A simple severity index for pressure ulcers

Abstract

The aim of this study was to design and test a pressure ulcer severity score based on assessment by experienced clinicians. Fifty pressure ulcers were each evaluated independently by seven experienced clinicians, using a scale that ranged from 0 (mildest damage) to 10 (most severe). Ulcer characteristics were analysed to determine which factors related to the assessments. A second set of 50 ulcers was used to test the validity of the resulting scoring system. Inter- and intra-observer reliability were tested in a further 10 pressure ulcers. A multivariate linear model was produced, based on the following three variables: colour (CO-matched-matched) in the wound base; depth (DE)?of the ulcer; and mean diameter (D)?of the wound (‘CODED’). The coefficients for each variable were rounded to yield points in an additive equation, the CODED score. This score had a high correlation (r = 0.92, P<0.001) with the second set of evaluations, used to test the score performance. The CODED score is a simple and valid tool to quantify the progress of a pressure ulcer. It has a high correlation with the severity assessment of experienced clinicians and is reliable when used by non-experienced observers.

Evaluation of validity of the new diabetic foot ulcer assessment scale in Indonesia

“…The dominant severity of the wounds in this study was grade 2 (35.7%) ( Table 2). The medians of DFUAS, BWAT, and PUSH at baseline were 26 (5-68), 38.5 , and 11 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17), respectively.…”

“…In 2008, Barber established the Barber measurement tool (BMT); Carlos and Soriano later developed the RESVECH V1.0 tool to measure chronic wounds . Tools for specific wound types include the Sessing scale (SS), the pressure ulcer scale for healing (PUSH), the pressure sore status tool (PSST), the wound healing scale (WHS), CODED, and DESIGN‐R . The leg ulcer measurement tool (LUMT) was developed for leg ulcers .…”

Medida de la cicatrización en úlceras por presión: ¿Con qué contamos?

“…En la literatura se han presentado diferentes escalas que abarcan múltiples características de la piel, evaluando su estado e integridad: el trabajo de Verhonick (25) en la escala observacional de UPP, la escala Sessing (26), la escala WHS (Wound healing Scale) (27), la herramienta de cicatrización de Sussman (28), la escala PSST (Pressure Sore Status Tool) (29), la escala PUSH (Pressure Ulcer Scale for Healing) (30), la escala DESIGN (31) y la escala CODED (32).…”

“…Escala CODED Planteada por Emparanza y cols. (32) en 2000, es una escala española. Su desarrollo se llevó a cabo evaluando a 50 pacientes con UPP y contrastando la información con la puntuación independiente que realizaban siete expertos.…”

Monitoring healing of pressure ulcers: a review of assessment instruments for use in the spinal cord unit

“…Staging or grading scales as the National Pressure Ulcer Advisory Panel staging system, European Pressure Ulcer Advisory Panel scale and Stirling scale are not suitable because these classification systems were designed to rate the severity of a pressure ulcer and not its healing. 5,6 In 1997, it was concluded that no ideal instrument to measure pressure ulcer healing was available. 3,7 These and later reviews, however, described only part of available instruments or described instruments used for other kinds of wounds.…”