Validation of a XXXX wound classification system. The contribution of depth, @entity281 , and @entity63 to risk of amputation.

@entity1 @entity6 @entity63 @entity16 @entity1066 @entity281 @entity5327 @entity130
OBJECTIVE: To validate a wound classification instrument that includes assessment of depth, @entity281 , and @entity63 based on the eventual outcome of the wound. RESEARCH DESIGN AND METHODS: We evaluated the medical records of 360 @entity6 @entity1 presenting for care of foot wounds at a multidisciplinary tertiary care foot clinic. As per protocol, all @entity1 had a standardized evaluation to assess @entity130 , @entity16 , @entity5327 , and @entity281 . @entity1 were assessed at 6 months after their initial evaluation to see whether an amputation had been performed. RESULTS: There was a significant overall trend toward increased prevalence of amputations as wounds increased in both depth (chi 2trend = 143.1, P < 0.001) and stage (chi 2trend = 91.0, P < 0.001). This was true for every subcategory as well with the exception of noninfected, nonischemic @entity1066 . There were no amputations performed within this stage during the follow-up period. @entity1 were more than 11 times more likely to receive a midfoot or higher level amputation if their wound probed to bone (18.3 vs. 2.0%, P < 0.001, chi 2 = 31.5, odds ratio (OR) = 11.1, CI = 4.0-30.3). @entity1 with @entity281 and @entity63 were nearly 90 times more likely to receive a midfoot or higher amputation compared with @entity1 in less advanced wound stages (76.5 vs. 3.5%, P < 0.001, chi 2 = 133.5, OR = 89.6, CI = 25-316). CONCLUSIONS: Outcomes deteriorated with increasing grade and stage of wounds when measured using the University of Texas Wound Classification System.
