PMID- 17141782 OWN - NLM STAT- MEDLINE DCOM- 20070406 LR - 20161124 IS - 0020-7489 (Print) IS - 0020-7489 (Linking) VI - 44 IP - 2 DP - 2007 Feb TI - Risk assessment scales for pressure ulcers: a methodological review. PG - 285-96 AB - Much is written about risk-assessment scales (RASs) for pressure ulcers (PU) and their properties demonstrating that they are of limited value. Less is known about the reasons for these limitations and the scope for improvement. This review examines issues such as structure and scoring for the Norton, Waterlow and Braden scales, showing that the equal-weighting technique behind the current RASs is too simplistic and leads to limitations. It concludes that properly trained, experienced nurses should conduct PU risk assessments, whilst more robust data-driven RASs should be developed using the differential weighting scoring method together with advanced statistical techniques. FAU - Papanikolaou, Panos AU - Papanikolaou P AD - Nursing, Health and Social Care Research Centre, School of Nursing and Midwifery Studies, University of Cardiff, 35-43 Newport Road, Cardiff CF24 0AB, UK. papanikolaoup@cf.ac.uk FAU - Lyne, Patricia AU - Lyne P FAU - Anthony, Denis AU - Anthony D LA - eng PT - Journal Article PT - Review DEP - 20061204 PL - England TA - Int J Nurs Stud JT - International journal of nursing studies JID - 0400675 SB - IM MH - Data Interpretation, Statistical MH - Discriminant Analysis MH - Humans MH - Logistic Models MH - Multivariate Analysis MH - Nursing Assessment/*methods/standards MH - Nursing Evaluation Research MH - Practice Guidelines as Topic MH - Predictive Value of Tests MH - Pressure Ulcer/classification/diagnosis/epidemiology/*nursing MH - Prevalence MH - Proportional Hazards Models MH - Prospective Studies MH - Reproducibility of Results MH - Research Design MH - Retrospective Studies MH - Risk Assessment/*methods/standards MH - Risk Factors MH - Sensitivity and Specificity MH - Severity of Illness Index MH - United Kingdom/epidemiology RF - 63 EDAT- 2006/12/05 09:00 MHDA- 2007/04/07 09:00 CRDT- 2006/12/05 09:00 PHST- 2005/01/17 00:00 [received] PHST- 2005/12/19 00:00 [revised] PHST- 2006/01/10 00:00 [accepted] PHST- 2006/12/05 09:00 [pubmed] PHST- 2007/04/07 09:00 [medline] PHST- 2006/12/05 09:00 [entrez] AID - S0020-7489(06)00300-2 [pii] AID - 10.1016/j.ijnurstu.2006.01.015 [doi] PST - ppublish SO - Int J Nurs Stud. 2007 Feb;44(2):285-96. doi: 10.1016/j.ijnurstu.2006.01.015. Epub 2006 Dec 4.