The Braden Scale, A standard tool for assessing pressure ulcer risk, predicts early outcomes after liver transplantation

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Vinay SundaramBarry Schlansky

Abstract

The Braden Scale is a standardized tool to assess pressure ulcer risk that is reported for all hospitalized patients in the United States per requirements of the Center for Medicare and Medicaid Services. Previous data have shown the Braden Scale can predict both frailty and mortality risk in patients with decompensated cirrhosis. Our aim was to evaluate the association of the Braden Scale score with short-term outcomes after liver transplantation (LT). We performed a retrospective cohort study of deceased donor LT recipients at 2 centers and categorized them according to the Braden Scale at hospital admission as low (>18), moderate (16-18), or high risk (<16) for pressure ulcer. We created logistic and Poisson multiple regression models to evaluate the association of Braden Scale category with in-hospital and 90-day mortality, length of stay (LOS), nonambulatory status at discharge, and discharge to a rehabilitation facility. Of 341 patients studied, 213 (62.5%) were low risk, 59 (17.3%) were moderate risk, and 69 (20.2%) were high risk. Moderate- and high-risk patients had a greater likelihood for prolonged LOS, nonambulatory status, and discharge to a rehabilitation facility, as compared with low-risk patients. High-risk pat...Continue Reading

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Citations

Jun 24, 2018·Liver International : Official Journal of the International Association for the Study of the Liver·Robyn LaubeKen Liu
Dec 7, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Jon KobashigawaJennifer C Lai
Apr 14, 2019·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Jennifer C LaiPuneeta Tandon
May 16, 2020·Liver International : Official Journal of the International Association for the Study of the Liver·Jessica B RubinJennifer C Lai
Oct 12, 2019·Current Transplantation Reports·Elliot B Tapper
Nov 11, 2019·JPEN. Journal of Parenteral and Enteral Nutrition·Yehuda RavehRamona Nicolau-Raducu
Dec 30, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Lorena Puchades RenauMarina Berenguer Haym
Feb 19, 2021·Expert Review of Gastroenterology & Hepatology·Eric S OrmanGreg A Sachs
Mar 9, 2021·Journal of Clinical and Experimental Hepatology·Pankaj PuriManav Wadhawan
May 11, 2021·Clinical Liver Disease·Nikki DuongAmol S Rangnekar
Aug 4, 2021·Current Opinion in Organ Transplantation·Tumininu AyorindeKeri E Lunsford

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