_id

683a162cc782e11e38d1b245

id

10059

title

PEDIS Score for Diabetic Foot Ulcers

full_title

PEDIS Score for Diabetic Foot Ulcers

short_title

PEDIS Score

med_description

Predicts 6-month risk of amputation and mortality in diabetic foot ulcers.

short_description

Diabetic ulcer outcomes.

slug

pedis-score-diabetic-foot-ulcers

description

The PEDIS Score for Diabetic Foot Ulcer predicts risk of amputation and mortality in diabetic foot ulcers.

keywords

Diabetic foot ulcer, PEDIS score, clinical outcome, foot infection

complaint

[ "Extremity Edema", "Extremity Pain", "Pain" ]

formula

Addition of the selected points: *Evaluate using sterile blunt nasal probe and imaging tests.

evidence

measurements

[]

information

Interpretation:

*Nonhealing ulcer, need for amputation, or death.

refrences

{ "Clinical Practice Guidelines": [ { "href": "", "text": "" } ], "Manufacturer Website": [ { "href": "", "text": "" } ], "Original/Primary Reference": [ { "href": "https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0124739", "text": "Chuan F, Tang K, Jiang P, Zhou B, He X. Reliability and validity of the perfusion, extent, depth, infection and sensation (PEDIS) classification system and score in patients with diabetic foot ulcer. PLoS ONE. 2015;10(4):e0124739." } ], "Other References": [ { "href": "https://www.ncbi.nlm.nih.gov/pubmed/28722354", "text": "Uysal S, Arda B, Taşbakan MI, et al. Risk factors for amputation in patients with diabetic foot infection: a prospective study. Int Wound J. 2017;14(6):1219-1224." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/18299441", "text": "Ince P, Abbas ZG, Lutale JK, et al. Use of the SINBAD classification system and score in comparing outcome of foot ulcer management on three continents. Diabetes Care. 2008;31(5):964-7." }, { "href": "https://www.ncbi.nlm.nih.gov/pubmed/7319435", "text": "Wagner FW. The dysvascular foot: a system for diagnosis and treatment. Foot Ankle. 1981;2(2):64-122." } ], "Outcomes": [ { "href": "", "text": "" } ], "Validation": [ { "href": "", "text": "" } ], "Validations": [] }

pearls

usecase

• Hospitalized patients with diabetic foot ulcer of any duration.
• Do not use in patients with secondary diabetes or those with foot ulcers caused by autoimmune disease or malignancy.

reasons

Uses more objective findings than previous diabetic wound classification sytems such as the SINBAD and Wagner systems.

next_advice

Diabetic foot ulcer management can be complex and should employ a multidisciplinary approach for long-term management, including primary care, endocrinology, wound care specialists, podiatry, etc. as necessary.

next_actions

next_management

diseases

[ "Cellulitis/Abscess", "Diabetes Mellitus", "Neuropathy" ]

input_schema

[ { "conditionality": "", "default": 0, "label_en": "Perfusion", "mdcalc_info_concept": null, "name": "perfusion", "option_fhir_rules": null, "optional": false, "options": [ { "label": "No peripheral arterial disease", "value": 0 }, { "label": "Peripheral arterial disease, no critical limb ischemia", "value": 1 }, { "label": "Critical limb ischemia", "value": 2 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Extent", "mdcalc_info_concept": null, "name": "extent", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Skin intact", "value": 0 }, { "label": "<1 cm²", "value": 1 }, { "label": "1–3 cm²", "value": 2 }, { "label": ">3 cm²", "value": 3 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Depth", "mdcalc_info_concept": null, "name": "depth", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Skin intact", "value": 0 }, { "label": "Superficial", "value": 1 }, { "label": "Fascia, muscle, tendon", "value": 2 }, { "label": "Bone or joint", "value": 3 } ], "show_points": true, "tips_en": "Evaluate using sterile blunt nasal probe and imaging tests", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Infection", "mdcalc_info_concept": null, "name": "infection", "option_fhir_rules": null, "optional": false, "options": [ { "label": "None", "value": 0 }, { "label": "Surface", "value": 1 }, { "label": "Abscess, fasciitis, and/or septic arthritis", "value": 2 }, { "label": "Systemic inflammatory response syndrome", "value": 3 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": "", "default": 0, "label_en": "Sensation", "mdcalc_info_concept": null, "name": "sensation", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Sensation intact", "value": 0 }, { "label": "Loss of sensation", "value": 1 } ], "show_points": true, "tips_en": "", "type": "radio" } ]

instructions

Use in an inpatient setting in patients with diabetic foot ulcer of any duration. Do not use in patients with secondary diabetes or those with foot ulcers caused by autoimmune disease or malignancy.

published

2022-04-21T20:28:11.949Z

purpose

[ "Prognosis" ]

search_terms

[ "Diabetic foot ulcer", "PEDIS score", "clinical outcome", "foot infection" ]

seo

{ "keywords_en": "Diabetic foot ulcer, PEDIS score, clinical outcome, foot infection", "meta_description_en": "The PEDIS Score for Diabetic Foot Ulcer predicts risk of amputation and mortality in diabetic foot ulcers." }

specialty

[ "Dermatology", "Endocrinology", "Hospitalist Medicine", "Infectious Disease", "Internal Medicine", "Podiatry", "Surgery (General)" ]

departments

[ "Dermatologic", "Endocrine and Metabolic", "Infectious", "Vascular" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": "4020", "short_title_en": "ADA Diabetes Risk Calculator", "slug": "american-diabetes-association-ada-risk-calculator" }, { "calcId": "1734", "short_title_en": "LRINEC Score", "slug": "lrinec-score-necrotizing-soft-tissue-infection" }, { "calcId": "4031", "short_title_en": "Hypoglycemia Risk Score", "slug": "hypoglycemia-risk-score" } ]

ismed

false

section

[ "whenToUseViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "dermatology", "endocrine", "infectious", "cardiology" ]

cleaned_use

[ "Hospitalized patients with diabetic foot ulcer of any duration.", "Do not use in patients with secondary diabetes or those with foot ulcers caused by autoimmune disease or malignancy." ]

pub

false