Psychometric Properties of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) for Pressure Ulcer Risk Assessment During Inpatient Rehabilitation

被引：10

作者：

Delparte, Jude J. ^{[1
]}

Scovil, Carol Y. ^{[1
,2
]}

Flett, Heather M. ^{[1
,3
]}

Higgins, Johanne ^{[4
,5
,6
]}

Laramee, Marie-Therese ^{[5
,7
]}

Burns, Anthony S. ^{[1
,8
]}

机构：

[1] Univ Hlth Network, Lyndhurst Ctr, Brain & Spinal Cord Rehabil Program, Toronto Rehabil Inst, Toronto, ON M4G 3V9, Canada

[2] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada

[3] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[4] Univ Montreal, Fac Med, Sch Rehabil, Montreal, PQ H3C 3J7, Canada

[5] Ctr Interdisciplinary Res Rehabil Greater Montrea, Montreal, PQ, Canada

[6] CIUSSS Ctr Est de Ile de Montreal, Inst Readaptat Gingras Lindsay de Montreal, Res, Montreal, PQ, Canada

[7] CIUSSS Ctr Est de Ile de Montreal, Inst Readaptat Gingras Lindsay de Montreal, Spinal Cord Injury Program, Montreal, PQ, Canada

[8] Univ Toronto, Dept Med, Div Phys Med & Rehabil, Toronto, ON, Canada

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2015年 / 96卷 / 11期

关键词：

Pressure ulcer; Rehabilitation; Reproducibility of results; Risk assessment; Sensitivity and specificity; Spinal cord injuries; INDIVIDUALS; PREVENTION; COST;

D O I：

10.1016/j.apmr.2015.06.020

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objective: To assess the psychometric properties of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) for pressure ulcer (PU) risk assessment during inpatient rehabilitation. Design: Prospective cohort. Setting: Tertiary rehabilitation centers. Participants: Individuals (N=759) participating in inpatient spinal cord injury rehabilitation between January 3, 2012, and April 23, 2014. Interventions: Not applicable. Main Outcome Measures: Admission SCIPUS scores and the corresponding risk stratification, PU incidence, intraclass correlation coefficient (ICC) for interrater reliability, sensitivity, specificity, and likelihood ratios (LRs). Receiver operating characteristic analysis was performed to calculate the area under the curve (AUC). Results: Mean SCIPUS scores were higher for individuals who developed PUs than for those who did not (mean SCIPUS score, 9.8 +/- 2.5 vs 8.5 +/- 2.6). Interrater reliability was excellent for SCIPUS composite scores (ICC = .91) and very good for risk stratification (ICC = .86). Using the existing cutoff value of >= 6 for "high risk" category, sensitivity and specificity were estimated to be .97 and .12, respectively, with an LR of 1.1. A cutoff value of >= 8 yielded a better balance between sensitivity and specificity (.85 and .38, respectively). The AUC equaled .64 with an LR of 1.4. Results were similar when the analysis was confined to PUs of stage II or greater. Conclusions: The psychometric properties of the SCIPUS do not currently support its routine use as a measure of PU risk in individuals with spinal cord injury undergoing inpatient rehabilitation. LRs of <2 indicate that stratification as high risk or very high risk does not substantially increase the likelihood of identifying individuals who develop PUs beyond chance alone. AUCs were also below the desired cutoff value of 0.7. (C) 2015 by the American Congress of Rehabilitation Medicine

引用

页码：1980 / 1985

页数：6

共 30 条

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