Grade/ Score | Perfusion | Extent | Depth | Infection | Sensation |
---|---|---|---|---|---|
1 | No peripheral arterial disease (PAD) | < 1 cm2 | Superficial | No symptoms or sign of infection | No loss of protective sensation |
2 | PAD, No critical limb ischaemia (CLI) | 1–5 cm2 | Fascia, muscle, tendon | Infection involving the skin and the subcutaneous tissue only | Loss of protective sensation |
3 | CLI | > 5 cm2 | Bone or joint | Erythema > 2 cm plus one of: swelling, tenderness, warmth, discharge; or infection involving structures deeper than skin and subcutaneous tissues | |
4 | Systemic inflammatory response syndrome (SIRS) |