A new wound-based severity score for diabetic foot ulcers: A prospective analysis of 1,000 patients

Diabetes Care
Stefan BeckertStephan Coerper

Abstract

Several well-accepted classification systems are available for diabetic foot ulcers. However, there are only a few and scientifically not validated severity scores. The aim of this study was to establish a new wound-based clinical scoring system for diabetic foot ulcers suitable for daily clinical practice anticipating chances for healing and risk of amputation. Four clinically defined parameters, namely palpable pedal pulses, probing to bone, ulcer location, and presence of multiple ulcerations, were prospectively assessed in 1,000 consecutive patients. In the next step, a new diabetic ulcer severity score (DUSS) was created from these parameters. Palpable pedal pulses were categorized by the absence (scored as 1) or presence (scored as 0) of pedal pulses, while probing to bone was defined as yes (scored as 1) or no (scored as 0). The site of ulceration was defined as toe (scored as 0) or foot (scored as 1) ulcer. Patients with multiple ulcerations were graded as 1 compared with those with single ulcers (scored as 0). The DUSS was calculated by adding these separate gradings to a theoretical maximum of 4. Wounds were followed-up for 365 days or until healing or amputation if earlier. Probability of healing and risk of amputati...Continue Reading

Citations

Jan 31, 2007·Nature Clinical Practice. Endocrinology & Metabolism·Michael Edmonds
Mar 8, 2013·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Jeanne R LoweJoanne D Whitney
Nov 3, 2012·Diabetic Foot & Ankle·Hassan Gubara Musa, Mohamed Elmakki Ahmed
Sep 6, 2015·Diabetes/metabolism Research and Reviews·J R W BrownriggUNKNOWN International Working Group on the Diabetic Foot
Oct 13, 2015·Diabetes/metabolism Research and Reviews·Frances Game
Jun 19, 2015·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Hedvig ÖrneholmMagnus Eneroth
Apr 4, 2008·Diabetes/metabolism Research and Reviews·Jan Apelqvist
Feb 1, 2012·Diabetes/metabolism Research and Reviews·N C Schaper
Jan 12, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·M LöfflerS Beckert
Feb 1, 2012·Diabetes/metabolism Research and Reviews·J A P Apelqvist, M J A Lepäntalo
Jun 12, 2010·Diabetic Medicine : a Journal of the British Diabetic Association·A KarthikesalingamR J Hinchliffe
Oct 16, 2013·Journal of Vascular Surgery·Joseph L MillsUNKNOWN Society for Vascular Surgery Lower Extremity Guidelines Committee
Sep 18, 2013·The International Journal of Lower Extremity Wounds·Almudena Cecilia-MatillaJuan Vicente Beneit-Montesinos
May 21, 2010·The International Journal of Lower Extremity Wounds·Fermín R Martínez-De Jesús
Aug 5, 2016·International Wound Journal·Hedvig ÖrneholmMagnus Eneroth
Sep 6, 2015·Diabetes/metabolism Research and Reviews·R J HinchliffeUNKNOWN International Working Group on the Diabetic Foot
Sep 4, 2015·Diabetes/metabolism Research and Reviews·R J HinchliffeUNKNOWN International Working Group on the Diabetic Foot
Mar 15, 2016·The Journal of Dermatology·Taiki IseiUNKNOWN Wound/Burn Guidelines Committee
Dec 23, 2014·Diabetes/metabolism Research and Reviews·Matilde Monteiro-SoaresMário Dinis-Ribeiro
Aug 21, 2014·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Liza BraunLawrence A Lavery
Sep 15, 2020·The International Journal of Lower Extremity Wounds·Thomas Vedste AagaardStig Brorson

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