caa a22 4500 606245782 CHVBK 20210128101337.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s12262-012-0779-y doi (NATIONALLICENCE)springer-10.1007/s12262-012-0779-y Risk Assessment Tool for Pressure Ulcer Development in Indian Surgical Wards [Elektronische Daten] [Sushma Kumari, Deborshi Sharma, Anshika Rana, Reetesh Pathak, Romesh Lal, Ajay Kumar, U Biswal] The aims of this paper were to compare the predictive validity of three pressure ulcer (PU) risk scales—the Norton scale, the Braden scale, and the Waterlow scale—and to choose the most appropriate calculator for predicting PU risk in surgical wards of India. This is an observational prospective cohort study in a tertiary educational hospital in New Delhi among 100 surgical ward patients from April to July 2011. The main outcomes measured included sensitivity, specificity, positive predictive value (PVP) and negative predictive value (PVN), and the area under the curve of the receiver operating characteristic (ROC) curve of the three PU risk assessment scales. Based on the cutoff points found most appropriate in this study, the sensitivity, specificity, PVP, and PVN were as follows: the Norton scale (cutoff, 16) had the values of 95.6, 93.5, 44.8, and 98.6, respectively; the Braden scale (cutoff, 17) had values of 100, 89.6, 42.5, and 100, respectively; and the Waterlow scale (cutoff, 11) had 91.3, 84.4, 38.8, and 97, respectively. According to the ROC curve, the Norton scale is the most appropriate tool. Factors such as physical condition, activity, mobility, body mass index (BMI), nutrition, friction, and shear are extremely significant in determining risk of PU development (p < 0.0001). The Norton scale is most effective in predicting PU risk in Indian surgical wards. BMI, mobility, activity, nutrition, friction, and shear are the most significant factors in Indian surgical ward settings with necessity for future comparison with established scales. Association of Surgeons of India, 2012 Pressure ulcer nationallicence Norton scale nationallicence Braden scale nationallicence Waterlow scale nationallicence Predictor of pressure ulcer nationallicence Kumari Sushma Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut Sharma Deborshi Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut Rana Anshika Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut Pathak Reetesh Department of Surgery, Dr Ram Manohar Lohia Hospital, 110001, New Delhi, India aut Lal Romesh Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut Kumar Ajay Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut Biswal U. Department of Surgery, Dr Ram Manohar Lohia Hospital, 110001, New Delhi, India aut Indian Journal of Surgery Springer India 77/3(2015-06-01), 206-212 0972-2068 77:3<206 2015 77 12262 https://doi.org/10.1007/s12262-012-0779-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0779-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kumari Sushma Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut NATIONALLICENCE 700 1- Sharma Deborshi Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut NATIONALLICENCE 700 1- Rana Anshika Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut NATIONALLICENCE 700 1- Pathak Reetesh Department of Surgery, Dr Ram Manohar Lohia Hospital, 110001, New Delhi, India aut NATIONALLICENCE 700 1- Lal Romesh Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut NATIONALLICENCE 700 1- Kumar Ajay Department of Surgery, Lady Hardinge Medical College, 110001, New Delhi, India aut NATIONALLICENCE 700 1- Biswal U. Department of Surgery, Dr Ram Manohar Lohia Hospital, 110001, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/3(2015-06-01), 206-212 0972-2068 77:3<206 2015 77 12262