Turkish Translation and Cultural Adaptation, Validity and Reliability of the CALCULATE Pressure Injury Risk Scale in Intensive Care Unit Patients.
Ayper Önal Alkan, Ükke Karabacak
PMID 42746693WHAT IT FOUND
Turkish ICU patients who later developed pressure injuries had higher day 1 CALCULATE scores than those who did not, and researchers and ICU nurses scored the scale consistently.
Key findings
01The researcher and ICU nurse agreed very closely on CALCULATE scores.
02Day 1 CALCULATE scores were significantly higher in patients who developed pressure injuries, with p < 0.001 for both researcher and ICU nurse assessments.
03By day 7, CALCULATE scores were not significantly different between patients who developed pressure injuries and those who did not.
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 Level III ICU in Türkiye, so results may not apply to other ICUs or countries. Only 15 of 76 patients developed pressure injuries, so some estimates are imprecise. Analyses focused on day 1 and day 7, even though assessments were done daily, so performance across the whole ICU stay is unclear. Day 7 CALCULATE scores did not significantly differ between patients who developed pressure injuries and those who did not. The study tested risk assessment, not whether using the scale reduced pressure injuries.
Declared interests
The authors reported that they had nothing to report regarding funding and conflicts of interest.
The easy way to misread this
Do not conclude that the Turkish CALCULATE scale prevents pressure injuries. The study tested risk assessment in 76 ICU patients, and only 15 developed pressure injuries, so it did not measure whether using the scale reduced injuries.