Summary of findings 2. Braden pressure ulcer risk assessment and training compared with pressure ulcer risk assessment using clinical judgement alone for the prevention of pressure ulcers.

Braden pressure ulcer risk assessment and training compared with pressure ulcer risk assessment using clinical judgement alone for the prevention of pressure ulcers
Patient or population: patients at risk of pressure ulcers Setting: hospital setting Intervention: Braden pressure ulcer risk assessment and training Comparison: pressure ulcer risk assessment using clinical judgement
Outcomes	Illustrative comparative risks* (95% CI)		Relative effect (95% CI)	Absolute effect (95% CI)	No of Participants (studies)	Quality of the evidence (GRADE)	Comments
	Assumed risk	Corresponding risk
	Pressure ulcer risk assessment using clinical judgement alone	Braden pressure ulcer risk assessment and training
Pressure ulcer incidence Visual skin assessment Follow‐up: 8 weeks	Study population		RR 1.43 (0.77 to 2.68)	65 more per 1000 (from 35 fewer to 254 more)	180 (1 study)	⊕⊝⊝⊝ Very low1	We are uncertain if Braden pressure ulcer risk assessment and training, compared with pressure ulcer risk assessment using clinical judgement alone, makes any difference to pressure ulcer incidence.
	151 per 1000	216 per 1000 (116 to 405)
Severity of new pressure ulcers Time to ulcer development Pressure ulcer prevalence	Not reported
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: Confidence interval; RR: Risk ratio
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate.

¹ Downgraded twice for study limitations due to high risk of performance and detection bias and unclear risk of selection and attrition bias; downgraded twice for imprecision due to wide confidence intervals, small sample size and no allowance for the use of cluster randomisation.