02307nas a2200253   4500000000100000008004100001653001500042653001300057653001500070653001500085653001400100100001500114700000900129700001300138700001600151700001100167700001500178700001300193700001300206700001300219245008900232520171800321022001402039       2016                            d10aAssessment10aDiabetes10aEvaluation10aFoot Ulcer10aIndonesia1 aArisandi D1 aOe M1 aYotsu RR1 aMatsumoto M1 aOgai K1 aNakagami G1 aTamaki T1 aSanada H1 aSugama J00aEvaluation of validity of the new diabetic foot ulcer assessment scale in Indonesia.3 a<p>We developed a new assessment tool for diabetic foot ulcers because no such tool specifically for diabetic foot ulcer exists. The diabetic foot ulcer assessment scale (DFUAS) has 11 domain items. The minimum and maximum scores on this scale are 0 and 98, respectively; higher scores indicate more severe wounds. The aim of this study was to evaluate the concurrent validity, construct validity and predictive validity of diabetic foot ulcer assessment scale in Indonesia. A prospective cohort study was conducted on patients with diabetic foot ulcer at Kitamura wound clinic in Indonesia. A total of 62 patients with 70 diabetic foot ulcers were assessed with DFUAS tool, Bates-Jensen wound assessment tool (BWAT) and pressure ulcer scale for healing (PUSH). Concurrent validity was determined by correlation of the DFUAS total score with the external criterion (BWAT, PUSH and wound surface area). A comparison between the total DFUAS score and chronic wound status was made to determine construct validity. We also analyzed 41 wounds that were followed for 4 weeks to evaluate predictive validity. The correlation coefficient total scores of the DFUAS against the BWAT, PUSH and wound surface area were 0.92, 0.87 and 0.82, respectively. The comparison of the total DFUAS score with chronic wound status was p &lt; 0.001. The predictive validity test indicated that a diabetic foot ulcer assessment scale cutoff score of 12 produced the best balance of sensitivity, specificity, positive predictive value and negative predictive value (89%, 71%, 86%, and 77%, respectively). In conclusion, the newly developed diabetic foot ulcer assessment scale is a valid tool for assessing diabetic foot ulcers.</p>
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