{"id":7635,"date":"2020-06-03T15:46:17","date_gmt":"2020-06-03T15:46:17","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7635"},"modified":"2026-01-07T20:44:51","modified_gmt":"2026-01-07T20:44:51","slug":"saint-elian","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/saint-elian\/","title":{"rendered":"Sistema de Puntuaci\u00f3n de Heridas de Saint Elian para \u00dalceras del Pie Diab\u00e9tico"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las ulceraciones del pie se encuentran entre las complicaciones m\u00e1s complejas y heterog\u00e9neas en pacientes con diabetes. Las \u00falceras cut\u00e1neas deben tratarse de diferentes maneras dependiendo de su etiolog\u00eda y patog\u00e9nesis.<\/p>\n<p>Las 10 categor\u00edas del Sistema de puntuaci\u00f3n de heridas de Saint Elian (SEWSS) son \u00fatiles para guiar las decisiones de tratamiento basadas en las subcategor\u00edas de gravedad.<!--more--><\/p>\n<p>Lista de verificaci\u00f3n SEWSS de 10 factores de severidad de la herida para el puntaje y graduaci\u00f3n<\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 511px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 33.3333%; height: 24px;\"><strong>Anat\u00f3mica<\/strong><\/td>\n<td style=\"width: 33.3333%; height: 24px;\"><strong>Factores <\/strong><strong>Agravantes\u00a0<\/strong><\/td>\n<td style=\"width: 33.3333%; height: 24px;\"><strong>Tejidos Afectados<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 168px;\">\n<td style=\"width: 33.3333%; height: 133px;\">Localizaci\u00f3n (1-3)<br \/>\n1. Falanges\/dedos<br \/>\n2. Metatarso<br \/>\n3. Tarso<\/td>\n<td style=\"width: 33.3333%; height: 133px;\">Isquemia (0-3)<br \/>\n0. No<br \/>\n1. Leve<br \/>\n2. Moderado<br \/>\n3. Severo<\/td>\n<td style=\"width: 33.3333%; height: 133px;\">Profundidad<br \/>\n1. Superficial (solo piel)<br \/>\n2. \u00dalcera profunda (debajo de la dermis)<br \/>\n3. Todas las capas (hueso y articulaci\u00f3n)<\/td>\n<\/tr>\n<tr style=\"height: 264px;\">\n<td style=\"width: 33.3333%; height: 213px;\">Aspectos topogr\u00e1ficos (1-3)<br \/>\n1. Dorsal o plantar<br \/>\n2. Lateral o medial<br \/>\n3. Dos o m\u00e1s<\/td>\n<td style=\"width: 33.3333%; height: 213px;\">Infecci\u00f3n (0-3)<br \/>\n0. No<br \/>\n1. Leve: Eritema &lt;2 cm, induraci\u00f3n, sensibilidad, calor y secreci\u00f3n purulenta.<br \/>\n2. Moderada: Eritema &gt;2 cm, infecci\u00f3n muscular, tendinosa u \u00f3sea o articular<br \/>\n3. Severa: Respuesta inflamatoria sist\u00e9mica<\/td>\n<td style=\"width: 33.3333%; height: 213px;\">\u00c1rea (1-3)<br \/>\n1. Peque\u00f1a &lt;10 cm2<br \/>\n2. Mediana 10-40 cm2<br \/>\n3. Grande &gt;40 cm2<\/td>\n<\/tr>\n<tr style=\"height: 168px;\">\n<td style=\"width: 33.3333%; height: 117px;\">Zonas afectadas (1-3)<br \/>\n1. Una<br \/>\n2. Dos<br \/>\n3. Pie entero (heridas m\u00faltiples)<\/td>\n<td style=\"width: 33.3333%; height: 117px;\">Edema (0-3)<br \/>\n0. No<br \/>\n1. Perilesional<br \/>\n2. Solo pierna afectada<br \/>\n3. Bilateral secundaria a enfermedad sist\u00e9mica<\/td>\n<td style=\"width: 33.3333%; height: 117px;\">Fase de curaci\u00f3n de heridas (1-3)<br \/>\n1. Epitelizaci\u00f3n<br \/>\n2. Granulaci\u00f3n<br \/>\n3. Inflamatorio<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 33.3333%; height: 24px;\"><\/td>\n<td style=\"width: 33.3333%; height: 24px;\">Neuropat\u00eda (0-3)<br \/>\n0. No<br \/>\n1. Sensaci\u00f3n protectora o vibraci\u00f3n disminuida<br \/>\n2. P\u00e9rdida de la sensaci\u00f3n protectora o vibraci\u00f3n.<br \/>\n3. Neuro-osteoartrosis diab\u00e9tica de Charcot<\/td>\n<td style=\"width: 33.3333%; height: 24px;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Puntuaci\u00f3n<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 15.5251%;\"><strong>Suma del Score<\/strong><\/td>\n<td style=\"width: 17.7511%;\"><strong>Grado<\/strong><\/td>\n<td style=\"width: 66.7237%;\"><strong>Pron\u00f3stico<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.5251%;\">\u226410<\/td>\n<td style=\"width: 17.7511%;\">I, leve<\/td>\n<td style=\"width: 66.7237%;\">Probable curaci\u00f3n exitosa de heridas<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.5251%;\">11-20<\/td>\n<td style=\"width: 17.7511%;\">II, moderado<\/td>\n<td style=\"width: 66.7237%;\">Parcialmente amenazante para los pies; resultado relacionado con las terapias \u00abde vanguardia\u00bb utilizadas y asociadas con una buena respuesta biol\u00f3gica del paciente<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.5251%;\">21-30<\/td>\n<td style=\"width: 17.7511%;\">III, severo<\/td>\n<td style=\"width: 66.7237%;\">Extremidades y amenazas para la vida; resultado no relacionado con las terapias \u00abde vanguardia\u00bb debido a un paciente biol\u00f3gico pobre<br \/>\nrespuesta<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Mart\u00ednez-De Jes\u00fas FR. A checklist system to score healing progress of diabetic foot ulcers. Int J Low Extrem Wounds. 2010;9(2):74\u201083. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20483806\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Huang Y, Xie T, Cao Y, et al. Comparison of two classification systems in predicting the outcome of diabetic foot ulcers: the Wagner grade and the Saint Elian Wound score systems. Wound Repair Regen. 2015;23(3):379\u2010385. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25817047\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Carro GV, Saurral R, Carlucci E, Gette F, Llanos ML\u00c1, Amato PS. A Comparison Between Diabetic Foot Classifications WIfI, Saint Elian, and Texas: Description of Wounds and Clinical Outcomes. Int J Low Extrem Wounds. 2022 Jun;21(2):120-130. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32594809\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 29, 2020.<br \/>\nActualizado Ene 07, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las ulceraciones del pie se encuentran entre las complicaciones m\u00e1s complejas y heterog\u00e9neas en pacientes con diabetes. Las \u00falceras cut\u00e1neas deben tratarse de diferentes maneras dependiendo de su etiolog\u00eda y patog\u00e9nesis. Las 10 categor\u00edas del Sistema de puntuaci\u00f3n de heridas de Saint Elian (SEWSS) son \u00fatiles para guiar las decisiones de tratamiento basadas en las [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[626],"tags":[1120,1793,2199,1792,2200,1791,445,2198,450,494,507,1789,1788,1794],"class_list":["post-7635","post","type-post","status-publish","format-standard","hentry","category-diabetes","tag-diabetic","tag-diabetico","tag-elian","tag-foot","tag-heridas","tag-pie","tag-puntuacion","tag-saint","tag-score","tag-sistema","tag-system","tag-ulceras","tag-ulcers","tag-wound"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7635","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=7635"}],"version-history":[{"count":10,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7635\/revisions"}],"predecessor-version":[{"id":10578,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7635\/revisions\/10578"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=7635"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=7635"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=7635"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}