Avaliação da pessoa com lesão diabética com base nas escalas wifi e pedis

Abstract

Diabetes mellitus is a chronic metabolic disease and one of the main public health challenges worldwide, frequently associated with complications such as diabetic foot lesions, which significantly increase morbidity and the risk of lower-limb amputations. In this context, the use of standardized clinical assessment tools is essential for risk stratification, therapeutic planning, and evidence-based decision-making. This study aimed to describe the application of the WIFI (Wound, Ischemia, Foot Infection) and PEDIS/IDSA classification systems in the assessment and management of individuals with diabetic foot lesions. This is a narrative literature review based on national and international guidelines and manuals addressing diabetic foot care. The findings indicate that the WIFI classification provides a structured evaluation of wound severity, degree of ischemia, and presence of infection, allowing estimation of amputation risk and potential benefits of revascularization. The PEDIS/IDSA system, in turn, standardizes the assessment of perfusion, extent, depth, infection, and sensitivity, supporting the classification of lesion severity and guiding appropriate therapeutic interventions. Both tools contribute to the standardization of clinical assessments, improve communication among healthcare teams, and enhance continuity of care. The nurse plays a central role in applying these classifications due to their continuous involvement in clinical assessment, monitoring, health education, and early identification of complications. In conclusion, the WIFI and PEDIS/IDSA scales are relevant instruments in diabetic foot care, promoting individualized treatment planning, improved prognosis, and safer clinical practice.