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; Karg, Patricia; Tzen, Yi Ting; Garber, Susan L.; Sowa, Gwendolyn; Brienza, David M.

doi:10.3233/nre-161331

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…Effectively repositioning patients at every 2 hours would require more manpower in a public health system stricken by chronic budget issues. Use of a prediction score such as the SCI Pressure Ulcer Scale (SCIPUS) could be beneficial for identifying patients with higher risk of PUs 17,18 and could result in better resource allocation. Pneumonia rates in our population were similar to other studies.…”

Section: Discussionmentioning

confidence: 99%

Intra-hospital complications in acute traumatic spinal cord injury

et al. 2018

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There is scarce data about intra-hospital complications in acute traumatic spinal cord injury (TSCI). Objective: To report characteristics of complications in patients with TSCI in a major trauma center. Method: This is a cross-sectional study with 434 patients with acute TSCI from 2004 to 2014. Outcomes were frequency and description of complications, length of hospital stay (LOS), and causes of increased LOS. Results: Patients presented at least 1 complication in 82.2% of the cases: urinary tract infection (UTI) = 64.4%, pressure ulcers (PU) = 50.6%, and pneumonia = 23.7%. Pneumonia, intubation and cases of surgical corrections for PU were independently associated with increased LOS. Conclusion: UTIs and PUs were the most frequent complications. Investigating its causes and consequences is paramount in the care of patients with SCI. Possible reasons for such complications could comprise time, and frequency of repositioning in bed. Investigating intra-hospital complications is paramount in SCI centers.

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Section: Discussionmentioning

confidence: 99%

Intra-hospital complications in acute traumatic spinal cord injury

et al. 2018

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“…Krishnan et al [58] studied the scale's use in emergencycare and rehabilitation-care units. The whole study was divided into 2-3-day and 5-7-day segments in emergency care and 5-7-day segments and 14-21-day segments in rehabilitation care.…”

Section: Pressure Ulcer Risk Assessment With the Spinal Cord Injury Pmentioning

confidence: 99%

“…The subcategories of concomitant diseases (where pulmonary and heart diseases or autonomic dysreflexia are included) and blood tests measuring albumin, creatine, and glucose are particularly contributive for physically handicapped patients. The scale is recommended in acute care, particularly for 2-or 3-day registration of risk factors in patients with spinal cord damage and other traumas leading to a physical handicap [18]. The scale was compared with the Norton, Braden, Hosnell, and Waterlow scales, and the results showed that SCIPUS had a higher level of data complexity.…”

Section: Introductionmentioning

confidence: 99%

Assessment of pressure ulcers in physically handicapped patients

Neugebauer

Tóthová

2020

DHS

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PurposeAssessment of pressure ulcers is an indicator of nursing care quality. In physically handicapped patients, the risk is elevated, due to the neuropathy and incontinence that frequently accompany paresis and paralysis. We conducted a systematic review of 4 assessment scales to assess their use and usefulness for these patients.Materials/methodsWe searched 5 databases for articles published between 2016 and 2018 that included terms related to the risk of pressure ulcers in physically handicapped patients, including the names of 4 assessment scales (Norton, Braden, Waterlow and Spinal Cord Injury Pressure Ulcer Scale). One hundred and three sources were returned, from which we selected 10. We also selected an earlier source, for a total of 11.ResultsThe Braden and Waterlow scales are popular in clinical practice. The Norton scale is used for scientific comparisons and in clinical practice only sporadically. Expert opinion suggests that acceptance of the Spinal Cord Injury Pressure Ulcer Scale could reduce the incidence of pressure ulcers in physically handicapped patients.ConclusionsIntroduction of a scale designed for handicapped patients, combined with better preventive measures, could result in the bedsore reduction of pressure ulcers. Research testing the effectiveness of the Spinal Cord Injury Pressure Ulcer Scale in the Czech population is needed to validate its use in clinical practice.

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“…The Braden Risk Assessment Scale is hampered by ceiling effects in the SCI population . Among the other available instruments, only the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) has shown promise, with a high rate of inter‐rater reliability . However, it is limited by utility issues, a lack of psychometric testing, and effectiveness that is dependent upon care setting.…”

Section: Background and Introductionmentioning

confidence: 99%

Pressure ulcer summit 2018: An interdisciplinary approach to improve our understanding of the risk of pressure‐induced tissue damage

Gould

Bohn

Bryant

et al. 2019

Wound Repair Regeneration

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Pressure ulcers (PrUs) affect approximately 2.5 million patients and account for 60,000 deaths annually. They are associated with an additional annual cost of $43,000 per related hospital stay and a total cost to the US health care system as high as $25 billion. Despite the implementation of national and international PrU prevention guidelines and toolkits, rates of facility-acquired PrU s and PrUs in people with spinal cord injury are still high. A new paradigm is needed that distinguishes between prevention and treatment research methods and includes not only the causative factors of pressure and tissue deformation but also patient-specific anatomical differences and the concomitant biological cellular processes, including reperfusion injury, toxic metabolites, ischemia, cell distortion, impaired lymphatic drainage, and impaired interstitial fluid flow that compound existing tissue damage.

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Predictive validity of the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) in acute care and inpatient rehabilitation in individuals with traumatic spinal cord injury

Abstract: 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.

Cited by 15 publications

References 14 publications

Intra-hospital complications in acute traumatic spinal cord injury

Intra-hospital complications in acute traumatic spinal cord injury

Assessment of pressure ulcers in physically handicapped patients

Pressure ulcer summit 2018: An interdisciplinary approach to improve our understanding of the risk of pressure‐induced tissue damage

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