Evolution of WIfI: Expansion of WIfI Notation After Intervention

Blanchette, Virginie, Fernando, Malindu E., Shin, Laura, Rowe, Vincent L., Ziegler, Kenneth R., and Armstrong, David G. (2024) Evolution of WIfI: Expansion of WIfI Notation After Intervention. International Journal of Lower Extremity Wounds. (In Press)

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Abstract

Nearly a decade ago, the Society for Vascular Surgery (SVS)'s wound, ischemia, and foot Infection (WIfI) classification was first developed to help assess overall limb threat. However, managing conditions such as diabetic foot ulcer and chronic limb-threatening ischemia can be complex. For instance, certain investigative findings might initially be pending such as the level of ischemia or extent of infection before the final classification is established. In addition, wounds evolve rapidly, and the current classification does not allow for tracking their progression over time during treatment. Therefore, we propose a supplemental consistent notation for scoring WifI re-assessment during treatment of a threatened limb inspired by the cancer staging before and after neoadjuvant treatment classification system. Thus, we describe the re-scoring system and how to use it. Our suggestion supports a coherent method to longitudinally communicate characteristics of a threatened limb. This has potential to support high quality interdisciplinary, patient-centered care and enhance the use of this classification in research. Further work is required to validate this modification of a common language of risk.

Item ID: 76010
Item Type: Article (Research - C1)
ISSN: 1552-6941
Keywords: diabetes, foot ulcer, wound healing, peripheral vascular disease, ischemia, classification, amputation
Copyright Information: © The Author(s) 2022.
Date Deposited: 14 Sep 2022 08:12
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3201 Cardiovascular medicine and haematology > 320101 Cardiology (incl. cardiovascular diseases) @ 50%
42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420107 Podiatry @ 50%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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