The Cornell Ulcer Risk Score (CURS) can help identify a
patient at risk for developing a pressure (decubitus) ulcer. This can both
identify a patient at greater need for intervention and indicate areas to
target. The score was developed at the New York Weill Cornell Center.
NOTE: This appears related to the Gosnell scale (above).
|
Parameter
|
Finding
|
Points
|
|
activity
|
ambulates without assistance
|
0
|
|
|
ambulates with assistance
|
1
|
|
|
out of bed to chair
|
2
|
|
|
complete bedrest
|
3
|
|
mobility
|
full active range of motion
|
0
|
|
|
partial active range of motion
|
1
|
|
|
passive range of motion
|
2
|
|
|
immobile
|
3
|
|
incontinence
|
none
|
0
|
|
|
1 to 2 times in 24 hours
|
1
|
|
|
3 to 5 times in 24 hours
|
2
|
|
|
>= 6 times in 24 hours
|
3
|
|
nutrition
|
achieves 75-100% of nutritional and caloric goals
|
0
|
|
|
achieves 50-74% of nutritional and caloric goals
|
1
|
|
|
achieves 25-49% of nutritional and caloric goals
|
2
|
|
|
achieves < 25% of nutritional and caloric goals
|
3
|
|
level of consciousness
|
alert
|
0
|
|
|
confused
|
1
|
|
|
sedated or somnolent
|
2
|
|
|
unresponsive to any stimuli
|
3
|
• The ranges
for nutrition in the original table has overlaps at 50 and 75%. I adjusted the
values above to remove the overlap.
• The higher the score, the greater the risk for developing
a decubitus ulcer.
• The score has been validated at Cornell but has not had a
multi-institutional evaluation.