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SINBAD Classification System of Ince et al for Diabetic Foot Ulcers

Description

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.

 


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