Clasificación de San Elián y su uso para establecer severidad en úlceras en pie diabético

Abstract

PROBLEM: diabetic foot ulcers are the leading cause of lower limb amputation, morbidity and mortality worldwide. OBJECTIVE: to describe the usefulness of the San Elian scale as a diabetic foot severity classification system. METHOD: information was collected from medical journals and books where meta-analyses, guidelines, articles, and protocols on the use of the San Elian scale were found to establish the severity of diabetic foot ulcers. RESULTS: The San Elian classification is an effective and precise method to determine the severity of diabetic foot ulcers. This is because it considers anatomical regions, aggravating factors, and tissue conditions among its components, and collects information to assess the various parts. All this gives doctors a clearer picture of an accurate diagnosis and a clearer way to approach this pathology. CONCLUSION: The San Elian classification allows a degree of severity to be given to the diabetic foot and the sum of its parts can be classified as mild (with a score <10), moderate (10 to 20) and severe (21 to 30). Among the parts to consider are the location, topographic aspects, aggravating factors (ischemia, infectious state, edema and neuropathy), tissue involvement (depth, area and healing phases). With this classification, a more accurate diagnosis and a more appropriate initial approach can be given to our patients