ELPO Score of Lopes et al for Assessing Risk of Surgical Positioning Injury

Parameters

Findings

Points

type of surgical position

supine

1

lateral

2

Trendelenburg

3

prone

4

lithotomy

5

duration of surgery

<= 1 hour

1

1.01 to 2 hours

2

2.01 to 4 hours

3

4.01 to 6 hours

4

> 6 hours

5

type of anesthesia

local

1

sedation

2

regional

3

general

4

general and regional

5

support surface

viscoelastic surgical table mattress and viscoelastic cushions

1

conventional surgical table mattress and viscoelastic cushions

2

conventional surgical table mattress and foam cushions

3

conventional surgical table mattress and cushions made from sterilization wraps

4

no use of support surface OR rigid support without padding OR narrow leg supports

5

limb position

anatomic position

1

opening less than 90 degrees of upper limbs

2

knees raised < 90° and opening of lower limbs < 90° OR neck without sternal alignment

3

knees raised > 90° OR opening of lower limbs > 90°

4

knees raised > 90° AND opening of lower limbs > 90°

5

opening of upper limbs > 90°

5

comorbidities

none

1

vascular disease

2

diabetes

3

obesity or malnutrition

4

pressure ulcer OR deep vein thrombosis OR previously diagnosed neuropathy

5

age

18 to 39 years

1

40 to 59 years

2

60 to 69 years

3

70 to 79 years

4

>= 80 years

5