Development of A Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS): A Methodological Study.
Sema Konateke, Şükriye İlkay Güner
PMID 40200564WHAT IT FOUND
A new 13-item surgery pressure-injury score flagged high risk at scores above 27.
In 200 Turkish elective surgical patients, it identified 97.56% of those who later developed pressure injury and 97.48% of those who did not. It is not proof using it prevents pressure injury.
Key findings
01Postoperative pressure injury developed in 20.5% of patients, and SURPIRAS total scores were higher in those with pressure injury (31.81 ± 2.86 vs 22.77 ± 2.88).
02A SURPIRAS cut-off above 27 had sensitivity 97.56% and specificity 97.48% for pressure injury development.
03The scale was judged relevant by experts (mean content validity index 0.94), tracked closely with two existing scales (r = 0.927 and r = 0.735), and two assessors agreed almost perfectly (ICC 0.999).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one university hospital in Gaziantep, Türkiye, with adults aged 18 years or older who were literate, had no cognitive or communication problems, and had elective surgery. Patients with pressure injury on admission, movement restrictions, ear surgery, or emergency surgery were excluded, so the scale was not tested in those groups. Postoperative pressure injury was checked only in the first 72 hours, and follow-up ended at 72 hours for longer stays. The interobserver reliability used one operating room nurse assessing 30 patients, and the wetness item had lower agreement (ICC 0.792). The cut-off was determined in this study, and the paper does not report testing it in a separate group. Body temperature was measured tympanically every 15 minutes, so hypothermia scoring may not match settings without that monitoring. Albumin was removed because it was not routinely checked, so the scale omits that risk factor.
Declared interests
The article does not report a funding source or authors' conflicts of interest.
The easy way to misread this
Do not read this as evidence that SURPIRAS prevents pressure injury. The paper tests a risk score in 200 adult elective surgical patients in one Turkish hospital, and it does not report outcomes from using the scale to change care.