title: 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: 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).
  
  
  METHODS
  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.
authors.affiliation: Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, USA.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Krishnan
authors.affiliation: Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Rachelle S
authors.initials: RS
authors.lastname: Brick
authors.affiliation: Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Patricia E
authors.initials: PE
authors.lastname: Karg
authors.affiliation: Department of Physical Therapy, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Yi-Ting
authors.initials: YT
authors.lastname: Tzen
authors.affiliation: Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Baylor, CA, USA.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Garber
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Gwendolyn A
authors.initials: GA
authors.lastname: Sowa
authors.affiliation: Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, USA.|Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Brienza
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000209:etiology*; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013119:Spinal Cord Injuries / Q000150:complications* / Q000534:rehabilitation*; D055815:Young Adult
keywords: Spinal cord injury; pressure ulcer; risk assessment; sensitivity; specificity; validity