AI Article Synopsis

  • A German expert panel has created a new semiquantitative classification system for peristomal skin lesions to improve ostomy care.
  • The system categorizes lesions based on skin integrity, complexity of ostomy therapy, and anatomical issues, using a scoring method labeled as LSD (Lesion, Status of ostomy, Disease).
  • This comprehensive and standardized scoring approach aims to enhance communication among healthcare professionals and improve the overall quality of ostomy treatment.

Article Abstract

Background: Peristomal skin lesions are frequent complications of ostomy; however, there is no generally accepted nomenclature and classification system.

Objective: An interdisciplinary German expert panel (GESS) composed of ten members, developed an innovative semiquantitative classification system for peristomal skin lesions for further stratification of ostomy therapy. This score is based on criteria which can be assessed by stomal therapists and treating physicians.

Results: The new peristomal skin lesion score grades three categories: lesion (L), status of ostomy (S) and disease (D). The L category describes the integrity of the skin as normal (L0), lesion with sustained integrity of skin (L1), integrity destroyed (L2) and local infection (L3). The S category rates the complexity of ostomy therapy as normal (S0), increased (S1) and high but not sufficiently effective (S2). The additional letters for categorization O. R. P. H. E. US describe anatomical pathologies of the stoma itself: ostomy stenosis (O), retraction (R), prolapse (P), hernia (H), edema (E) and unfavorable site (US). A systemic disorder is either absent (D0), irrelevant (D1) or relevant (D2). The LSD score is the basis for a management algorithm.

Conclusion: The LSD score is comprehensive, standardized and holistic. Its straightforward use by health professionals can improve the consistency of the description of skin lesions and enhance the quality of ostomy therapy.

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Source
http://dx.doi.org/10.1007/s00104-015-0044-6DOI Listing

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