Evidence map›Paper›PMID 30828890›Full record

ArticleWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society2019

Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study.

Barbara M Bates-Jensen, Heather E McCreath, Deniz Harputlu, Anabel Patlan

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04884737 (Decreasing Intraoperative Skin Damage in Prone Position Surgeries), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
24.9field-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.

NCT04884737 phase4completednot on this mapstarted 2021, after this paper: background citation

Decreasing Intraoperative Skin Damage in Prone Position Surgeries

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2023Enrolled107ConditionsPressure InjuryArmsMepilex Border Flex® (MBF) dressing
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 111 citations in OpenAlex.

  1. Trial
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  3. Pressure Injury Data Reconciliation in a Randomized Controlled Trial.Archives of physical medicine and rehabilitation · 2023
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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

4 authors at 4 institutions in 2 countries.

Barbara M Bates-JensenSchool of Nursing, UCLA, Los Angeles, California.
Heather E McCreathDivision of Geriatrics, David Geffen School of Medicine, UCLA, Los Angeles, California.
Deniz HarputluAnkara University, Ankara, Turkey.
Anabel PatlanSchool of Nursing, UCLA, Los Angeles, California.
Ankara University · TREdward Hines, Jr. VA Hospital · USUCLA Health · USUniversity of California, Los Angeles · US

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
Biophysical Measure To Predict Pressure Ulcers In Nursing Home ResidentsR01NR010736 · NINR · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BATES-JENSEN, BARBARA M. · 2009 to 2012
$1.2M
NIA NIH HHS 5P30AG028748NIA NIH HHS P30 AG028748NINR NIH HHS #5R01NR10736-2NINR NIH HHS R01 NR010736
6 · The paper itself

Abstract

The Bates-Jensen Wound Assessment Tool (BWAT) is used to assess wound healing in clinical practice. The purpose of this study was to evaluate BWAT use among nursing home residents with pressure injury. Findings and reliability estimates from the BWAT related to pressure injury characteristics (stage, anatomic location) and natural history (resolved, persisted) among 142 ethnically and racially diverse residents are reported. In this prospective 16-week study, 305 pressure injuries among 142 participants (34% prevalence) are described by stage, anatomic location, and BWAT scores. Visual and subepidermal moisture assessments were obtained from sacrum, buttock, ischial, and heel ulcers weekly. Participants were 14% Asian, 28% Black, 18% Hispanic, 40% White with a mean age of 78 ± 14 years, and were 62% female; 80% functionally dependent (bed mobility extensive/total assistance) and at risk (Braden Scale score 14 ± 2.7). The reliability coefficient for BWAT score (all participants, all anatomic locations) was high (r = 0.90; p < 0.0001; n = 1,161 observations). Weighted Kappas for characteristics ranging from 0.46 (skin color surrounding wound) to 0.79 (undermining) were consistent for all participants. BWAT scores showed strongest agreement coefficients for stage 4 pressure injury (r = 0.69), pressure injuries among Asian and White ethnicity/racial groups (r = 0.89, and r = 0.91, respectively), and sacrum anatomic location (r = 0.92) indicating scores are better correlated to fair skin tones. Lower agreement coefficients were demonstrated for stage 2 pressure injury (r = 0.38) and pressure injuries among African American and Hispanic ethnicity/racial groups (r = 0.88 and 0.87, respectively). BWAT scores were significantly different by pressure injury stage (F = 496.7, df = 6, p < 0.001) and anatomic location (F = 33.76, df = 8, p < 0.001). BWAT score correlated with pressure injury natural history (ulcer resolved 18.4 ± 7.4, ulcer persisted 24.9 ± 10.0; F = 70.11, df = 2, p < 0.001), but not with comorbidities. The BWAT provides reliable, objective data for assessing pressure injury healing progress.

Indexed as

AgedAged, 80 and overFemaleHumansLongitudinal StudiesMalePressure UlcerReproducibility of ResultsTrauma Severity IndicesWound Healing

Identifiers

PMID30828890
PMCPMC6693585
OpenAlexW2920391762

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.