Knighton et al evaluated chronic nonhealing wounds using the Total Wound Score, which consists of 3 parts. The authors are from the University of Minnesota in Minneapolis.
Patient selection: chronic nonhealing wound from mixed etiologies
Parameters for general wound parameters:
(1) peri-wound erythema
(2) peri-wound edema
(3) wound purulence
(4) wound fibrin
(5) pitting edema of the limb
(6) brawny edema of the limb
(7) granulation tissue in the wound
|
Parameter |
Finding |
Points |
|
peri-wound erythema |
none |
0 |
|
|
mild |
2 |
|
|
marked |
4 |
|
peri-wound edema |
none |
0 |
|
|
mild |
2 |
|
|
marked |
4 |
|
wound purulence |
none |
0 |
|
|
mild |
3 |
|
|
marked |
6 |
|
wound fibrin |
none |
0 |
|
|
mild |
2 |
|
|
marked |
4 |
|
pitting edema of the limb |
none |
0 |
|
|
mild |
2 |
|
|
marked |
4 |
|
brawny edema of the limb |
none |
0 |
|
|
mild |
3 |
|
|
marked |
6 |
|
granulation tissue |
none |
4 |
|
|
mild |
2 |
|
|
marked |
0 |
total general subscore =
= SUM(points for all 7 parameters)
Interpretation:
• minimum general subscore: 0
• maximum general subscore: 32
• The higher the subscore the more severe the wound.
Specialty: Dermatology, Surgery, general
