2012, Number 1
Rev Latinoam Cir 2012; 2 (1)
Saint Elian wound scoring system for the follow-up of diabetic foot ulcers and its therapeutic relevance
Martínez-De Jesús FR, González-Medina MF, Martínez-Mendiola FN, Jiménez GR, Gutiérrez-Aguilar P
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Many scoring systems are being introduced for decision making, prognosis, and potential healing, severity and research purposes. Most of them are used only at initial evaluation excluding other important variables. Severity grades for prognostic purposes scored at patient presentation have already been reported. Follow-up of wound healing progress and therapeutic impact is the purpose of this work.
Material and methods:
From January 2006 to January 2009, 235 patients with type 2 diabetes and diabetic foot wounds were included and evaluated with the Saint Elian wound score system (SEWSS) which categorize 10 wound variables evaluated from mild to moderate and severe and the final score graded severity from I, II and III.
Treatment success was shown as a descending stair (initial/final) proportion/wound healing of patients from grade I (n = 114/110; 48.5/96.5%), II (n = 90/51; 38.3/56.7%) and III (n = 31/3; 13/9.7%) (p ‹ 0.001). Success healing progress of the three severity grades showed a lineal tendency until 4th
assessment and then after just the difficult to heal ulcers remained increasing wound score.
Wound healing score follow-up measured the therapeutic interventions and showed the persistence of ulcers difficult to heal after the fourth assessment. The SEWSS provide a useful tool for therapeutic interventions and ulcer follow-up for success or failure of wound healing.
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