Published December 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article105.pdf
Journal article Open

To Evaluate the Diabetic Foot Using Diabetic Ulcer Severity Score in GMC Kadapa

  • 1. MS, Associate Professor, Department of Surgery, GMC, Kadapa
  • 2. MS, Associate Professor, Department of Surgery, ACSR, Nellore
  • 3. Post Graduate, Department of Surgery, GMC, Kadapa
  • 4. Assistant Professor, Department of Surgery, GMC, Kadapa

Description

Background: In Diabetic foot ulcers early expert assessment and treatment are required to reduce the impact of the condition on the patient and to reduce the incidence of major amputation. The incidence of major amputation has been described as ‘a marker not just of disease, but also of disease management’. So a classification system that is easy to apply and robust enough to permit should be available in routine practice. The Aim of the study was undertaken to analyze the efficacy of DUSS scoring system in diabetic foot ulcers for prediction of clinical outcomes. Materials And Methods: Prospective Observational Study in GMC Kadapa over one year period in the Department of General surgery, in 100 cases that were randomly selected. Conclusion: DUSS scoring system provides an easy diagnostic tool for know the probability of healing and amputation. It combines four clinically assessable wound based parameters peripheral pulses, bone probing, number and site of ulcers giving 0 and 1 score for each parameter. DUSS score helps us to stratify patients based on score. It is a simple, streamlined approach in a clinical setting without any investigations. So this can be used in any setup to assess the diabetic ulcers. Lower DUSS score was strongly associated with healing and higher score with amputation.

 

 

Abstract (English)

Background: In Diabetic foot ulcers early expert assessment and treatment are required to reduce the impact of the condition on the patient and to reduce the incidence of major amputation. The incidence of major amputation has been described as ‘a marker not just of disease, but also of disease management’. So a classification system that is easy to apply and robust enough to permit should be available in routine practice. The Aim of the study was undertaken to analyze the efficacy of DUSS scoring system in diabetic foot ulcers for prediction of clinical outcomes. Materials And Methods: Prospective Observational Study in GMC Kadapa over one year period in the Department of General surgery, in 100 cases that were randomly selected. Conclusion: DUSS scoring system provides an easy diagnostic tool for know the probability of healing and amputation. It combines four clinically assessable wound based parameters peripheral pulses, bone probing, number and site of ulcers giving 0 and 1 score for each parameter. DUSS score helps us to stratify patients based on score. It is a simple, streamlined approach in a clinical setting without any investigations. So this can be used in any setup to assess the diabetic ulcers. Lower DUSS score was strongly associated with healing and higher score with amputation.

 

 

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Additional details

Dates

Accepted
2023-11-30

References

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