Predictive performance of adult intraoperatively acquired pressure injury assessment scales: a Meta-analysis
10.3760/cma.j.cn115682-20220609-02768
- VernacularTitle:成人术中压力性损伤评估量表预测效能的Meta分析
- Author:
Bingyin XU
1
;
Zhi LI
;
Dongxue LI
;
Qiong SU
Author Information
1. 重庆医科大学护理学院，重庆 400010
- Keywords:
Meta-analysis;
Pressure ulcer;
Surgery patients;
Assessment scale
- From:
Chinese Journal of Modern Nursing
2023;29(12):1576-1582
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically analyze and evaluate the predictive performance of 5 assessment scales (Munro Pressure Ulcer Risk Assessment Scale, Norton Scale, Braden Scale, Scott Triggers Scale and Waterlow Scale) for adult intraoperatively acquired pressure injury (IAPI), so as to provide reference for the selection of appropriate assessment scales.Methods:This study is a Meta-analysis. Research on the adult IAPI assessment scale was retrieved through computers in databases such as VIP, WanFang Data, China National Knowledge Infrastructure, China Biology Medicine disc, PubMed, Embase, Web of Science and Cochrane Library. The search time limit was from the establishment of the database to December 2, 2021.Two researchers independently screened the article, conducted quality evaluation and data extraction on the included article, and conducted descriptive analysis on the sensitivity and specificity of each scale. The researchers used RevMan 5.3 software to create a receiver operating characteristic (ROC) curve and calculate the area under the curve.Results:A total of 13 articles were included, with a total of 5 640 cases, and the incidence of IAPI was 8.09% (456/5 640). A Meta-analysis was conducted after merging 8 articles on the Braden scale. After merging, it was found that the sensitivity of the scale was 0.76 [95% confidence interval ( CI) (0.72, 0.81) ], the specificity was 0.53 [95% CI (0.51, 0.54) ], and the area under the ROC curve was 0.70. After a combined analysis of 7 articles on the Munro Pressure Ulcer Risk Assessment Scale, it was found that the sensitivity of the scale was 0.81 [95% CI (0.75, 0.86) ], the specificity was 0.79 [95% CI (0.77, 0.81) ], and the area under the ROC curve was 0.84. After a combined analysis of 4 articles on the Waterlow scale, it was found that the sensitivity of the scale was 0.78 [95% CI (0.69, 0.86) ], the specificity was 0.60 [95% CI (0.58, 0.62) ], and the area under the ROC curve was 0.72. After a combined analysis of 3 articles on the Norton scale, it was found that the sensitivity of the scale was 0.67 [95% CI (0.56, 0.77) ], the specificity was 0.69 [95% CI (0.67, 0.71) ], and the area under the ROC curve was 0.74. After a combined analysis of 3 articles on the Scott Triggers Scale, it was found that the sensitivity of the scale was 0.80 [95% CI (0.68, 0.89) ], the specificity was 0.53 [95% CI (0.50, 0.56) ], and the area under the ROC curve was 0.67. Conclusions:As a special scale for surgical patients, the Munro scale has superior sensitivity, specificity, and area under the ROC curve to other evaluation scales. It is recommended that Operating Room nurses prioritize the Munro scale for assessing the risk of IAPI in adult surgical patients.
