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PREDICTIVE STUDY OF NEW MODEL FOR

WOUND HEALING ASSESSMENT: MUNGS, IN


DIABETIC FOOT ULCER PATIENTS

The Institute Of Nursing


Muhammadiyah PontianakIndonesia
J U L I A N S YAH , M I R WAN S YAB A N I ,
S U R I A D I , H A R T O N O , Y E N I L U K I TA

Introduction
Prevalence
People needs
The vision

Introduction
Assessment tools for chronic wounds, such as pressure
sores, are available, but a wound assessment tool
specifically for diabetic wounds has not been developed.

Assessment Tool: MUNGS

CLICK HERE

Objective
The purpose of this study was to
(a) Observe the value of the score of MUNGS (Maceration,
Undermining, Necrotic, Granulation and Symptoms)
tool in predicting wound healing for Diabetic foot ulcer
patients in Kitamura Wound Clinic, PontianakIndonesia
(b) Determine the critical cut off point for classifying
wound healing.

Methodology
A retrospective cohort study design with a convenience
sample of 75 diabetic foot ulcer patients enrolled from a
Kitamura Wound Clinic. The MUNGS score and skin
assessment were rated. The diabetic ulcer patients were
observed every ten days until healing or discharge. A mean
score of MUNGS assessment each patients were calculated.

Results
Seventy-five diabetic ulcer patients were collected. The
MUNGS
tool
has
an
area under the ROC curve
(AUC) 0.886, and the 95% confidence interval was 0.792 to
0.948.
A Receiver Operator Characteristic (ROC) curve for
each possible score of the MUGNS tool was constructed. At
a cutoff score of 4, the sensitivity was 84.91, and the
specificity was 81.82, positive predictive value of (91.8)
and negative predictive value of (69.2), with likelihood ratio
was 4.67 respectively.

CLICK HERE

Conclusions
The value of the MUNGS tool in this study showed
excellent accuracy in the mean score assessment. An
accurate wound assessment is essential to the appropriate
and realistic planning of goals and Interventions for patients
with wounds.

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http://fk.uns.ac.id/index.php/download/file/61

Pengukuran.

Diakses

November

16,

2015

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dari

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