- Developed as a measure of the risk for pressure ulcer development for individuals with SCI who are in a rehabilitation centre.
- Items for the scale were identified based on statistical analysis of data from 176 individuals with SCI, which compared development of pressure ulcers with demographic variables and potential pressure ulcer risk factors.
- Every patient is evaluated in fifteen domains:
- Level of activity
- Complete SCI
- Urine incontinence or constant moistness
- Autonomic dysreflexia or severe spasticity
- Tobacco use/smoking
- Pulmonary disease
- Cardiac disease
- Blood glucose levels: > 110 mg/dl
- Renal disease
- Impaired cognitive function
- In a nursing home or hospital
- Albumin < 3.4 or T, protein < 6.4
- Hematocrit <36.0%
- Most items are scored dichotomously as either present or absent, but 4 items have three response options.
- Although the SCIPUS is reported to be the best measure for individuals with SCI, the reliability of the scale has not been demonstrated with this population. The scale was developed specifically for use in rehabilitation centers and has not been tested in community dwelling populations.
- There is minimal burden related to administering or scoring the scale if tests for diabetes, albumin and hemocrit are already part of the patient’s medical record. Otherwise the blood tests required would be invasive and create respondent burden.
Body Function ▶ Functions of the Skin