Beckert et al developed a scoring system for grading the severity of a diabetic foot ulcer. This can help identify a patient who may require more aggressive management. The authors are from the University of Tubingen in Germany.
Parameters:
(1) pedal pulses
(2) bone involvement on probing ulcer base
(3) site of ulcer
(4) number of ulcerations (presumably on the same foot)
Parameter
Finding
Points
pedal pulses
present
0
absent
1
bone involvement
absent
0
present
1
site of ulcer
toe
0
foot
1
number of ulcers
1
0
>= 2
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
• The higher the score the more severe the ulcer (larger in size, longer time to heal, more likely to need surgery, more likely to be amputated).
Score
Probability of Being Healed at 1 Year
0
94%
1
82%
2
74%
3
64%
4
56%
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