Diagnostic accuracy of the VALENF Instrument compared to instruments commonly used by nurses in adult inpatient units to assess functional capacity, pressure injury risk, and fall risk. Other
Conditions
Interventions
Current interventions as of 03/05/2024:
This is an observational, longitudinal, prospective and randomized study to estimate the diagnostic accuracy of a meta-tool that collapses other assessment in
assessment carried out within the first 24 hours after admission
expected hospital stay of more than 48 hours
acceptance to participate in the study and to sign the Informed Consent
nursing assessments that include the use of the instruments under study. Users coming from transfers from other units or from other hospitals will be excluded.
A sample size of 362 participants has b
reference tests: functional capacity on admission measured with the Barthel index
risk of pressure injuries on admission measured with the Braden index
risk of falls on admission measured with the Downton scale. Outcome variables sensitive to nursing care, related to the care process and sociodemographic variables will also be collected.
Sociodemogr
Sponsors
Jaume I University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Users are subject to nursing assessment over 18 years of age 2. Nursing assessment performed in the first 24 hours after admission 3. Expected hospital stay of more than 48 hours 4. Agree to participate in the study and sign the Informed Consent 5. Nursing assessments including the use of the instruments under study (Barthel index, Braden index, Downton scale and VALENF Instrument)
Exclusion criteria
Exclusion criteria: Users who come from transfers from other units of the same hospital and other hospitals will be excluded, since their care process is still in progress and their admission assessment does not correspond to that of the hospital.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic accuracy will be analyzed through the sensitivity, specificity and positive and negative predictive values of the VALENF Instrument to detect patients at risk of pressure injuries, falls and functional loss using the Barthel, Braden and Downton indices as reference tests within the first 24 hours after admission | — |
Secondary
| Measure | Time frame |
|---|---|
| The cumulative incidence and the period incidence of pressure injuries, falls and patients with functional loss will be estimated by units and globally. A survival analysis will be carried out considering the appearance of pressure injury, falls or functional loss as dependent variables and the other study variables as independent variables. Finally, the VALENF Instrument cut-off points will be established to detect the risk of pressure injuries, falls, and functional gain through simple linear regressions with the original instruments, cluster analysis to categorize patients, and analysis of the area under the ROC curve. | — |
Countries
Spain
Contacts
Public ContactNursing Research Group
Outcome results
None listed