Abstract :
Background: A number of foot ulcer classification systems have been devised in an attempt to categorize ulcers more
effectively and allow effective comparison of the outcome of routine management. DUSS (Diabetic Ulcer Severity Score) is
one of the latest wound based system of classification, which needs to be validated. Aims and Objectives: Our aim was
validation of this diabetic ulcer severity score (DUSS), with patients outcome including healing and amputation. Methods:
Total of 100 Diabetic patients attending surgical outpatient clinic or admitted into the hospital (BMCRI) with diabetic foot
ulcers from September 2014 to September 2016 were included in the study. Necessary data was collected .DUSS score
was calculated for each patient and analysis was done using SPSS package version16. Results: Most common age group
affected with Diabetic foot was between 41 -60 years. Males were commonly affected by Diabetic foot ulcers accounting to
68% .Most commonly ulcers were of DUSS Score of 2 followed by Score 3. Overall 50 (50.0%) of 100 people had
amputations in our study. Major Amputation was done for 25% of patients. Minor Amputation was done in 25% of patients
in our study. The probability of healing with score 0 was 95%,91.6% with score 1,85.7% with score 2,52% with score 3, and
28.5% with score 4. Conclusion: DUSS scoring system provides an easy diagnostic tool for predicting probability of
healing or amputation .This is a very simple and easy scoring system which needs no advanced investigation tool and can
be easily followed even in busy OPDs.
Keyword :
DUSS, Diabetic Foot.