Letters NICE on pressure ulcers

NICE recommendation on the use of pressure ulcer risk scores is flawed

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g3638 (Published 05 June 2014) Cite this as: BMJ 2014;348:g3638
  1. Katrin Balzer, research fellow1,
  2. Sascha Köpke, professor of nursing research1,
  3. Gabriele Meyer, professor for health and nursing sciences2
  1. 1Institute for Social Medicine and Epidemiology, University of Lübeck, 23538 Lübeck, Germany
  2. 2Medical Faculty, Martin-Luther-University Halle-Wittenberg, 06112 Halle (Saale), Germany
  1. katrin.balzer{at}uksh.de

The updated National Institute for Health and Care Excellence guideline on preventing pressure ulcers claims to reflect current evidence.1 However, its recommendation on assessing pressure ulcer risk is surely not evidence based.

For risk assessment in adults, health professionals are advised to “consider using a validated scale to support clinical judgment.”1 This recommendation is mainly based on expert opinion—the …

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