A New Wound-Based Severity Score for Diabetic Foot Ulcers: A prospective analysis of 1,000 patients

Beckert, Stefan; Witte, Maria; Wicke, Corinna; Königsrainer, Alfred; Coerper, S.

doi:10.2337/diacare.295988

Cited by 79 publications

(110 citation statements)

References 18 publications

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“…Similar findings were reported by Beckert et al 13 Overall 27 (54.0%) of 50 people had amputations in the present study. In the present study, 24% patients underwent major amputation and 30% underwent minor amputation.…”

supporting

confidence: 82%

“…The mean time for amputation was found to be 100.48 days. Similar findings were observed by Beckert et al 13 In the present study mean age was 57 years compared to Beckert et al study where mean age was 69 years. 13 In the present study males 28 (56%) were more commonly affected with ulcers than females 22 (44%),when compared to a study conducted by Beckert et al where males were 675 (67.5%)and females were 325 (32.5%) respectively.…”

supporting

confidence: 81%

“…Similar findings were observed by Beckert et al 13 In the present study mean age was 57 years compared to Beckert et al study where mean age was 69 years. 13 In the present study males 28 (56%) were more commonly affected with ulcers than females 22 (44%),when compared to a study conducted by Beckert et al where males were 675 (67.5%)and females were 325 (32.5%) respectively. 13 Among various studies on diabetic foot ulcers, higher costs were observed among younger patients, patients with inadequate vascular status, and patients whose ulcer progressed to a higher severity level.…”

supporting

confidence: 81%

“…It decreased further to 30% on having score of three and with scores four it became 16.7%. Similar findings were noted by Beckert et al 13 They reported that as the score increased, the probability of healing ulcer decreased.…”

supporting

confidence: 78%

“…13 In the present study males 28 (56%) were more commonly affected with ulcers than females 22 (44%),when compared to a study conducted by Beckert et al where males were 675 (67.5%)and females were 325 (32.5%) respectively. 13 Among various studies on diabetic foot ulcers, higher costs were observed among younger patients, patients with inadequate vascular status, and patients whose ulcer progressed to a higher severity level. Costs averaged $4,465 higher for patients less than 65 years compared with older patients.…”

mentioning

confidence: 35%

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A study to test the validity of diabetic ulcer severity score (DUSS) at tertiary care hospital

Kumar

Moghadam

2017

Int Surg J

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Background: For classification of ulcer of feet in diabetes, various systems of classification are in use. Notable among them are the University of Texas (UT) system and the Wagner system. One of the most recent such type of classification system is DUSS (Diabetic Ulcer Severity Score). Studies are required to validate the same. Objective was to test the validity of Diabetic Ulcer Severity Score (DUSS).Methods: Present follow up study was carried out among 50 known cases of diabetes having ulcer over foot. DUSS scoring was applied. Ulcer was graded into five grades. Patients were followed till the outcome was noted.Results: Most common ulcers were of DUSS score of 3. Major amputation was done in 15 (30%) patients and minor amputation in 12 (24%) patients. Toe amputation was done in total of 15 patients. None of the patients had forefoot amputation. Below knee amputation was done in total of 11 (22%) patients. Majority of the foot ulcers among study population with DUSS score 0, 1 and 2 healed by primary intension or skin grafting i.e., 1 (100%), 3 (75%) and 6 (46.15%) respectively. However, among those with score 3 and 4 majority required amputation i.e., 14 (70%) and 10 (83.33%) respectively. This difference in the DUSS score among the three groups was found to be statistically significant (P=0.004). The probability of healing with DUSS score 0 was 100%, 75% with DUSS score 1, 84.61% with DUSS score 2, 30% with DUSS score 3, 16.67% with DUSS score 4. The mean time for healing was 77 days. The mean time for amputation was 100 days.Conclusions: The proposed score classification system for the diabetic foot may enable better quality of life for diabetic patients and promote better low-cost care for millions of individuals worldwide.

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supporting

confidence: 82%

supporting

confidence: 81%

supporting

confidence: 81%

supporting

confidence: 78%

mentioning

confidence: 35%

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A study to test the validity of diabetic ulcer severity score (DUSS) at tertiary care hospital

Kumar

Moghadam

2017

Int Surg J

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Growth factors for treating diabetic foot ulcers

Martí‐Carvajal¹,

Gluud

Nicola

et al. 2015

Cochrane Database of Systematic Reviews

109

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A systematic review of the effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease

Hinchliffe

Andros

Apelqvist

et al. 2012

Diabetes Metabolism Res

216

196

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SummaryIn several large recent observational studies, peripheral arterial disease (PAD) was present in up to 50% of the patients with a diabetic foot ulcer and was an independent risk factor for amputation. The International Working Group on the Diabetic Foot therefore established a multidisciplinary working group to evaluate the effectiveness of revascularization of the ulcerated foot in patients with diabetes and PAD. A systematic search was performed for therapies to revascularize the ulcerated foot in patients with diabetes and PAD from 1980-June 2010. Only clinically relevant outcomes were assessed. The research conformed to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the Scottish Intercollegiate Guidelines Network methodological scores were assigned. A total of 49 papers were eligible for full text review. There were no randomized controlled trials, but there were three nonrandomized studies with a control group. The major outcomes following endovascular or open bypass surgery were broadly similar among the studies. Following open surgery, the 1-year limb salvage rates were a median of 85% (interquartile range of 80-90%), and following endovascular revascularization, these rates were 78% (70.5-85.5%). At 1-year follow-up, 60% or more of ulcers had healed following revascularization with either open bypass surgery or endovascular revascularization. Studies appeared to demonstrate improved rates of limb salvage associated with revascularization compared with the results of medically treated patients in the literature. There were insufficient data to recommend one method of revascularization over another. There is a real need for standardized reporting of baseline demographic data, severity of disease and outcome reporting in this group of patients.

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A New Wound-Based Severity Score for Diabetic Foot Ulcers: A prospective analysis of 1,000 patients

Cited by 79 publications

References 18 publications

A study to test the validity of diabetic ulcer severity score (DUSS) at tertiary care hospital

A study to test the validity of diabetic ulcer severity score (DUSS) at tertiary care hospital

Growth factors for treating diabetic foot ulcers

A systematic review of the effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease

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