Risk of pressure injury in the ICU: transcultural adaptation and reliability of EVARUCI

Objective: Perform a transcultural adaptation of the current risk assessment scale for pressure injuries in intensive care (Escala de Valoracion Actual del riesgo de desarrollar Ulceras por presion en Cuidados Intensivos - EVARUCI) to Brazilian Portuguese and analyze its reliability among intensive care unit (ICU) patients. Methods: Methodological study for transcultural adaptation and reliability analysis of the EVARUCI. Internal consistency was verified using Cronbach's alpha coefficient. Inter-rater agreement was verified using the simultaneous application of the final version of the EVARUCI by 3 nurses and analyzed by the intraclass correlation coefficient (ICC). Results: In the translation and back-translation processes, disagreements were related to the use of synonyms and writing style. In the evaluation of the expert committee, the terms 'conscious,' 'supine decubitus,' and 'shift' did not reach a 90.0% agreement. The internal consistency of the EVARUCI was acceptable (alpha=0.782). Inter-rater agreement was excellent (ICC=0.980). Conclusion: The transcultural adaptation of the EVARUCI to Brazilian Portuguese was satisfactory in terms of internal consistency and inter-rater agreement, indicating that it is a specific instrument for ICUs that can be easily and quickly used in the evaluation of risk for pressure injuries in critically ill patients.