II. Precautions
- Accurate grading requires Debridement of necrosis first
- Use other grading schemes for staging of Diabetic Foot Ulcers and Venous Stasis Ulcers
- Macerated skin (moisture induced wounds) are not staged
III. Staging: NPUAP Guidelines for Pressure Ulcers (pink skin, not purple)
- Stage 1
- Nonblanchable erythema of intact skin
- Stage 2
- Stage 3
- Full thickness skin loss with subcutaneous damage
- Ulcer extends down to underlying fascia
- Presents as deep crater
- Stage 4
- Full thickness skin loss with extensive destruction
- Tissue necrosis
- Damage to Muscle, bone, tendon or joint capsule
- Additional stages in which depth is unknown
- Depth Unknown - Unstageable
- Full-thickness wound with base obscured by extensive slough or eschar
- Depth Unknown - Suspected Deep
- Intact skin with localized purple or maroon discoloration (or bulla with blood)
- Deep tissue injury suspected beneath overlying lesion
- Depth Unknown - Unstageable
- Images
IV. Resources
Images: Related links to external sites (from Bing)
Related Studies
Concepts | Qualitative Concept (T080) |
ICD9 | 707.2 |
SnomedCT | 420592002 |
LNC | MTHU020927 |
English | Pressure ulcer stage (observable entity), Pressure ulcer stages, Pressure ulcer stage, chronic decubitus ulcer stage, Pressure ulcer stage (diagnosis) |
Spanish | estadio de úlcera por decúbito (entidad observable), estadio de úlcera por decúbito, estadio de escara |
Ontology: stage I pressure ulcer (C2074666)
Concepts | Disease or Syndrome (T047) |
ICD9 | 707.21 |
English | Pressure ulcer, stage I, stage I decubitus ulcer, stage I pressure ulcer, stage I pressure ulcer (diagnosis) |
Ontology: stage II pressure ulcer (C2074667)
Concepts | Disease or Syndrome (T047) |
ICD9 | 707.22 |
English | Pressure ulcer, stage II, stage II pressure ulcer, stage II decubitus ulcer, stage II pressure ulcer (diagnosis) |
Ontology: stage III pressure ulcer (C2074668)
Concepts | Disease or Syndrome (T047) |
ICD9 | 707.23 |
English | Pressure ulcer,stage III, Pressure ulcer, stage III, stage III pressure ulcer, stage III decubitus ulcer, stage III pressure ulcer (diagnosis) |
Ontology: stage IV pressure ulcer (C2074669)
Concepts | Disease or Syndrome (T047) |
ICD9 | 707.24 |
English | Pressure ulcer, stage IV, stage IV pressure ulcer, stage IV pressure ulcer (diagnosis), stage IV decubitus ulcer |