Psychometric Evaluation of the EVARUCI Scale in Turkish Intensive Care Units

NCT07575581 | Completed

• 1 other identifier: 2024/400
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

International guidelines recommend the use of Pressure Injury risk assessment tools. According to these guidelines, a systematic approach to assessing risk for PI development is essential. Although several tools have been developed, no single clinical pathway is considered superior. Instead, a comprehensive evaluation of risk factors, combined with visual skin assessment, is recommended. The aim of this study was to evaluate the applicability of the EVARUCI Scale in a Turkish intensive care unit setting by performing cross-cultural adaptation and linguistic validation, and to examine its validity and reliability through psychometric testing.

Conditions

Pressure Incidence Prevention

Keywords

pressure injury; nursing; prevention

Outcome Measures

Primary Outcomes (1)

• EVARUCI Pressure Ulcer Risk Assessment Scale in Intensive Care

  The EVARUCI was developed specifically for intensive care unit patients based on studies of common risk factors for pressure injuries in Spain. González et al. (2004) found that the EVARUCI scale had a suitable reliability when tested. Subsequently, Roca et al. (2015) concluded that the interobserver concordance for the EVARUCI scale was very high. The EVARUCI scale assesses level of consciousness, hemodynamic and respiratory status, and the mobility status of the patient. Each of these parameters is scored from 0 to 4. A fifth category called "other" assesses risk factors such as temperature, skin status, blood pressure, prone position, and length of stay in the ICU. The total score ranges from 4 (minimum risk) to 23 (maximum risk).

  3 days

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Intensive care unit patient

You may qualify if:

• Patients who are 18 years or older
• without a pressure injury at the time of ICU admission
• expected to stay in the ICU for at least 72 hours who consent to participate in the study (or whose family members consent) included in the study.

You may not qualify if:

• Patients or their family members who did not consent to participate
• Patients who transferred to another hospital during their ICU stay, excluded from the study.

Sponsors & Collaborators

• Istanbul University: lead

Study Sites (1)

Istanbul University

Istanbul, Turkey (Türkiye)

Location

Related Publications (2)

• Garcia-Fernandez FP, Pancorbo-Hidalgo PL, Agreda JJ. Predictive capacity of risk assessment scales and clinical judgment for pressure ulcers: a meta-analysis. J Wound Ostomy Continence Nurs. 2014 Jan-Feb;41(1):24-34. doi: 10.1097/01.WON.0000438014.90734.a2.

  PMID: 24280770 BACKGROUND

• Picoito RJBR, Lapuente SMMPDC, Ramos ACP, Rabiais ICM, Deodato SJ, Nunes EMGT. Risk assessment instruments for pressure ulcer in adults in critical situation: a scoping review. Rev Lat Am Enfermagem. 2023 Oct 6;31:e3983. doi: 10.1590/1518-8345.6659.3983. eCollection 2023.

  PMID: 37820213 BACKGROUND

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Nurten Ozen

  Istanbul University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 100 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: May 2, 2026
• First Posted: May 8, 2026
• Study Start: October 1, 2025
• Primary Completion: January 1, 2026
• Study Completion: February 1, 2026
• Last Updated: May 8, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)