Development of the spinal cord injury pressure sore onset risk screening (SCI-PreSORS) instrument: a pressure injury risk decision tree for spinal cord injury rehabilitation

Study design Psychometric study based on retrospectively collected data. Objective Development of a pressure injury (PI) risk screening instrument for use during spinal cord injury (SCI) rehabilitation. Setting Tertiary rehabilitation center. Methods Medical charts of 807 inpatients participating in...

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Bibliographic Details
Published in:Spinal cord 2021-02, Vol.59 (2), p.123-131
Main Authors: Delparte, Jude J., Flett, Heather M., Scovil, Carol Y., Burns, Anthony S.
Format: Article
Language:English
Subjects:
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Anatomy
Biomedical and Life Sciences
Biomedicine
Data collection
Datasets
Decision trees
Demographic variables
Health risks
Human Physiology
Modelling
Neurochemistry
Neuropsychology
Neurosciences
Partitioning
Pressure
Pressure ulcers
Regression analysis
Regression models
Rehabilitation
Risk
Sensitivity analysis
Spinal cord injuries
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Summary:Study design Psychometric study based on retrospectively collected data. Objective Development of a pressure injury (PI) risk screening instrument for use during spinal cord injury (SCI) rehabilitation. Setting Tertiary rehabilitation center. Methods Medical charts of 807 inpatients participating in SCI rehabilitation were reviewed. Two models (recursive partitioning and logistic regression) were developed with demographic and Functional Independence Measure (FIM) variables and compared with the SCI Pressure Ulcer Scale (SCIPUS, n  = 603) and Braden scale ( n  = 100) using modeling ( n  = 615) and validation ( n  = 192) datasets. Sensitivity and specificity analyses were completed for each model. Models yielding high sensitivity and area under the curve (AUC), while minimizing false negatives (FN 
ISSN:1362-4393
1476-5624
DOI:10.1038/s41393-020-0510-y