Abruzzese Scale

Download Clinical Summary PDF

Tool Description

  • based on the Norton and Gosnell scales
  • designed to assess the risk of pressure sore development in acute and long-term care settingsDomains measured include:
  1. General health
  2. Mental status
  3. Activity
  4. Mobility
  5. Continence
  6. Nutrition
  7. Predisposing disease.

ICF Domain:

Body Function – Subcategory: Functions of the Skin

Number of Items:

9

Brief Instructions for Administration & Scoring

Administration:

  • Clinician-administered; raters indicate the client status based on personal observation or chart review
  • items are scored on a 4-point scale, either 0 – 3, or 0, 1, 4, 6 depending on the item
  • requires approximately 5-10 minutes to administer.

Equipment: None.

Scoring:

  • Addition of the scores from each of the 9 items to produce an overall score between 0 (best prognosis) and 30 (worst prognosis)

Interpretability

MCID: not established
SEM: not established
MDC: not established

  • Neither normative data nor published data is available for comparison for the SCI population at this time.
  • Higher scores indicate increased risk of developing a pressure ulcer.

Languages:

English

Training Required:

None but knowledge of skin health is helpful.

Availability:

Unable to locate a copy of the scale at this time.

Clinical Considerations

  • This tool incorporates 7 different domains in a patient’s life (General Health, Mental Status, Activity, Mobility, Continence, Nutrition, and Predisposing disease) to assess the risk of pressure sore development in both acute and long-term care settings.
  • The measure is well accepted by persons with disabilities
  • This assessment is quick and comes at minimal discomfort to the patient

Measurement Property Summary

# of studies reporting psychometric properties: 1

Reliability:

No values were reported for the reliability of the Abruzzese measure for the SCI population.

Validity:

  • The Abruzzese measure was 60.1% accurate in predicting pressure ulcer development; it has a sensitivity of 21.8% and a specificity of 84.6%.
  • The Abruzzese measure is significantly and poorly correlated with the stage of the first pressure ulcer (r=0.241) and the number of ulcers developed (0.212).

[Salzberg et al. 1999]

Responsiveness:

No values were reported for the responsiveness of the Abruzzese measure for the SCI population.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the Abruzzese measure for the SCI population.

Reviewer

Dr. Ben Mortenson, Matthew Queree

Date Last Updated:

Nov 1, 2016

Download the measure

Download Worksheet:
Unable to locate the scale at this time.

Video

n/a

Scoring

  • Addition of the scores from each of the 9 items to produce an overall score between 0 (best prognosis) and 30 (worst prognosis)

Equipment Needed

Abruzzese:

Abruzzese RS. Early assessment and prevention of pressure sores. In: Lee BY (ed). Chronic Ulcers of the Skin. McGraw Hill: New York, 1985, pp 1 -19
http://scholar.google.ca/scholar?hl=en&q=Early+assessment+and+prevention+of+pressure+sores&btnG=&as_sdt=1%2C5&as_sdtp=

Salzberg CA, Byrne DW, Kabir R, van Niewerburgh P, Cayten CG. Predicting Pressure Ulcers During Initial Hospitalization for Acute Spinal Cord Injury. Wounds 1999; 11(2):45-47.
http://scholar.google.ca/scholar?q=Predicting+Pressure+Ulcers+During+Initial+Hospitalization+for+Acute+Spinal+Cord+Injury&btnG=&hl=en&as_sdt=0%2C5