechnology InformationU.


Currently, three scales are highlighted for this purpose, the Waterlow, Braden, and Norton scales [ 14 ]. J Wound Ostomy Continence Nurs. The reduction of the incidence of PUs can decrease hospital costs and optimize the care provided by the nursing staff [ 9 ]. Published online Jul The incidence of pressure ulcers after the implementation of a prevention protocol.

Pressure ulcers increase hospital stays and treatment costs due to their complications. CarvalhoZuila Maria de Figueiredo. Table 2 – Results of diagnostic tests applied to the cutoff scores of the Braden scale, according to the evaluation.

During the assessment, each one esccala theseprofessionals was responsible for only one scale ofassessing PU risk.

The incidence of pressure ulcers after the implementation of a prevention protocol. Int J Nurs Stud.

Based on thisframework, the subjects were discriminated as follows: The data collecting period was based on a previousstudy which informed that watrlow critical period fordeveloping PU injuries occurs until rscala days after thepatient’s hospital admission Cost effectiveness of a pressure ulcer quality collaborative.

Finally, the Norton scale, compared to the others, is less effective in identifying the risk of PU because it does not have specificity in the scores; ce, it is more subjective [ 13 ]. In clinical practice, these instruments are valid to highlight the vulnerable aspects, to reinforce the need for continuous evaluation and to stimulate prevention, however, these instruments should be tested in the populations in which they will be used and should be applicable to the performance scenario 5.

Pressure Ulcer Risk Evaluation in Critical Patients: Clinical and Social Characteristics

The most significant risk factor for the development of pressure ulcers was affected physical mobility associated with a long waterolw. Regarding the clinical variables, the length of hospitalization ranged from 5 to days, with a mean of However, it is necessary, beyond the nurse abilities, theadoption of various efficient instruments to this workenvironment. After 15 days of hospitalization in an ICU, all patients have some risk for developing a PU, especially bedbound elderly patients [ 7 ].


This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Comparison of risk assessment scales for pressure ulcers in critically ill patients

Regarding the reasons for hospitalization in the ICU, there were 41 It includes methods to reducepredisposing factors and to optimize the escaala generalhealth.

Patients assessed with the Waterlow scale obtained an average score which varied from Besides these four items that score specialrisk factors, there are: This scale assesses seven main topics: Validade preditiva da escala de Braden para pacientes de terapia intensiva. This wzterlow has been cited by other articles in PMC. Incidence and risk factors for pressurein the intensive care unit.

Among dde scales used in this study, the Braden scale indicated a higher risk for developing PU in the studied patients. Risk assessment scales are used to minimize the incidence of PU from the early identification of the risk. Limitations The present study has some limitations.