Delmore et al identified risk factors for a pressure ulcer on the heel of a hospitalized patient. These can help to identify a patient who may benefit from more aggressive management. The authors are from NYU Langone Medical Center and Excelsior College.


Patient selection: hospitalized patient


Outcome: heel ulcer


Risk factors:

(1) Braden scale on admission <= 18

(2) diabetes mellitus

(3) peripheral vascular disease

(4) immobility (which is included in the Braden scale)



• The range for the Braden scale is 6 to 23, with risk of pressure ulcers often indicated by scale <= 16.


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