Roca-Biosca A, Garcia-Fernandez FP, Chacon-Garcés S, Rubio-Rico L, Olona-Cabases M, Anguera-Saperas L, Garcia-Grau N, Tuset-Garijo G, de Molina-Fernández I, Velasco-Guillen MC. [Validation of EMINA and EVARUCI scales for assessing the risk of developing pressure ulcers in critical patients].
Enferm Intensiva 2015;
26:15-23. [PMID:
25600461 DOI:
10.1016/j.enfi.2014.10.003]
[Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2014] [Revised: 10/01/2014] [Accepted: 10/06/2014] [Indexed: 12/11/2022]
Abstract
OBJECTIVE
To contribute to the validation of the EMINA and EVAUCI scales for assessing the risk of pressure ulcers in the critical patient and compare their predictive capacity in this same context.
METHOD
Prospective study from December 2012 until June 2013.
SETTING
Polyvalent intensive care unit of 14 beds in a reference hospital for two sanitary areas.
PATIENTS
patients of 18 years of age or older and without pressure ulcers were included. They were followed until development of a pressure ulcer of grade I or greater, medical discharge, death or 30 days.
MAIN VARIABLES
presence of ulcers, daily score of the risk of developing pressure ulcers through EMINA and EVARUCI evaluation. The validity of both scales was calculated using sensitivity, specificity, and positive and negative predictive value. The level of significance was P≤0.05.
RESULTS
A total of 189 patients were evaluated. 67.2% were male with a mean age of 59.4 (DE: 16,8) years old, 53 (28%) developed pressure ulcers, being the incidence rate of 41 ulcers per 1000 admission days. The mean day of diagnosis was 7.7 days (DE: 4,4) and the most frequent area was the sacrum. The sensitivity and specificity for the mean of observations was 94.34 (IC95% 87.17-100) and 33.33 (IC95% 25.01-41.66) for the EMINA scale for a risk>10 and 92.45 (IC95% 84.40-100) and 42.96 (IC95% 34.24-51.68) for the EVARUCI scale for a risk of>11.
CONCLUSIONS
No differences were found in predictive capacity of both scales. For sensitivities>90%the scales show to be insufficiently specific in the pressure ulcer risk detection in critical patients.
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