The Society for Vascular Surgery’s Threatened Limb Classification, now having been validated in four separate studies, seems to show promise as a pragmatic means to assess likelihood of morbidity for at-risk legs. The structure of the Wound/Ischemia/Foot Infection system is designed on a “none / mild / moderate / severe (0/1/2/3)” scale just as with “Tumor/Node/Metastasis” in cancer assessment.
The system may be well visualized as three intersecting rings of risk. This also helps the team identify which of these risk is “dominant” at any given time during a lifetime of care.
While the specifics of what constitutes “none, mild, moderate and severe” may change over time, what may be longer-lasting are the principles. We invite you to “Broadcast WIFI”!
If you’d like to download the free WIFI app and risk calculator, visit here.
This is an excellent system which I am hoping to introduce to our hospital here in San Fernando, Trinidad( in the southern Caribbean).
We have an exceptionally high prevalence rate of diabetes here (estimated at 15-18%) and an associated high limb loss due primarily to low surveillance and poor foot care.
Dr Mills’ lecture at the American College of Surgeons meeting in Washington in 2013 had me excited and I went up to personally congratulate him on a system that would address diabetic feet.
Patrick Harnarayan
Thoughtful analysis , I am thankful for the info – Does someone know where my assistant could get a blank Annual Comprehensive Diabetes Foot Exam Form version to edit ?
Here you go!
https://diabeticfootonline.com/2012/03/30/download-comprehensive-diabetic-foot-exam-cdfe-form-and-ada-cdfe-pocket-chart/