Objective: to investigate the usefulness of a Dutch influence sore risk assessment scale - the Centraal Begeleidingsorgaan voor de Intercollegiale Toetsing (CBO; National Organization for Quality Assurance in Hospitals) score - in the detection of patients at risk of developing urgency sores after admission to a nursing domestic circle As the Norton score is the standard arrangement of risk assessment.

Objective: to investigate the usefulness of a Dutch influence sore risk assessment scale - the Centraal Begeleidingsorgaan voor de Intercollegiale Toetsing (CBO; National Organization for Quality Assurance in Hospitals) score - in the detection of patients at risk of developing urgency sores after admission to a nursing domestic circle As the Norton score is the standard arrangement of risk assessment, we also investigated which score (Norton or CBO) has the stronger relationship to the disclosure of pressure sores. Design: longitudinal cohort design. Patients: 220 nursing abode patients, 80 men, 140 women mean age 79 years (standard deviation 3) Measures: admission assessments for the air of pressure sores, CBO and Norton scores, preventive measures and demographic characteristics. We made observations each week for 4 weeks. Main issue measure: presence or absence of hurry sores. Main results: 54 patients (25%) expanded a pressure sore. A significant, nonlinear relationship was set between the CBO score in succession admission and the development of press ulcers for the first 2 weeks after admission. Multiple logistic regression analysis showed that merely mobility (odds ratio = 36 P = 00001) and mental state (odd ratio = 20 P = 003) showed a significant relationship with the increase of pressure ulcers. The CBO score was no better in risk assessment than the Norton score. Conclusions: the CBO score can be used for assessment of the risk of developing urgency ulcers in the first 2 weeks after admission to a nursing dwelling but is no better than the Norton score. Since the Norton score is easier to use, it is slightly preferable for use in this setting. However, neither score is a proper indicator of patients at risk. Physicians should not hang solely on risk scores when prescribing preventive measures.

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