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Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis
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Seong-Hi Park, Yu-Sun Park
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J Korean Acad Nurs 2014;44(6):595-607. Published online December 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.6.595
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 Abstract
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Purpose
The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluate the Braden Scale for predicting pressure ulcer development.
Methods
Articles published 1946 and 2013 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: 'pressure ulcer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.
Results
Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included. Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75 (95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneity between studies.
Conclusion
The Braden Scale's predictive validity of risk for pressure ulcer is interpreted as at a moderate level. However there is a limitation to the interpretation of the results, because of high heterogeneity among the studies.
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Citations
Citations to this article as recorded by  - Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef - The Interrater Agreement for the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers by Nurses in A Medium-Sized Hospital
Hyung-Ju Na, Sung-Hee Yoo, Young-Ran Kwon, Min-Jeng Ahn
Korean Journal of Adult Nursing.2020; 32(1): 35. CrossRef - 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
International Wound Journal.2019; 16(1): 164. CrossRef - Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit
Ja Eun Choi, Sun-Kyung Hwang
Journal of Korean Critical Care Nursing.2019; 12(2): 26. CrossRef - A Phenomenological Study on Illness Experience of Patients with Pressure Ulcer
Misoo Yoo, Myungsun Yi
Korean Journal of Adult Nursing.2015; 27(5): 515. CrossRef
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Systematic Review and Meta-Analyses of Diagnostic Accuracy of Infrared Thermometer when Identifying Fever in Children
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Young Joo Park, Seong-Hi Park, Chang-Bum Kang
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J Korean Acad Nurs 2013;43(6):746-759. Published online December 31, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.6.746
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Abstract
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Purpose
Infrared thermometers are increasingly used as a convenient, non-invasive assessment method for febrile children. However, the diagnostic accuracy of the infrared thermometer for children has been questioned, particularly in relation to sensitivity and specificity. The aim of this study was to evaluate diagnostic accuracy of infrared thermometers in febrile children.
Methods
Articles published between 1966 and 2012 from periodicals indexed in the Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected, using the following keywords: 'infrared thermometer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.
Results
Nineteen diagnostic studies with high methodological quality, involving 4,304 children, were included. The results of meta-analysis showed that the pooled sensitivity, specificity and AUC (Area Under the Curve) of infrared tympanic thermometers in children over 1 year were 0.80 (95% CI 0.78, 0.81), 0.94 (95% CI 0.93, 0.95) and 0.95 respectively. However the diagnostic accuracy of infrared tympanic thermometers in children with hyperthermia was low.
Conclusion
The diagnostic accuracy of infrared tympanic thermometer was similar to axillary and rectal thermometers indicating a need for further research to substantiate these findings in children with hyperthermia.
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Citations
Citations to this article as recorded by - Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
Yeon-Mi Kim, Myung-Roul Jang, Ju-Ryoung Moon, Goeun Park, Ye-Jin An, Jeong-Meen Seo
Children.2022; 9(9): 1389. CrossRef - Axillary temperature measurements based on smart wearable thermometers in South Korean children: comparison with tympanic temperature measurements
Younglee Choi, Hye Young Ahn
Child Health Nursing Research.2022; 28(1): 62. CrossRef - Smart Patch for Skin Temperature: Preliminary Study to Evaluate Psychometrics and Feasibility
Heejung Kim, Sunkook Kim, Mingoo Lee, Yumie Rhee, Sungho Lee, Yi-Rang Jeong, Sunju Kang, Muhammad Naqi, Soyun Hong
Sensors.2021; 21(5): 1855. CrossRef - Role of materiovigilance in COVID era
Ahmad Najmi, Shilpa Kaore, Balakrishnan Sadasivam, Avik Ray
Journal of Family Medicine and Primary Care.2021; 10(7): 2722. CrossRef - Force protection in contingency operations: an evaluation of temperature monitoring in Sierra Leone
Catherine Cole, C Turnbull, W Eardley, P Hunt
Journal of the Royal Army Medical Corps.2016; 162(3): 176. CrossRef
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1,239
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Effect of Kegel Exercise to Prevent Urinary and Fecal Incontinence in Antenatal and Postnatal Women: Systematic Review
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Seong-Hi Park, Chang-Bum Kang, Seon Young Jang, Bo Yeon Kim
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J Korean Acad Nurs 2013;43(3):420-430. Published online June 28, 2013
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DOI: https://doi.org/10.4040/jkan.2013.43.3.420
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Abstract
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Purpose
The aim of this study was to review the literature to determine whether intensive pelvic floor muscle training during pregnancy and after delivery could prevent urinary and fecal incontinence.
Methods
Randomized controlled trials (RCT) of low-risk obstetric populations who had done Kegel exercise during pregnancy and after delivery met the inclusion criteria. Articles published between 1966 and 2012 from periodicals indexed in Ovid Medline, Embase, Scopus, KoreaMed, NDSL and other databases were selected, using the following keywords: 'Kegel, pelvic floor exercise'. The Cochrane's Risk of Bias was applied to assess the internal validity of the RCT. Fourteen selected studies were analyzed by meta-analysis using RevMan 5.1.
Results
Fourteen RCTs with high methodological quality, involving 6,454 women were included. They indicated that Kegel exercise significantly reduced the development of urinary and fecal incontinence from pregnancy to postpartum. Also, there was low clinical heterogeneity.
Conclusion
There is some evidence that for antenatal and postnatal women, Kegel exercise can prevent urinary and fecal incontinence. Therefore, a priority task is to develop standardized Kegel exercise programs for Korean pregnant and postpartum women and make efficient use of these programs.
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Citations
Citations to this article as recorded by - Ultrasound Quantitative Assessment of the Effects of Yoga on Early Postpartum Pelvic Organ Position Recovery
Qunfeng Li, Yanhong Liu, Yunli Liu, Qiongzhu Liu, Liping Jiang, Xinling Zhang
International Urogynecology Journal.2025; 36(1): 221. CrossRef - Reliability of Digital Palpation to Perineometeric Scoring for Assessment of Pelvic Floor Muscle Strength: A Comparative Study
Alisha Rai, Sanjeev Kumar Jain, Nidhi Sharma, Astha Lalwani, Sonika Sharma
Gynecology and Minimally Invasive Therapy.2025; 14(3): 223. CrossRef - The Effect of Kegel Exercises and Pelvic Floor Physiotherapy on the
Improvements of Stress Urinary Incontinence and Urge Incontinence in
Women with Normal Vaginal Delivery
Radnia Nahid, Bakhtiari Mahsa, Neda Alimohammadi, Moghadami Samar
Current Womens Health Reviews.2024;[Epub] CrossRef - Comparison of self-reported ability to perform Kegel’s exercise pre- and post-coital penetration in postpartum women
Chidiebele Petronilla Ojukwu, Ginikachukwu Theresa Nsoke, Stephen Ede, Anne Uruchi Ezeigwe, Sylvester Caesar Chukwu, Emelie Morris Anekwu
Libyan Journal of Medicine.2023;[Epub] CrossRef - Knowledge, attitudes, and practice of pelvic floor dysfunction and pelvic floor ultrasound among women of childbearing age in Sichuan, China
Xiaoli Wu, Xiaohong Yi, Xiu Zheng, Zeling Chen, Junxi Liu, Xiong Dai
Frontiers in Public Health.2023;[Epub] CrossRef - Effect of Kegel Exercises on Lower Urinary Tract Symptoms in Young Gymnasts: A Prospective Cohort Study
Celia Rodríguez-Longobardo, Amelia Guadalupe-Grau, Miguel Ángel Gómez-Ruano, Olga López-Torres
Urogynecology.2023; 29(8): 670. CrossRef - Improving the Technique of Pelvic Floor Muscle Contraction in Active Nulliparous Women Attending a Structured High–Low Impact Aerobics Program—A Randomized Control Trial
Magdalena Piernicka, Monika Błudnicka, Damian Bojar, Jakub Kortas, Anna Szumilewicz
International Journal of Environmental Research and Public Health.2022; 19(10): 5911. CrossRef - Comparison of postpartum incontinence outcomes after vacuum-assisted and forceps-assisted deliveries in a tertiary maternity unit
Li Shan Sng, Wan Hui Yip, Stella Yan Chai Hong, Stephanie Man Chung Fook-Chong, Wei Keat Andy Tan, Devendra Kanagalingam, Jason Shau Khng Lim
International Urogynecology Journal.2022; 33(6): 1529. CrossRef - Knowledge, Attitude, and Practice of Pregnant Women in Jazan, Saudi Arabia Concerning Pelvic Floor Muscle Exercises
Sarra L Derrar, Fatimah H Dallak, Azhar Alfaifi, Rawan M Alessa, Khawlah A Abbas, Atyaf J Zurayyir, Ahmed A Altraifi, Ibrahim Gosadi
Cureus.2022;[Epub] CrossRef - Effectiveness of Structured teaching programme on knowledge regarding Pelvic floor muscle exercises in prevention of Urinary incontinence among premenopausal women admitted in selected hospital Bangalore
Christina Jose, Christina Rachel C., Della Mathew, Deva Prasanna, Dolma Lhakyi, Dona Elizabeth Mathew, Ethel Deenah Hazel, Grace Ninan, Indumathi Anbalagan, Jismi Thomas, Josmy Jose
Asian Journal of Nursing Education and Research.2021; : 307. CrossRef - What Is Fecal Incontinence That Urologist Need to Know?
HongWook Kim, Jisung Shim, Yumi Seo, Changho Lee, Youngseop Chang
International Neurourology Journal.2021; 25(1): 23. CrossRef - Effects of yoga on the intervention of levator ani hiatus in postpartum women: a prospective study
Qunfeng Li, Xinling Zhang
Journal of Physical Therapy Science.2021; 33(11): 862. CrossRef - High-impact aerobics programme supplemented by pelvic floor muscle training does not impair the function of pelvic floor muscles in active nulliparous women
Magdalena Piernicka, Monika Błudnicka, Jakub Kortas, Barbara Duda-Biernacka, Anna Szumilewicz
Medicine.2021; 100(33): e26989. CrossRef - Development of an exercise attitude scale in Turkish for pregnant women: validity and reliability
Seyda Toprak Celenay, Esra Calik Var, Derya Ozer Kaya
Women & Health.2021; 61(9): 854. CrossRef - Predictors of pelvic muscle exercise on the self‐efficacy of women giving birth
Gisoo Shin, Hye Jin Kim, Miok Kim
International Journal of Urological Nursing.2020; 14(2): 67. CrossRef - Vaginal hyperlaxity syndrome: a new concept and challenge
Santiago Palacios
Gynecological Endocrinology.2018; 34(5): 360. CrossRef - Effect of Pila-dance to Ease Urinary Incontinence of Middle-aged Women
Hye-Jeon Hong
The Korean Journal of Physical Education.2018; 57(2): 431. CrossRef - Faecal incontinence: Current knowledges and perspectives
Alban Benezech
World Journal of Gastrointestinal Pathophysiology.2016; 7(1): 59. CrossRef - Effects of Prenatal Perineal Massage and Kegel Exercises on the Integrity of Postnatal Perine
Sevgul Dönmez, Oya Kavlak
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Chunmi Kim, Hung Sa Lee, Eun Man Kim
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 198. CrossRef
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