PEDIS Score for Diabetic Foot Ulcers
PEDIS Score for Diabetic Foot Ulcers
Perfusion
Extent / Size
Depth / Tissue Loss
Infection
Sensation
Score:–
–
–
Predicts 6-month risk of amputation and mortality in diabetic foot ulcers.
Why Use
Uses more objective findings than previous diabetic wound classification sytems such as the SINBAD and Wagner systems.
When to 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.
Formula
Addition of the selected points: Variable Points Perfusion No peripheral arterial disease 0 Peripheral arterial disease, no critical limb ischemia 1 Critical limb ischemia 2 Extent Skin intact 0 <1 cm 2 1 1–3 cm 2 2 >3 cm 2 3 Depth* Skin intact 0 Superficial 1 Fascia, muscle, tendon 2 Bone or joint 3 Infection None 0 Surface 1 Abscess, fasciitis, and/or septic arthritis 2 Systemic inflammatory response syndrome 3 Sensation Sensation intact 0 Loss of sensation 1 *E valuate using sterile blunt nasal probe and imaging tests.
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.
More Information
Interpretation: PEDIS Score Risk of adverse outcome* <7 Low ≥7 High (AUROC 0.95, 82% specific) *Nonhealing ulcer, need for amputation, or death.