Ostomy/wound management
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The purpose of this study was to evaluate predictors of hospital acquired heel pressure ulcers. A prospective cohort study of hospitalized patients was conducted (N = 291). Subjects were enrolled by one team and followed by another team that was blind to initial assessment information. ⋯ ROC curves were virtually identical using all new scoring systems as compared to the original Braden scale. No new scoring system was identified that led to a clinically significant improvement in sensitivity/specificity over the total Braden scale. While not perfect, the Braden scale may currently be the best predictive tool for heel pressure ulcer development.