Ince et al used the SINBAD score (an acronym for site, ischemia, neuropathy, bacterial infection, area, depth) to evaluate patients with diabetic foot ulcers. The authors are from City Hospital Nottingham, Muhimbili University (Tanzania), Abbas Medical Centre (Tanzania), Baqai Medical University (Pakistan) and Marianenkrankenhaus (Germany).
Patient selection: diabetic foot ulcer
Parameters:
(1) site (S)
(2) ischemia (I)
(3) neuropathy (N)
(4) bacterial infection (B)
(5) area (A) of the ulcer
(6) depth (D)
Parameter |
Finding |
Points |
site |
forefoot |
0 |
|
midfoot or hindfoot |
1 |
ischemia |
at least one pedal pulse palpable |
0 |
|
reduced pedal blood flow (no pedal pulse palpable) |
1 |
neuropathy |
protective sensation intact |
0 |
|
protective sensation absent |
1 |
bacterial infection |
absent |
0 |
|
present |
1 |
area |
< 1 square cm |
0 |
|
>= 1 square cm |
1 |
depth |
skin and subcutaneous tissue |
0 |
|
muscle, tendon or deeper |
1 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• A score >= 3 was associated with slower healing and more complications.
Specialty: Dermatology, Endocrinology, Surgery, general, Surgery, orthopedic