Sterken et al reported the Pediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET) for pediatric patients. This can help to identify a pediatric patient who may benefit from interventions to reduce the risk of skin breakdown. The authors are from DeVos Children's Hospital and Spectrum Health in Grand Rapids, Michigan.
Patient selection: pediatric
Parameters:
(1) mobility
(2) activity
(3) sensory perception
(4) moisture
(5) external devices (braces, traction, oxygen, ET tube, etc)
(6) friction/shear
(7) nutrition
(8) tissue perfusion and oxygenation
(9) skin conditions
Parameter |
Finding |
Points |
mobility |
mobile (no immobility) |
1 |
|
some immobility |
2 |
|
significantly immobile |
3 |
activity |
ambulates or held by parents |
1 |
|
some activity |
2 |
|
bed bound |
3 |
sensory perception |
no limitations |
1 |
|
some limitations |
2 |
|
significant limitations |
3 |
moisture |
none |
1 |
|
some moisture |
2 |
|
moist |
3 |
external device |
0 or 1 |
1 |
|
2 |
2 |
|
>= 3 |
3 |
friction/shear |
no risk |
1 |
|
some risk |
2 |
|
significant risk |
3 |
nutrition |
adequate |
1 |
|
inadequate |
2 |
tissue perfusion/oxygenation |
no compromise |
1 |
|
some compromise |
2 |
|
compromise |
3 |
skin conditions |
no compromise |
1 |
|
some compromise |
2 |
|
compromise |
3 |
total score =
= SUM(points for all 9 parameters)
Interpretation:
• minimum score: 9
• maximum score: 26
• A score >= 18 is associated with a high risk for skin breakdown.
• A score of 3 in any category, or a score of 2 in nutrition, should prompt an intervention to reduce the risk.
Specialty: Dermatology