dc.contributor.author | Webster, Joan | |
dc.contributor.author | Gavin, Nicole | |
dc.contributor.author | Nicholas, Catherine | |
dc.contributor.author | Coleman, Kerrie | |
dc.contributor.author | Gardner, Glenn | |
dc.contributor.editor | Asa Bailey | |
dc.date.accessioned | 2017-10-10T12:30:32Z | |
dc.date.available | 2017-10-10T12:30:32Z | |
dc.date.issued | 2010 | |
dc.date.modified | 2012-07-24T22:20:08Z | |
dc.identifier.issn | 09660461 | |
dc.identifier.uri | http://hdl.handle.net/10072/37008 | |
dc.description.abstract | Aim: To assess the validity of the Waterlow screening tool in a cohort of internal medicine patients and to identify factors contributing to pressure injury. Method: A longitudinal cohort study design was used. A total of 274 patients (mean age 65.3 years) admitted through the emergency department or outpatient clinics of a tertiary hospital in Brisbane, Australia, and expected to remain in hospital for at least 3 days were screened on admission using the Waterlow screening tool. Their pressure ulcer status was monitored and recorded every second day. The main outcome measure was pressure ulcer incidence. Results: Fifteen participants (5.5%) had an existing pressure ulcer and a further 12 (4.4%) developed a pressure ulcer during their hospital stay. Sensitivity of the Waterlow scale was 0.67 (95% confidence interval [CI]: 0.35-0.88), specificity was 0.79 (95% CI: 0.73-0.85), positive predictive value was 0.13 (95% CI: 0.07-0.24) and negative predictive value was 0.98 (95% CI: 0.94-0.99). Conclusion: This study provides further evidence of the poor predictive validity of the Waterlow scale. A suitably powered, randomized controlled trial is urgently needed to provide definitive evidence about the usefulness of the Waterlow scale compared with other screening tools and with clinical judgment. | |
dc.description.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.format.extent | 221977 bytes | |
dc.format.mimetype | application/pdf | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | M A Healthcare Ltd | |
dc.publisher.place | United Kingdom | |
dc.publisher.uri | http://www.ncbi.nlm.nih.gov/pubmed/20335924 | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | S14 | |
dc.relation.ispartofpageto | S22 | |
dc.relation.ispartofissue | 6 | |
dc.relation.ispartofjournal | British Journal of Nursing | |
dc.relation.ispartofvolume | 19 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Clinical Nursing: Secondary (Acute Care) | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearchcode | 111003 | |
dc.subject.fieldofresearchcode | 1110 | |
dc.title | Validity of the Waterlow scale and risk of pressure injury in acute care | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.rights.copyright | © 2010 Mark Allen Healthcare Ltd. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version. | |
gro.date.issued | 2010 | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Webster, Joan | |
gro.griffith.author | Gavin, Nicole C. | |