Table 4. DFI Wound Score Item
Wound Parametersa Purulent discharge
Other signs & symptoms of inflammation • Nonpurulent discharge
• Erythema • Induration
• Tenderness • Pain
• Local warmth
Range of Wound Parameters (10-Itemb Range of Wound Parameters (8-Itemc
Wound Measurements Size (cm2
)
) Subtotal ) Subtotal
< 1 1-2
> 2-5 > 5-10 Depth (mm)
> 10-30 > 30 < 5 5-9
Undermining (mm)
Range of Wound Measurements Subtotal Range of Total 10-Itemb Range of Total 8-Itemc
a b
10-20 > 20 < 2 2-5 > 5
DFI Wound Score DFI Wound Score
0-21 0-15
0 1 3 6 8
10 0 3 7
10 3 5 8
3-28 3-49 3-43
c 8-Item Score leaves out purulent and nonpurulent secretions.
10-Item Score: purulent discharge, nonpurulent discharge, erythema, induration, tenderness, pain, warmth, size, depth, undermining.
Definitions for wound parameters and wound measurement can be found in Lipsky BA, et al. Wound Repair Regen. 2009;17(5):671-677.
7
Assessment
Absent Present Absent Mild
Moderate Severe
Scoring
0 3 0 1
2 3