Retrospective analysis of the application of the Braden Q scale in pediatric intensive care

Authors

  • Marcelli Cristine Vocci Universidade Estadual Paulista Júlio de Mesquita Filho − Faculdade de Medicina de Botucatu − Departamento de Enfermagem – Botucatu (SP), Brasil. https://orcid.org/0000-0003-0029-139X
  • Amanda Sayuri Sitoo Onary Universidade Estadual Paulista Júlio de Mesquita Filho − Faculdade de Medicina de Botucatu − Departamento de Enfermagem – Botucatu (SP), Brasil. https://orcid.org/0000-0002-5667-494X
  • Meire Cristina Novelli e Castro Universidade Estadual Paulista Júlio de Mesquita Filho − Faculdade de Medicina de Botucatu − Departamento de Enfermagem – Botucatu (SP), Brasil. https://orcid.org/0000-0002-0590-4127
  • Amanda Fabíola de Oliveira Spadotto Universidade Estadual Paulista Júlio de Mesquita Filho − Faculdade de Medicina de Botucatu − Departamento de Enfermagem – Botucatu (SP), Brasil.
  • Cassiana Mendes Bertoncello Fontes Universidade Estadual Paulista Júlio de Mesquita Filho − Faculdade de Medicina de Botucatu − Departamento de Enfermagem – Botucatu (SP), Brasil. https://orcid.org/0000-0002-6579-8637

Abstract

Objective: to characterize the profile of patients who developed pressure injuries and to analyze the retrospective scores obtained in the application of the Braden Q Scale in pediatric intensive care. Method: retrospective cohort study with analysis of secondary data from 34 electronic medical records of patients admitted to pediatric intensive care. Results: from the analysis of the scores obtained with the application of the Braden Q Scale, six records of pressure injuries were identified; the average age was 8.1 years; 66.6% were male; average of 41 days of hospitalization; main diagnoses are related to diseases of the respiratory, cardiac and neurological systems; all used invasive mechanical ventilation support and had a fasting prescription and use of a nasogastric tube. Conclusion: the clinical profile is correlated with the male gender, the higher frequency of respiratory diseases requiring mechanical ventilation, the use of vasoactive, vasopressor and sedative drugs, and the tube as a route of dietary administration. All of them had high risk scores for developing pressure injuries.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Salvador TC, Cedraz AM. Child hospitalization: child living from graphical representations. Rev. Enfermagem UFPE on line. 2017;11(1) [cited 2020 Jun 18]. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11916/14407.

Gomes GLL, Fernandes MGM, Nóbrega MML. Hospitalization anxiety in children: conceptual analysis. Rev. Brasileira de Enfermagem- REBEN. 2016;69(5) [cited 2020 Jun 18]. Available from: http://dx.doi.org/10.1590/0034-7167-2015-0116.

Santos GS, Pieszak GM, Gomes GC, Biazus CB, Silva SO. Contributions of Better Childhood for growth and child development in family perception. Rev. Fun Care on line. 2019;11(1) [cited 2020 Jun 18]. Available from: http://dx.doi.org/10.9789/2175-5361.2019.v11i1.67-73.

Matozinhos FP, Velasquez-Melendez G, Tiensoli SD, Moreira AD, Gomes FSL. Factors associated with the incidence of pressure ulcer during hospital stay. Rev. Esc. Enferm. USP. [Internet]. 2017;51 [cited 2020 Jun 22]. Available from: https://doi.org/10.1590/s1980-220x2016015803223.

Bergquist-Beringer S, Gajewski B, Dunton N, Klaus S. The reliability of the national database of nursing quality indicators pressure ulcer indicator: a triangulation approach. J Nurs Care Qual. 2011;26(4) [cited 2020 Jun 22]. Available from: https://doi.org/10.1097/NCQ.0b013e3182169452.

Vocci MC, Fontes CMB, Abbade LPF. Pressure Injury in the Pediatric Population: Cohort Study Using the Braden Q Scale. Adv Skin Wound Care. 2018;31(10) [cited 2020 Mai 28]. Available from: https://doi.org/10.1097/01.ASW.0000542529.94557.0a.

Kiss EA, Heiler M. Pediatric skin integrity practice guideline for institutional use: a quality improvement project. J Pediatr Nurs. 2014;29(4) [cited 2020 Jun 22]. Available from: https://doi.org/10.1016/j.pedn.2014.01.012.

Tume, LN, Siner S, Scott E, Lane S. The prognostic ability of early braden Q scores in critically ill children. Nurs Crit Care. 2014;19(2) [cited 2020 Jun 10]. Available from: https://doi.org/ 10.1111/nicc.12035.

Curley MAQ, Razmus IS, Roberts KE, Wypij D. Predicting pressure ulcer risk in pediatric patients: The Braden Q Scale. Nurs Res. 2004;52(1) [cited 2020 Mai 2]. Available from: https://doi.org/ 10.1097/00006199-200301000-00004.

Maia ACAR, Pellegrino DMS, Blanes L, Dini GM, Ferreira LM. Portuguese translation and validation of the Braden Q scale for predicting pressure ulcer risk in pediatric patients. Rev Paul Pediatr. 2011;29(3) [cited 2020 Mai 2]. Available from: http://dx.doi.org/10.1590/S0103-05822011000300016.

Souza MFC, Zanei SSV, Whitaker IY. Risk of pressure injury in the ICU: transcultural adaptation and reliability of EVARUCI. Acta paul. enferm. 2018;31(2) [cited 2020 Mai 2]. Available from: http://dx.doi.org/10.1590/1982-0194201800029.

Vocci MC, Toso LAR, Fontes CMB. Application of the Braden Q scale at a pediatric intensive care unit. Rev enferm UFPE on line. 2017;11(1) [cited 2020 Mai 8]. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11890/14356.

Campanili TCGF, Santos VLCG, Pulido KCS, Thomaz PBM, Nogueira PC. Incidence of pressure ulcers in cardiopulmonary intensive care unit patients. Rev Esc Enferm USP [Internet]. 2015;49 [cited 2020 Mai 8]. Available from: http:// http://dx.doi.org/10.1590/S0080-623420150000700002.

Curley MAQ, Hasbani NR, Quigley SM, Stellar JJ, Pasek TA, Shelley SS, et al. Predicting Pressure Injury Risk in Pediatric Patients: The Braden QD Scale. J Pediatr. 2018;192 [cited 2020 Mai 8]. Available from: http:// http://dx.doi.org/10.1016/j.jpeds.2017.09.045.

Smith HA, Moore Z, Tan MH. Cohort study to determine the risk of pressure ulcers and developing a care bundle within a paediatric intensive care unit setting. Intensive Crit Care Nurs. 2019;53 [cited 2020 Jun 16]. Available from: http:// http://dx.doi.org/10.1016/j.iccn.2019.04.008.

Cox J, Roche S. Vasopressor and development of pressure ulcers in adult critical care patients. Am J Crit Care. 2015;24(6) [cited 2020 Jun 16]. Available from: http://dx.doi.org/ 10.4037/ajcc2015123.

Tallo FS, Vendrame LS, Lopes RD, Lopes AC. Invasive me chanical ventilation in the emergency room: a review for clinicians. Rev Bras Clin Med [internet]. 2013;11(1) [cited 2020 Jun 22]. Available from: http://files.bvs.br/upload/S/1679-1010/2013/v11n1/a3395.pdf.

Santos LRCL, Lino AIA. Risks of pressure injury: application of the Braden Scale in intensive care. Braz. J. Enterostomal Ther [Internet]. 2018;16 [cited 2020 Jun 22]. Available from: https://www.revistaestima.com.br/index.php/estima/article/view/443/pdf_1.

Barbosa TP, Beccaria LM, Silva DC, Bastos AS. Association between sedation and adverse events in intensive care patients. Acta paul. enferm. 2018,31(2) [cited 2020 Jun 20]. Available from: https://doi.org/10.1590/1982-0194201800028.

Loudet CI, Marchena MC, Maradeo MR, Fernández SL, Romero MV, Valenzuela GE, et al. Reducing pressure ulcers in patients with prolonged acute mechanical ventilation: a quasi-experimental study. Rev Bras Ter Intensiva [Internet]. 2017;29(1) [cited 2020 Jun 20]. Available from: https://doi.org/10.5935/0103-507x.20170007.

Miske LJ, Stetzer M, Garcia M, Stellar JJ. Airways and injuries: protecting our pediatric patients from respiratory device-related pressure injuries. Crit Care Nurs Clin N Am. 2017;29 [cited 2020 Jul 1]. Available from: https://doi.org/10.1016/j.cnc.2017.01.006.

Manual de terapia nutricional na atenção especializada hospitalar no âmbito do Sistema Único de Saúde – SUS/Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Especializada e Temática. – Brasília: Ministério da Saúde, 2016 [cited 2020 Jul 1]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/manual_terapia_nutricional_atencao_especializada.pdf.

Simony RF, Chaud DMA, Abreu ES, Assis SMB. Nutritional status of neurological patients with reduced mobility. J Hum Growth Dev. 2014;24(1) [cited 2020 Jul 1]. Available from: http://pepsic.bvsalud.org/pdf/rbcdh/v24n1/06.pdf.

Vocci MC, Fontes CMB, Abbade LPF. Protocolo preventivo: Lesão por pressão em unidades pediátricas [homepage on the Internet]. 1 ed. 2016 [cited 2020 Jul 1]. Available from: http://www.hcfmb.unesp.br/wp-content/uploads/2015/09/Protocolo.pdf.

National pressure ulcer advisory panel (NPUAP). Pressure Injury Stages. [Internet]. 2016 [cited 2020 Jul 1]. Available from: http://www.npuap.org/resources/educational-and-clinical-resources/npuappressure-injury-stages/.

Published

2020-11-25

How to Cite

1.
Vocci MC, Sitoo Onary AS, Novelli e Castro MC, de Oliveira Spadotto AF, Mendes Bertoncello Fontes C. Retrospective analysis of the application of the Braden Q scale in pediatric intensive care. ESTIMA [Internet]. 2020 Nov. 25 [cited 2024 Apr. 24];18. Available from: https://www.revistaestima.com.br/estima/article/view/941

Issue

Section

Original article

Most read articles by the same author(s)