Category I pressure XXXX : how reliable is clinical assessment?

@entity1 @entity173 @entity1066
INTRODUCTION: Pressure ulcer prevention is an indicator of quality of care. Reliable identification of Category I pressure @entity1066 is essential in prevalence studies and to prevent further tissue damage. PURPOSE: The primary purpose of this study was to establish interrater reliability between blanching and nonblanching erythema assessed by 2 independent assessors. The secondary purpose was to investigate potential correlations between risk factors and pressure @entity1066 . METHOD: Ninety-seven @entity1 65 years or older with @entity173 were consecutively recruited for this prospective, comparative observation study. Seventy-eight @entity1 completed the study. The sacral area of each @entity1 was visually assessed and a finger-press test was administered to each @entity1 by 2 independent assessors. Kappa statistics were used for analysis. FINDINGS: finger-press tests and visual observation alone were not reliable methods to discriminate between blanching and nonblanching erythema. Forty-seven percent of the @entity1 had a risk score 20 or fewer (high risk for pressure @entity1066 ). Forty-four @entity1 (56%) had pressure @entity1066 at discharge.
