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Validation of New Wound Based Diabetic Ulcer Severity Score (DUSS)

V Pavan Kumar , K Lokesh1 , V Pavan Kumar2

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New Indian Journal of Surgery 11(2):p 144-154, April-June 2020. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.11

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K Lokesh, V Pavan Kumar. Validation of New Wound Based Diabetic Ulcer Severity Score (DUSS). New Indian J Surg.
2020;11(2):144–154.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

 

Context: Diabetic ulcer severity score (DUSS) was by Beckert considering palpable pedal pulses, probing to bone, ulcer location and presence of ulcerations assess outcome. Aims: To calculate DUSS in the patients with diabetic foot andassess the outcome. Settings and Design: A single center Prospective Analytical study in Tertiary care center among 150 Diabetic patients of 20–80 years with foot ulcers
Methods and Material: Medical history, physical examination, investigation results are entered into data collection forms. Patients were followed for 6 months. Statistical Analyzis used: Median and inter quartile range, Kaplan-Meier Analyzis, Cox regression. Results: Mean age was 53 ± 14 years. Males were 58%. DUSS 3 score was common, 50.66% had amputations. The probability of healing with Score 0 was 93.75%, 92.86% with Score 1, 75% with Score 2, 15% with Score 3 and 0% with Score 4. Conclusions: DUSS scoring system provides an easy diagnostic tool for anticipating probability of healing/ amputation and need for surgery by combining four clinically assessable wound based parameters.
Keywords: DUSS score; Amputation; Skin grafting; Secondary healing.

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Cite this article

 

K Lokesh, V Pavan Kumar. Validation of New Wound Based Diabetic Ulcer Severity Score (DUSS). New Indian J Surg.
2020;11(2):144–154.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.11

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