Validación de las escalas de valoración de riesgo de úlceras por presión EMINA y EVARUCI en pacientes críticos

Roca-Biosca, Alba; García-Fernández, Francisco Pedro; Chacón-Garcés, Sagrario; Rubio-Rico, Lourdes; Olona-Cabases, Montserrat; Anguera-Saperas, L.; García-Grau, Natalia; Tuset-Garijo, Gemma; Molina-Fernández, Inmaculada de; Velasco-Guillen, M.C.

doi:10.1016/j.enfi.2014.10.003

Cited by 16 publications

(13 citation statements)

References 18 publications

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“…The results of the studies allow us to subdivide the instruments into two big categories: the generalists, which are applicable in all care contexts, and the specifics, which are directed at adults in critical situation hospitalized in ICU. Thus, we identified six generalist instruments: Braden scale ( 36 , 26 - 27 , 29 - 32 , 34 , 37 , 40 , 43 - 47 ), Braden scale [ALB(Albumin)] ( 27 ), Emina ( 42 ), Norton MI [Modified by INSALUD ( Instituto Nacional de Salud Espanhol )] ( 35 ), RAPS (Risk Assessment Pressure Sore) ( 41 ) and Waterlow ( 40 , 46 ), and seven specific instruments: CALCULATE (Critical Care Pressure Ulcer Assessment Tool made Easy) ( 26 - 27 , 31 , 38 - 39 ), COMHON index (Nutrition and Hemodynamic Oxygenation of Conscious Mobility) ( 27 , 34 ), Cubbin & Jackson scale ( 44 - 45 , 47 ), EVARUCI ( Escala de Valoración Actual del riesgo de desarrollar Úlceras por presión en Cuidados Intensivos ) ( 33 , 35 , 42 - 43 ), RAPS-ICU (Intensive Care Units) ( 28 ), Song & Choi ( 47 ) and Suriaidi and Sanada ( 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…This scale considers the classification of risk as follows: 5 to 11 is considered very high risk, 12 to 14 is moderate risk, and > 14 is minimum or no risk ( 35 ). The Emina scale derives from Norton and contains five risk factors: mental condition, mobility, incontinence, nutrition, and activity, scored from 0 to 3 in each one of the subscales, in which the higher the score, the higher the risk of developing PU ( 42 ).…”

Section: Resultsmentioning

confidence: 99%

“…A fifth category, called “other,” evaluates the risk factors such as temperature, skin condition, blood pressure, patient’s prone position, and time of stay in the ICU. The total score varies from 4 - minimal risk - to 23 - maximum risk ( 33 , 35 , 42 - 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…S* 41%; S† 21%; AUC || 0.29 ( 40 ). S* 78%, 95%, 71.4%; S† 29%, 45%, 83.1%; PPV ‡ 70%, 52%, 31.3%; NPV § 38%, 94%, 96.4% ( 42 ). S* 93.2%; S† 16.6%; PPV ‡ 15.6%; NPV § 93.7%; AUC || 0.71 ( 44 ).…”

Section: Resultsmentioning

confidence: 99%

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Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Picoito,

Lapuente,

Ramos

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to map the instruments for risk assessment of pressure ulcers in adults in critical situation in intensive care units; identify performance indicators of the instrument, and the appreciation of users regarding the instruments’ use/limitations. Method: a scoping review. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews in the writing of the study. We carried out the searches in the EBSCOhost search tool for 8 databases, resulting in 1846 studies, of which 22 studies compose the sample. Results: we identified two big instrument groups: generalist [Braden, Braden (ALB), Emina, Norton-MI, RAPS, and Waterlow]; and specific (CALCULATE, Cubbin & Jackson, EVARUCI, RAPS-ICU, Song & Choi, Suriaidi and Sanada, and COMHON index). Regarding the predictive value, EVARUCI and CALCULATE presented better results for performance indicators. Concerning appreciation/limitations indicated by users, we highlight the CALCULATE scale, followed by EVARUCI and RAPS-ICU, although they still need future adjustments. Conclusion: the mapping of the literature showed that the evidence is sufficient to indicate one or more instruments for the risk assessment of pressure ulcers for adults in critical situation in intensive care units.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Picoito,

Lapuente,

Ramos

et al. 2023

Rev. Latino-Am. Enfermagem

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“…Studies performed with the EVARUCI did not verify its internal consistency through this coefficient, so it was not possible to compare the results obtained in this study. (10,18) Inter-rater agreement is an important step during the adaptation process because the translated instrument is expected to present the same result when applied by different professionals. In this study, EVARUCI was applied simultaneously by three nurses, observing an excellent correlation among the evaluations.…”

Section: Discussionmentioning

confidence: 99%

Risco de lesão por pressão em UTI: adaptação transcultural e confiabilidade da EVARUCI

2018

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Objective: Perform a transcultural adaptation of the current risk assessment scale for pressure injuries in intensive care (Escala de Valoración Actual del riesgo de desarrollar Úlceras por presión 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 verifi ed using Cronbach's alpha coeffi cient. Inter-rater agreement was verifi ed using the simultaneous application of the fi nal version of the EVARUCI by 3 nurses and analyzed by the intraclass correlation coeffi cient (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 (α=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 specifi c instrument for ICUs that can be easily and quickly used in the evaluation of risk for pressure injuries in critically ill patients. ResumoObjetivo: Realizar a a daptação transcultural da Escala de Valoración Actual del riesgo de desarrollar Úlceras por presión en Cuidados Intensivos (EVARUCI) para a língua portuguesa do Brasil e analisar sua confi abilidade em pacientes de Unidade de Terapia Intensiva (UTI). Métodos: Pesquisa metodológica para adaptação transcultural e análise da confi abilidade da EVARUCI. A consistência interna foi verifi cada utilizando-se o Coefi ciente Alfa de Cronbach. A concordância interobservadores foi verifi cada pela aplicação simultânea da versão fi nal da EVARUCI por 3 enfermeiros e analisada pelo Coefi ciente de Correlação Intraclasse (CCI). Resultados: Na tradução e retrotradução, as discordâncias relacionaram-se ao uso de sinônimos e estilo de redação. Na avaliação do comitê de especialistas os termos, consciente, decúbito supino e turno não alcançaram a concordância de 90,0%. A consistência interna da EVARUCI mostrou-se aceitável (α=0,782). A concordância interobservadores foi excelente entre os avaliadores (CCI=0,980). Conclusão: A adaptação transcultural da EVARUCI para o português do Brasil foi satisfatória quanto à consistência interna e à concordância interobservadores, indicando ser um instrumento específi co para UTI, de fácil e rápida aplicação para avaliação de risco para lesão por pressão em pacientes críticos. ResumenObjetivo: Realizar la adaptación transcultural de la Escala de Valoración Actual del Riesgo de Desarrollar Úlceras por Presión en Cuidados Intensivos (EVARUCI) al portugués brasileño y analizar su confi abilidad en pacientes de Unidad de Terapia Intensiva (UTI). Métodos: Investigación metodológica para adaptación transcultural y análi...

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Predictive ability of the EVARUCI scale and COMHON index for pressure injury risk in critically ill patients: A diagnostic accuracy study

Leal-Felipe

Arroyo-López

Robayna-Delgado

et al. 2018

Australian Critical Care

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Validación de las escalas de valoración de riesgo de úlceras por presión EMINA y EVARUCI en pacientes críticos

Cited by 16 publications

References 18 publications

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review

Risco de lesão por pressão em UTI: adaptação transcultural e confiabilidade da EVARUCI

Predictive ability of the EVARUCI scale and COMHON index for pressure injury risk in critically ill patients: A diagnostic accuracy study

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