Abstract
Objective: To evaluate the validity of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) during acute care and inpatient rehabilitation following spinal cord injury (SCI) by determining critical cutoff points and assessing the ability to predict risk for pressure ulceration (PrU). Design: Retrospective. Methods: Sensitivity, specificity, and area under the curve (AUC) for the receiver operating characteristic were determined for the scale's ability to predict PrU 2-3 and 5-7 days after administrating the SCIPUS during acute care, and 5-7 and 14-21 days after administrating the SCIPUS during inpatient rehabilitation. Results: During acute hospitalization, SCIPUS's ability to assess risk for PrUs within 2-3 days was determined at cutoff score of 15 with 100 sensitivity and 75 specificity, AUC = 0.85. The scale was unable to assess PrU risk at 5-7 days, AUC <0.6 at cutoff score of 13. During inpatient rehabilitation, the scale was unable to assess PrU risk at 5-7 and 14-21 days, AUC <0.6 at cutoff score of 9. Conclusions: The SCIPUS could predict PrU occurring within 2-3 days following administration during acute, but unable to predict over a longer term within acute or inpatient rehabilitation. Improved PrU risk assessment following SCI may be possible with modification to the SCIPUS.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 401-409 |
| Number of pages | 9 |
| Journal | NeuroRehabilitation |
| Volume | 38 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jun 3 2016 |
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Keywords
- pressure ulcer
- risk assessment
- sensitivity
- specificity
- Spinal cord injury
- validity
ASJC Scopus subject areas
- Clinical Neurology
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Predictive validity of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) in acute care and inpatient rehabilitation in individuals with traumatic spinal cord injury. / Krishnan, Shilpa; Brick, Rachelle S.; Karg, Patricia E.; Tzen, Yi Ting; Garber, Susan L.; Sowa, Gwendolyn A.; Brienza, David M.
In: NeuroRehabilitation, Vol. 38, No. 4, 03.06.2016, p. 401-409.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predictive validity of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) in acute care and inpatient rehabilitation in individuals with traumatic spinal cord injury
AU - Krishnan, Shilpa
AU - Brick, Rachelle S.
AU - Karg, Patricia E.
AU - Tzen, Yi Ting
AU - Garber, Susan L.
AU - Sowa, Gwendolyn A.
AU - Brienza, David M.
PY - 2016/6/3
Y1 - 2016/6/3
N2 - Objective: To evaluate the validity of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) during acute care and inpatient rehabilitation following spinal cord injury (SCI) by determining critical cutoff points and assessing the ability to predict risk for pressure ulceration (PrU). Design: Retrospective. Methods: Sensitivity, specificity, and area under the curve (AUC) for the receiver operating characteristic were determined for the scale's ability to predict PrU 2-3 and 5-7 days after administrating the SCIPUS during acute care, and 5-7 and 14-21 days after administrating the SCIPUS during inpatient rehabilitation. Results: During acute hospitalization, SCIPUS's ability to assess risk for PrUs within 2-3 days was determined at cutoff score of 15 with 100 sensitivity and 75 specificity, AUC = 0.85. The scale was unable to assess PrU risk at 5-7 days, AUC <0.6 at cutoff score of 13. During inpatient rehabilitation, the scale was unable to assess PrU risk at 5-7 and 14-21 days, AUC <0.6 at cutoff score of 9. Conclusions: The SCIPUS could predict PrU occurring within 2-3 days following administration during acute, but unable to predict over a longer term within acute or inpatient rehabilitation. Improved PrU risk assessment following SCI may be possible with modification to the SCIPUS.
AB - Objective: To evaluate the validity of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) during acute care and inpatient rehabilitation following spinal cord injury (SCI) by determining critical cutoff points and assessing the ability to predict risk for pressure ulceration (PrU). Design: Retrospective. Methods: Sensitivity, specificity, and area under the curve (AUC) for the receiver operating characteristic were determined for the scale's ability to predict PrU 2-3 and 5-7 days after administrating the SCIPUS during acute care, and 5-7 and 14-21 days after administrating the SCIPUS during inpatient rehabilitation. Results: During acute hospitalization, SCIPUS's ability to assess risk for PrUs within 2-3 days was determined at cutoff score of 15 with 100 sensitivity and 75 specificity, AUC = 0.85. The scale was unable to assess PrU risk at 5-7 days, AUC <0.6 at cutoff score of 13. During inpatient rehabilitation, the scale was unable to assess PrU risk at 5-7 and 14-21 days, AUC <0.6 at cutoff score of 9. Conclusions: The SCIPUS could predict PrU occurring within 2-3 days following administration during acute, but unable to predict over a longer term within acute or inpatient rehabilitation. Improved PrU risk assessment following SCI may be possible with modification to the SCIPUS.
KW - pressure ulcer
KW - risk assessment
KW - sensitivity
KW - specificity
KW - Spinal cord injury
KW - validity
UR - http://www.scopus.com/inward/record.url?scp=84973556259&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84973556259&partnerID=8YFLogxK
U2 - 10.3233/NRE-161331
DO - 10.3233/NRE-161331
M3 - Article
C2 - 27061168
AN - SCOPUS:84973556259
VL - 38
SP - 401
EP - 409
JO - NeuroRehabilitation
JF - NeuroRehabilitation
SN - 1053-8135
IS - 4
ER -