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Analysis Study Research Paper | Surgery | India | Volume 12 Issue 1, January 2023 | Rating: 4.8 / 10

Evaluation of Diabetic Ulcer Severity Score (DUSS) in Predicting Outcome in Patients with Diabetic Foot Ulcer

Rahul Vaidya | Jaimish Gajjar | Sneh Shah

Abstract: Background: Diabetes is one of the most common chronic diseases affecting around 57% (diagnosed + undiagnosed) of Indians and is a cause of major co morbidity which includes the development of the diabetic foot ulcer (3). Diabetic foot ulcer in itself is a chronic disease where timely intervention when not done with adequate control would ultimately lead to amputation of the affected limb/part affecting the quality of life. Various classifications exist for evaluating the diabetic foot ulcer that compare treatment modalities and outcome (18), here we look at one-Diabetic Ulcer Severity Score (DUSS) (19) and test its efficacy in predicting the outcome of the ulcer and ultimately the limb. Aim of the study: To evaluate Diabetic Ulcer Severity Score (DUSS) in predicting the outcome in patients with Diabetic foot ulcer. Material and Methods: It is a prospective observational study in which patients admitted to the indoor facility of surgery department in GCS Medical College, Hospital and Research Centre and attending OPD with diabetic ulcer of leg during the period of January 2021 to January 2022 considering the inclusion and the exclusion criteria were included. DUSS consists of the following four parameters (4) (10): 1) Palpable pedal pulses-yes/no 2) Probing to the bone -yes /no 3) Ulcer location 4) Presence of multiple ulcerations-yes/no. With maximum score of 4 (considered poor outcome) given if all the parameters present and minimum score of 0 (good outcome) and on basis of which the outcome is predicted. Results: On basis of the data collected and applying the chi-square test, the data was found to be statistically significant which indicated that DUSS score is an effective method of predicting the outcome of the diabetic foot ulcer. Conclusion: DUSS scoring system provides an easy diagnostic tool for predicting the probability of healing or amputation by combining four clinically assessable wound-based parameters without the need of advanced investigative tool but it does not alter the procedure for wound management.

Keywords: Diabetic Ulcer, Diabetic ulcer severity score, Amputation, Wound Healing

Edition: Volume 12 Issue 1, January 2023,

Pages: 824 - 827