On the basis of calculated DCV score, eight risk fac-tors were above the cut-off point (≥0·7). Among them, 87·5% (n= 7) presented high positive agreement with the conceptual definition (≥0·85). The only risk fac-tor with low positive agreement (0·6) was ineffective tissue perfusion, indicating the need to adjust its con-ceptual definition. Findings were similar regarding clarity, with high positive agreement (≥0·8) for 87·5% (n= 7) of the risk factors and low positive agreement (0·6) for ineffective tissue perfusion.