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Comparative Studies | General Surgery | India | Volume 12 Issue 5, May 2023 | Rating: 5 / 10
A Comparative Study of the SINBAD and DUSS Scoring Systems in Predicting the Outcome of Diabetic Foot Ulcer Management
Dr. Ajitha MB, Dr. Rajalakshmi M
Abstract: Many diabetic foot ulcer classification systems are being devised in an attempt to categorize ulcers more effectively and allow us to use a better scoring system to predict the outcome of routine management. Objectives: To compare SINBAD and DUSS scoring system in diabetic foot ulcer. Predicting the prognosis and outcome of diabetic foot ulcer. Methods: Total of 130 diabetic patients attending surgical outpatient clinic or admitted into the hospital (BMCRI) with foot ulcer from February 2021 to August 2022 were included in the study. Relevant data was collected. SINBAD and DUSS score were calculated for each patient and analysis was done using IBM SPSS Version 22 for windows. Results: Most common age group affected was between 61-70 years. Males were more commonly affected by foot ulcers. In both scoring system lower the score wound healing was by primary intention and with SSG, as the higher score need for minor and major amputation was noted. Conclusion: At the end of statistical analysis comparison between both scoring system showed SINBAD has 96% of sensitivity, 62% specificity, 60 % positive predictive value, 96% of negative predictive value with 75% of accuracy whereas DUSS score had 35% sensitivity, 84% specificity, 57% positive predictive value, 68% negative predictive value and 65% accuracy. Hence, SINBAD scoring can be recommended as an easy diagnostic tool for predicting probability of healing or amputation.
Keywords: Diabetic foot ulcer, DUSS, SINBAD score, Accuracy, ROC curve
Edition: Volume 12 Issue 5, May 2023,
Pages: 960 - 962