Runkel et al described the LSD score for peristomal skin lesions. This can help to standardize the description of a lesion and to monitor it over time.
Patient selection: stoma
Parameters:
(1) lesion (L) and integrity of skin
(2) status of ostomy (S) and complexity of stoma care
(3) disease (D), systemic
|
Parameter |
Finding |
Descriptor |
|
lesion |
normal skin |
L0 |
|
|
skin integrity intact |
L1 |
|
|
skin integrity broken |
L2 |
|
|
local infection |
L3 |
|
status of ostomy |
normal care |
S0 |
|
|
increased care |
S1 |
|
|
high but not completely effective |
S2 |
|
systemic disease |
absent |
D0 |
|
|
present but irrelevant |
D1 |
|
|
present and relevant |
D2 |
Additional findings ("ORPHEUS")
(1) ostomy stenosis (O)
(2) retraction (R)
(3) prolapse (P)
(4) hernia (H)
(5) edema (E)
(6) unfavorable site (US): scar, belly fold, near the umbilicus
The goal is to be L0S0D0 with no ORPHEUS findings.
Specialty: Gastroenterology, Surgery, general
