SINBAD Score for Diabetic Foot Ulcer
Simple 6-domain diabetic-foot ulcer classification (Ince 2008) — recommended by IWGDF for international comparison. Each domain 0/1; total 0–6.
Score interpretation
Below the ≥ 3 threshold at which healing times step up (Ince 2008).
→ Diabetic foot protection / multidisciplinary foot service per NICE NG19; off-loading; local wound care; glycaemic optimisation; reassess the score as the ulcer changes.
Score ≥ 3 of 6: longer time to healing and more amputations (Ince 2008).
→ Multidisciplinary diabetic foot service per NICE NG19 (urgently if ischaemia or infection). Investigate ischaemia (ABPI, duplex), screen for osteomyelitis (probe-to-bone + X-ray); revascularisation pathway and IV antibiotics as needed; counsel about amputation risk.
Interpretation bands for the SINBAD. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Diabetic Ketoacidosis (DKA) · JBDS 2013 / Joint British Diabetes Societies; NICE NG17
- Adult Hypoglycaemia (Treated Diabetes) · JBDS-IP (2023): Hospital Management of Hypoglycaemia
- Adrenal Crisis · Society for Endocrinology Emergency Guidance (2024)
- Type 2 Diabetes Management · NICE NG28 2022
- Hyperthyroidism Management · BTA / ETA 2018
- Adrenal Insufficiency · Society of Endocrinology / ESE 2016
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.