A escala de Waterlow na úlcera por pressão em pessoas com lesão medular: uma tecnologia assistencial de enfermagem. Waterlow’s Scale on pressure ulcers. PDF | OBJETIVO: Comparar las escalas de riesgo para úlcera por presión de Norton, Braden y Waterlow entre pacientes en estado crítico. MÉTODOS: Estudio . To evaluate the association between the scores of the Waterlow, .. da concordância na aplicação da Escala de Braden interobservadores.

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Comparison of risk assessment scales for pressure ulcers in critically ill patients. Ulcers are classified into six categories: After 15 days of hospitalization in an ICU, all patients have some risk for developing a PU, especially bedbound elderly patients [ 7 ].

A escala de Waterlow aplicada em pessoas com lesão medular

Careful and periodic evaluation of the patient at risk for PU development is essential in nursing practice. Finally, this study included a cross-sectional design, and it was unable to examine the causal effect of the relationship between the variables.

The study was carried out from March to Juneinwith all the patients dde during this time atthe three adult Intensive Care Units of the Institution.

Thus, the study included 55 patients, of whom 17 developed pressure ulcers, corresponding to an incidence of Pressure ulcer prevalence and incidence in intensive care patients: Regarding race, brown individuals comprised the majority in this study, although race cannot be considered alone as a risk factor for PU [ 18 ].

In this unit, pressure ulcers have an incidence of At the researched institution, there are 31 ICU beds, from which eight are for pediatric patients. Each patient was evaluated, simultaneously, by three nurses, each of whom was responsible for the application of only one of the scales.

The reduction of the incidence of PUs can decrease hospital costs and optimize the care provided by the nursing staff [ 9 ]. Support Center Support Center. The cut off scores found in the first, second and third evaluations were 12, 12 and 11 in the Braden scale, and 16, 15 and 14 in the Waterlow scale. Int J Nurs Stud.


The Waterlow scale has evaluative aspects of great relevance for the study of hospitalized patients. National Center for Biotechnology InformationU. During the four months of research, there esdala 83inpatients.

Waterlow score – Wikipedia

Thisfact makes it more difficult to compare the results ofresearches which assess the use of these instruments 7, 9. A low educational level and income were eaterlow in this research study, which may be related to the evaluated ICU. For the Braden scale, the evaluation of the ROC curve Figure 3 showed that it did not present a good prediction of risk of the patient developing pressure ulcers.

Introduction The occurrence of pressure ulcers PUs is still a common phenomenon in many healthcare settings, constituting waerlow injury that mainly affects critically ill patients 1 and contributes to the increased risk of hospital complications 2 – 3. Pioneira Thomson Learning; PUs are complications that can worsen the clinical conditions of severely ill patients. Table 2 – Results of diagnostic tests applied to the cutoff scores of the Braden scale, according to the evaluation.

They questionwhether these instruments provide an accurateassessment and if they really help watrrlow the clinical practice 8, 14, Transversal study, with 60 patients from a municipal public emergency hospital of Fortaleza, in which data were collected between May and October The presence of PUs is still negatively associated with the quality of nursing care ewcala6however, this is a multifactorial problem, which includes extrinsic factors related to the physical exposure of the patient, and intrinsic factors inherent warerlow the clinical condition, such as hemodynamic changes, anemia, malnutrition, and smoking, among others 38 – 9.


Rev Assoc Med Bras. Design A cross-sectional study was conducted on patients admitted in the adult ICU of a university hospital in Excala Brazil. Pharmacy, Odontology and Nursing College. Several risk factors contribute to skin damage in these critically ill patients, including nutritional deficits, decreased wateelow perfusion, long-term use of a mechanical ventilator, the presence of moisture and circulatory changes [ 3 ].

Do pressure ulcer risk assessment scales improve clinical practice? All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

The role of the nurse in assessing the risk supports integral and individualized care for the patient and family 14 and provides essential information for the care plan, ensuring effective multidisciplinary communication 6.

Waterlow score

The intensive care unit ICU is intended for clinically unstable patients who need intermittent care and technology to evaluate and control their vital functions [ 1 ].

In this manuscript, both the Norton and the Bradenscales showed a significant statistical increase in theirscores until the 10 th hospitalization day. Damage to a target organ, such as the heart, brain, and kidneys, also contributes to the pathophysiology of pressure ulcers [ 26 ].

Departamento de Enfermagem Av. Risk assessment scales are important tools to nurses,because they indicate vulnerable points, reinforce theconstant assessment necessity and stimulate prevention. Each patient was assessed once a day for 15 days orfor at least 10 successive days, by three nurses at thesame time. The Waterlow scale assesses seven main ezcala Author information Article notes Copyright and License information Disclaimer.

Moreover, the smaller the final sum is, higher is the risk of developing PU

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