Evidence map›Paper›PMID 30289624›Full record

ReviewInternational wound journal2019

A prediction tool for hospital-acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score.

Fazila Aloweni, Shin Yuh Ang, Stephanie Fook-Chong, Nurliyana Agus, Patricia Yong, Meh Meh Goh, Lisa Tucker-Kellogg, Rick Chai Soh

Open access · bronzeAbstract readReview
In one paragraph

Review in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
17.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Fazila AloweniNursing Division, Singapore General Hospital (SGH), Singapore, Singapore.
Shin Yuh AngNursing Division, Singapore General Hospital (SGH), Singapore, Singapore.
Stephanie Fook-ChongHealth Services Research Unit, SGH, Singapore, Singapore.
Nurliyana AgusNursing Division, Singapore General Hospital (SGH), Singapore, Singapore.
Patricia YongNursing Division, Singapore General Hospital (SGH), Singapore, Singapore.
Meh Meh GohNursing Division, Singapore General Hospital (SGH), Singapore, Singapore.
Lisa Tucker-KelloggCancer & Stem Cell Biology, and Centre for Computational Biology Duke-NUS Medical School, Singapore, Singapore.
Rick Chai SohDepartment of Anaesthesia, SGH, Singapore, Singapore.
Singapore General Hospital · SGDuke-NUS Medical School · SGSingHealth · SG

Funding

Singapore Ministry of Health's National Medical Research Council (NMRC) OFIRG15nov062SingHealth Foundation Research Grant (Health Services Research) SHF/HSRHO004/2016
6 · The paper itself

Abstract

Surgical patients are prone to developing hospital-acquired pressure ulcers (HAPU). Therefore, a better prediction tool is needed to predict risk using preoperative data. This study aimed to determine, from previously published HAPU risk factors, which factors are significant among our surgical population and to develop a prediction tool that identifies pressure ulcer risk before the operation. A literature review was first performed to elicit all the published HAPU risk factors before conducting a retrospective case-control study using medical records. The known HAPU risks were compared between patients with HAPU and without HAPU who underwent operations during the same period (July 2015-December 2016). A total of 80 HAPU cases and 189 controls were analysed. Multivariate logistic regression analyses identified eight significant risk factors: age ≥ 75 years, female gender, American Society of Anaesthesiologists ≥ 3, body mass index < 23, preoperative Braden score ≤ 14, anaemia, respiratory disease, and hypertension. The model had bootstrap-corrected c-statistic 0.78 indicating good discrimination. A cut-off score of ≥6 is strongly predictive, with a positive predictive value of 73.2% (confidence interval [CI]: 59.7%-84.2%) and a negative predictive value of 80.7% (CI: 74.3%-86.1%). SPURS contributes to the preoperative identification of pressure ulcer risk that could help nurses implement preventive measures earlier.

Indexed as

Iatrogenic DiseaseAdultAgedAged, 80 and overCase-Control StudiesFemaleHumansMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsPressure UlcerRetrospective StudiesRisk AssessmentRisk FactorsSeverity of Illness Indexnosocomialpressure injuryrisk assessmentsurgerysurgical risk factors

Identifiers

PMID30289624
PMCPMC7949343
OpenAlexW2895532345

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.