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Comment to Question 4
In a prevalence or incidence study, the occurrence of pressure ulcers is the main outcome of the study. At the same time, pressure ulcer assessment is based on a subjective assessment. Therefore, it is important to ensure as far as possible that those who are to determine whether it is a pressure ulcer or not are well trained, and that one or more ways ensure that the assessments are made equally and correctly. Today, there are tools available that can measure reactions in the skin objectively, for example subepidermal moisture measuring, which can also strengthen up the subjective assessment (if the skin is intact). Which level you should focus on depends a lot on the financial and human resources you have and the purpose of the study.
What kind of incidence did the author calculate?
The authors stated that the study period of 14 days might have been too short. Why didn’t they choose a longer period?
Several studies show that clinicians experience difficulties classifying pressure ulcers and distinguishing them from Incontinence Associated Dermatitis (IAD). This may affect the validity and reliability of the study. How did the researchers deal with that in the study by Anrys et al.?
In the previous question, three alternatives are given. Can all of them be a good choice to strength the validity and reliability of the study?