Willock at al reported the Glamorgan Pediatric/Paediatric Pressure Ulcer Risk Assessment Scale for identifying a pediatric patient at risk for a pressure ulcer. The authors are from the University of Glamorgan in the UK.
Patient selection: pediatric
Parameters:
(1) mobility
(2) equipment, object or hard surface pressing/rubbing on skin
(3) hemoglobin in g/dL
(4) temperature > 38.0°C for > 4 hours (persistent pyrexia)
(5) peripheral perfusion
(6) nutritional status
(7) percentile for weight
(8) serum albumin in g/L
(9) incontinence (inappropriate for age)
Parameter
Finding
Points
mobility
normal for age
0
reduced for age
10
unable to change position without assistance or to control body movements
15
cannot be moved without great difficulty or deterioratin
20
under general anesthesia for > 2 hours
20
pressing/rubbing on skin
no
0
yes
15
hemoglobin
>= 9 g/dL or unknown
0
< 9 g/dL
1
persistent pyrexia
no
0
yes
1
peripheral perfusion
fair to good
0
poor
1
nutritional status
adequate
0
inadequate
1
percentile for weight
>= 10th percentile
0
< 10th percentile
1
serum albumin
>= 35 g/L or unknown
0
< 35 g/L
1
incontinence
no
0
yes
1
where:
• The scale may be modified. One modification is to remove weight and to give 2 points for inadequate nutrition.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 42
• The higher the score the greater the risk of a pressure ulcer.
Risk Score
Risk Group
0
no risk
1 to 7
10 to 14
at risk
15 to 19
high risk
>= 20
very high risk
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