1. Level of activity
Ambulatory (0)
2. MOBILITY
Full (0)
3. Complete Spinal Cord injury (SCI)
No (0)
4. Urine incontinence or constantly mosit
No (0)
5. Autonomic dysreflexia or severe spasticity
No (0)
6. Age (years)
<35 (0)
7. Tobacco use / smoking
Never (0)
8. Pulmonary disease
No (0)
9. Cardiac disease or ABN . EKG
No (0)
10. Diabetes or glucose > 110 mg/dl
No (0)
11. Renal Disease
No (0)
12. Impaired cognitive function
No (0)
13. In a nursing home or hospiltal
No (0)
14. Albumin <3.4 or T.protien <6.4
No (0)
15. HEMATOCRIT <36.0% (HGB <12, 0)
No (0)
Spinal Cord Injury Pressure Ulcer Scale (SCIPUS)
INSTRUCTIONS:
Please Choose the one best answer to each question.
1. Level of activity
2. MOBILITY
3. Complete Spinal Cord injury (SCI)
4. Urine incontinence or constantly mosit
5. Autonomic dysreflexia or severe spasticity
6. Age (years)
7. Tobacco use / smoking
8. Pulmonary disease
9. Cardiac disease or ABN . EKG
10. Diabetes or glucose > 110 mg/dl
11. Renal Disease
12. Impaired cognitive function
13. In a nursing home or hospiltal
14. Albumin <3.4 or T.protien <6.4
15. HEMATOCRIT <36.0% (HGB <12, 0)
Bibliographic References (copyright belongs to the author/s of this instrument):
1. Mortenson, W. and Miller, W. (2007). "A review of scales for assessing the risk of developing a pressure ulcer in individuals with SCI." Spinal Cord 46(3): 168-175.