A multicenter study on the applicability and optimal cut-off of the revised Cubbin & Jackson scale in the diagnosis of pressure injury in ICU patients
10.3761/j.issn.0254-1769.2024.12.004
- VernacularTitle:改良版Cubbin&Jackson量表诊断ICU患者压力性损伤最佳界值的多中心研究
- Author:
Zhuang YANG
1
;
Juhong PEI
;
Qiuxia YANG
;
Lin LU
;
Yuting WEI
;
Hongxia TAO
;
Hongyan ZHANG
;
Yuxia MA
;
Lin HAN
Author Information
1. 730000 兰州市兰州大学护理学院
- Keywords:
Pressure Injury;
The Revised Cubbin & Jackson Scale;
Intensive Care Unit;
Risk Assessment;
Predictive Cut-Off;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(12):1436-1442
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the applicability and optimal cut-off of the revised Cubbin & Jackson scale in the diagnosis of pressure injury in ICU patients in China.Methods From April 2021 to October 2022,6 203 ICU patients from 35 tertiary hospitals in Gansu Province were included in the study by convenience sampling method.The standardized trained ICU nurses examined the skin and collected relevant data,determined whether or not there was pressure injury and its stage,and simultaneously used the revised Cubbin & Jackson scale for pressure injury risk assessment.The software was used to statistically analyze the area under the receive operating characteristic curve(AUC),Yoden index,sensitivity,specificity and other indexes of the revised Cubbin & Jackson scale in the diagnosis of pressure injury in ICU patients.Results A total of 79 cases of pressure injury occurred during hospitalization in 6 203 ICU patients,with an incidence of 1.27％.Hierarchical analysis showed that the AUC of the revised Cubbin & Jackson scale in the prediction and diagnosis of pressure injury ranged from 0.74 to 0.92 in ICU patients with different sex,age,length of ICU stay,whether or not mechanically ventilated,and whether or not surgical.The Yoden index,sensitivity and specificity were 0.40-0.74,77.27％-94.44％and 62.44％-82.63％,respectively.When the total score was ≤28 points,the revised Cubbin & Jackson scale obtained the highest AUC(0.86),and the Yoden index,sensitivity,specificity,positive predictive value,negative predictive value,positive likelihood ratio,and negative likelihood ratio were 0.60,92.41％,67.26％,3.50％,99.86％,2.82 and 0.11,respectively.Conclusion The revised Cubbin & Jackson scale can be used as a suitable tool to effectively predict and diagnose pressure injury in ICU patients in China,and the optimal cut-off of ≤28 points is appropriate.
