An instrument to measure healing in pressure ulcers

Development and validation of the pressure ulcer scale for healing (PUSH)

N. A. Stotts, G. T. Rodeheaver, D. R. Thomas, R. A. Frantz, A. A. Bartolucci, C. Sussman, B. A. Ferrell, Janet Cuddigan, J. Maklebust

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Background. Currently, there is no instrument that provides an accurate and simple method of monitoring pressure ulcer healing in clinical practice. This article reports the two studies that were conducted to assess the validity of the Pressure Ulcer Scale for Healing (PUSH) as a tool to monitor healing of stage II-IV pressure ulcers. Methods. Subjects in both studies (N = 103 and N = 269) were elderly (mean Study 1, 75 years, mean Study 2, 80 years), and the majority were women (Study 1, 51%, Study 2, 70%). Study data were extracted from patients' permanent records. Results. Principal components analysis confirmed that the PUSH tool accounted for 58% to 74% of the wound healing variance over a 10-week period in Study 1 and 40% to 57% of the wound healing variance over a 12-week period in Study 2. In addition, multiple regression analysis, used to measure the sensitivity of the model to total healing, showed PUSH accounted for 39% of the variance in 6 weeks and 31% of the variance over 12 weeks (p < .001; Studies 1 and 2, respectively). Conclusions. Data from these two studies confirmed that the PUSH tool, with the components of length times width, exudate amount, and tissue type, is a valid and sensitive measure of pressure ulcer healing. It is a practical approach that provides clinically valid data regarding pressure ulcer healing. Further testing is needed to confirm these findings.

Original languageEnglish (US)
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume56
Issue number12
DOIs
StatePublished - Jan 1 2001

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Pressure Ulcer
Wound Healing
Exudates and Transudates
Principal Component Analysis
Regression Analysis

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

Cite this

An instrument to measure healing in pressure ulcers : Development and validation of the pressure ulcer scale for healing (PUSH). / Stotts, N. A.; Rodeheaver, G. T.; Thomas, D. R.; Frantz, R. A.; Bartolucci, A. A.; Sussman, C.; Ferrell, B. A.; Cuddigan, Janet; Maklebust, J.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 56, No. 12, 01.01.2001.

Research output: Contribution to journalArticle

Stotts, N. A. ; Rodeheaver, G. T. ; Thomas, D. R. ; Frantz, R. A. ; Bartolucci, A. A. ; Sussman, C. ; Ferrell, B. A. ; Cuddigan, Janet ; Maklebust, J. / An instrument to measure healing in pressure ulcers : Development and validation of the pressure ulcer scale for healing (PUSH). In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2001 ; Vol. 56, No. 12.
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