{"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\/saint-elian\/","title":{"rendered":"Saint Elian Wound Score System for Diabetic Foot Ulcers"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>Foot ulcerations are among the most complex and heterogeneous complications in patients with diabetes. Skin ulcers need to be managed in different ways dependent on their etiology and pathogenesis.<\/p>\n<p>The 10 Saint Elian Wound Score System (SEWSS) categories is helpful in guiding treatment decisions based on severity subcategories.<\/p>\n<p><!--more--><\/p>\n<p><strong>SEWSS Checklist of 10 Wound Severity Factors for Score and Grading<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 506px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 33.3333%; height: 24px;\"><strong>Anatomical<\/strong><\/td>\n<td style=\"width: 33.3333%; height: 24px;\"><strong>Aggravating Factors<\/strong><\/td>\n<td style=\"width: 33.3333%; height: 24px;\"><strong>Affected Tissues<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 168px;\">\n<td style=\"width: 33.3333%; height: 116px;\">Location (1-3)<br \/>\n1. Phalanges\/digits<br \/>\n2. Metatarsal<br \/>\n3. Tarsal<\/td>\n<td style=\"width: 33.3333%; height: 116px;\">Ischemia (0-3)<br \/>\n0. No<br \/>\n1. Mild<br \/>\n2. Moderate<br \/>\n3. Severe<\/td>\n<td style=\"width: 33.3333%; height: 116px;\">Depth<br \/>\n1. Superficial (skin only)<br \/>\n2. Deep ulcer (below dermis)<br \/>\n3. All layers (bone and joint)<\/td>\n<\/tr>\n<tr style=\"height: 264px;\">\n<td style=\"width: 33.3333%; height: 212px;\">Topographic aspects (1-3)<br \/>\n1. Dorsal or plantar<br \/>\n2. Lateral or medial<br \/>\n3. Two or more<\/td>\n<td style=\"width: 33.3333%; height: 212px;\">Infection (0-3)<br \/>\n0. No<br \/>\n1. Mild. Erythema &lt;2 cm, induration, tenderness, warmth, and purulent discharge<br \/>\n2. Moderate. Erythema &gt;2 cm, muscle, tendon, or bone or joint infection<br \/>\n3. Severe. systemic inflammatory response<\/td>\n<td style=\"width: 33.3333%; height: 212px;\">Area (1-3)<br \/>\n1. Small &lt;10 cm2<br \/>\n2. Medium 10-40 cm2<br \/>\n3. Big &gt;40 cm2<\/td>\n<\/tr>\n<tr style=\"height: 168px;\">\n<td style=\"width: 33.3333%; height: 130px;\">Affected zones (1-3)<br \/>\n1. One<br \/>\n2. Two<br \/>\n3. Entire foot (multiple wounds)<\/td>\n<td style=\"width: 33.3333%; height: 130px;\">Edema (0-3)<br \/>\n0. No<br \/>\n1. Periwound<br \/>\n2. Affected leg only<br \/>\n3. Bilateral secondary to systemic disease<\/td>\n<td style=\"width: 33.3333%; height: 130px;\">Wound healing phase (1-3)<br \/>\n1. Epithelialization<br \/>\n2. Granulating<br \/>\n3. Inflammatory<\/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;\">Neuropathy (0-3)<br \/>\n0. No<br \/>\n1. Protective sensation or vibration diminished<br \/>\n2. Loss of protective sensation or vibration<br \/>\n3. Diabetic neuro-osteo artropathy-Charcot<\/td>\n<td style=\"width: 33.3333%; height: 24px;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Score<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 15.5251%;\"><strong>Score Sum<\/strong><\/td>\n<td style=\"width: 16.21%;\"><strong>Grade\u00a0<\/strong><\/td>\n<td style=\"width: 68.2648%;\"><strong>Prognosis<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.5251%;\">\u226410<\/td>\n<td style=\"width: 16.21%;\">I, mild<\/td>\n<td style=\"width: 68.2648%;\">Likely successful wound healing<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.5251%;\">11-20<\/td>\n<td style=\"width: 16.21%;\">II, moderate<\/td>\n<td style=\"width: 68.2648%;\">Partial foot-threatening; outcome related to \u201cstate-of-the-art\u201d therapies used and associated with a good patient biological response<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.5251%;\">21-30<\/td>\n<td style=\"width: 16.21%;\">III, severe<\/td>\n<td style=\"width: 68.2648%;\">Limb- and life-threatening; outcome unrelated to \u201cstate-of-the-art\u201d therapies because of poor biological patient<br \/>\nresponse<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/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>Created May 29, 2020.<br \/>\nUp-date Jan 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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\/wp-json\/wp\/v2\/posts\/7635","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=7635"}],"version-history":[{"count":10,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7635\/revisions"}],"predecessor-version":[{"id":10578,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7635\/revisions\/10578"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=7635"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=7635"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=7635"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}