The SHID wound classification system for diabetic foot ulcer patients: a validity study.
J Med Life
; 15(10): 1224-1228, 2022 Oct.
Article
en En
| MEDLINE
| ID: mdl-36420292
ABSTRACT
This study aimed to evaluate the predictive validity of the SHID (Suriadi, Haryanto, Imran dan Defa) wound classification system compared to TU (Texas University) and Wagner wound classification systems in Indonesia. A prospective cohort study included patients with diabetic foot ulcers at Kitamura wound clinic in Indonesia. A total of 111 diabetic foot ulcer patients were assessed with SHID, TU, and Wagner wound classification systems. Two postgraduate nursing students assessed 111 wounds of bedside patients and observed them for 4 weeks. The predictive validity test indicated that the cut-off score of ≤grade 2 for SHID was 74% and 97%, ≤grade IB for TU was 77% and 92%, then ≤grade 2 for Wagner was 84% and 71% for sensitivity and specificity, respectively. The area under the curve (AUC) in SHID, TU, and Wagner tools was 0.90 (95% CI 0.828-0.950), 0.85 (95% CI I0.766-0.910), and 0.86 (95% CI 0.775-0.917), respectively. The Youden index for SHID, TU, and Wagner was 0.72%, 0.70%, and 0.55%, respectively. The wound classification systems are good tools for identifying diabetic foot ulcers. However, the newly developed SHID tool produced the best AUC and Youden Index values compared to the Wagner tool.
Palabras clave
ABI ankle brachial index; AUC area under the curve; CI confidence interval; DFU diabetic foot ulcer; PEDIS Perfusion, Extent, Depth, Infection, and Sensation; RN registered nurse; ROC receiver operating characteristic; SHID; SHID Suriadi, Haryanto, Imran, Defa; SINBAD Site, Ischemia, Neuropathy, Bacterial Infection and Depth; TU Texas University; predictive validity; wound classification
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pie Diabético
/
Diabetes Mellitus
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
J Med Life
Asunto de la revista:
MEDICINA
Año:
2022
Tipo del documento:
Article
País de afiliación:
Indonesia