Diabetic Ulcer Severity Score

NewsBot · Dec 29, 2016

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Validation of Diabetic Ulcer Severity Score (DUSS).
Shashikala C.K. et al
Annals of International Medical and Dental Research, Vol (3), Issue (1)

Background: A number of foot ulcer classification systems have been devised in an attempt to categorize ulcers more
effectively and allow effective comparison of the outcome of routine management. DUSS (Diabetic Ulcer Severity Score) is
one of the latest wound based system of classification, which needs to be validated. Aims and Objectives: Our aim was
validation of this diabetic ulcer severity score (DUSS), with patients outcome including healing and amputation. Methods:
Total of 100 Diabetic patients attending surgical outpatient clinic or admitted into the hospital (BMCRI) with diabetic foot
ulcers from September 2014 to September 2016 were included in the study. Necessary data was collected .DUSS score
was calculated for each patient and analysis was done using SPSS package version16. Results: Most common age group
affected with Diabetic foot was between 41 -60 years. Males were commonly affected by Diabetic foot ulcers accounting to
68% .Most commonly ulcers were of DUSS Score of 2 followed by Score 3. Overall 50 (50.0%) of 100 people had
amputations in our study. Major Amputation was done for 25% of patients. Minor Amputation was done in 25% of patients
in our study. The probability of healing with score 0 was 95%,91.6% with score 1,85.7% with score 2,52% with score 3, and
28.5% with score 4. Conclusion: DUSS scoring system provides an easy diagnostic tool for predicting probability of
healing or amputation .This is a very simple and easy scoring system which needs no advanced investigation tool and can
be easily followed even in busy OPD
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NewsBot · Oct 5, 2021

Efficacy of diabetic ulcer severity score in patients with diabetic foot
ulcer in predicting prognosis
Robinson George, Joe Mathew, Vishnu M. L., Jacob P. Thomas
Int Surg J. 2021 Oct;8(10):2961-2967

Background: Diabetic foot ulcer (DFU) is a full-thickness wound, skin necrosis or gangrene below the ankle induced
by peripheral neuropathy or peripheral arterial disease in patients with diabetes. There are well-accepted classification
systems for DFUs, namely Wagner’s scoring system, university of Texas scoring system etc. However, only few are
scientifically validated. Diabetic ulcer severity score (DUSS) introduced by Beckert et al consists of easily accessible
clinical parameters which categorizes wounds into specific subgroups for comparison of outcomes.
Methods: A prospective study was conducted on 250 diabetic ulcer patients, attending the out-patient department
(OPD) of surgery, Pushpagiri institute of medical sciences, Tiruvalla.
Results: Most common age group affected with diabetic foot was between 51-60 years (mean 58.9±10.2 years).
Males accounted for 54% of patients. Most common ulcers were of score of 2 followed by score 3. Overall, 105
(42%) of 250 people had amputations in our study with majority undergoing minor amputation (30%) than the major
amputation (12%). None of the patients with scores 0, 1 and 2 had major amputation. Probability of healing among
the various scores were-100% for score 0, 97.9% for score 1, 83.4% for score 2, 17.7% for score 3 and 4.8% for score
4. Lower score is strongly associated with primary healing and higher score with amputations.
Conclusions: DUSS system is an easy wound based diagnostic tool for anticipating probability of healing or
amputation and need for surgery by assessing the four clinical parameters and combining them which is safe and
easily reproducible.
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NewsBot · Apr 20, 2023

A Study to Evaluate the Validity of Diabetic Ulcer Severity Score in Predicting Outcome of patients with Diabetic Foot Ulcer
M. Elanchezhian K. Kesavalingam
Journal of Medicine and Health Research, Page 24-28

Aim: To evaluate the validity of Diabetic Ulcer Severity Score in predicting the outcome of patients with Diabetic Foot Ulcer
Methods: The materials used in the study consisted of 150 patients with Diabetic Foot Ulcer were admitted in department of General Surgery in Government Mohan Kumaramangalam Medical College and Hospital, Salem during January 2021 and October 2022.
Results: Most of the diabetic ulcers were scored with DUSS Score of 2 and 1. Almost 80 out of 150 people had amputations in this study. Amputations were more common in patients with DUSS score 4 followed by 3. Major amputations were common in diabetic ulcers with DUSS score 4 and no patients with score 0 and 1 had major amputation. Minor amputations were more common in diabetic ulcers with DUSS score of 2. The probability of healing without amputation with score 0 was 100% and decreases to 17.3%% with score 3 and 0% with score 4.
Conclusion: DUSS scoring system delivers an easy diagnostic tool for assessing need for surgery and expectation of probability of healing/amputation by combining four clinically assessable wound based parameters. This is a simple and easy scoring system which does not need advanced investigations and can be easily followed.
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NewsBot · Jul 25, 2023

A study to correlate duss score with clinical outcome in patients of diabetic
foot ulcers
Ayushi Bhayal et al
Source

Introduction: Diabetic foot ulcer has been defined as “an ulceration of the foot associated
with neuropathy and different grade of ischemia andinfection.”2
The condition is usually
secondary to diabetic neuropathy due to uncontrolled diabetes orpoorglycemic status. The site
of ulcers in diabetes are typically seen at the area of foot which encounters constant pressure
or repetitive trauma. We carried out this study to determine the utility of this scoring system
in predicting the clinical outcome of diabetic foot ulcer in routine clinical setting.
Materials and Methodology: This study was adopted as a clinical, prospective,
observational, cohort study which was carried out in Out-Patient Department as well as
Emergency Department at People’s college of Medical Sciences and Research Centre,
Bhopal. The duration of the study has been set up around 22 months from December 2020 to
September 2022. All the study participants were carefully selected based on the inclusion
criteria and Written consent was obtained from all the study participants after explaining
them nature and purpose of study.
Results: The association between DUSS score and primary healing showed that the primary
healing was significantly better in patients with low DUSS score (0,1) as compared to
patients with DUSS score of 2 or above (p<0.05). Table – 5 correlated the association
between DUSS score and plastic surgery. Therefore the results showed that plastic surgery
was done in significantly higher proportions of cases with DUSS score 2 (36.4%), followed
by 29% cases with DUSS score 3 (p<0.05). When DUSS score and minor amputation were
correlated, it has been tabulated that the rate of minor amputation is relatively be higher in
patients with DUSS score 3 and 4. The rate of toe amputation was higher in patients with
DUSS score 3 whereas the rate of fore foot amputation was higher inpatients with DUSS
score 4(p<0.05).
Conclusion: Advancing age, duration of diabetes and untreated/improper treatment of
diabetes mellitus are predictors of high DUSS score that is linked with poor clinical outcome
in terms of need of debridement, plastic surgery and amputation. Hence, DUSS score can be a
part of day-to-day practice in diabetic clinics to classify the ulcers early and plan the
management of patients according to the predicted clinical outcome.
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