Version May 2024
| Clinical features | Stage |
| Exudate amount | 1 = None |
| 2 = Scant | |
| 3 = Small | |
| 4 = Moderate | |
| 5 = Large | |
| Skin color surrounding wound | 1 = Pink or normal for ethnic group |
| 2 = Bright red and/or blanches to touch | |
| 3 = White or gray pallor or hypopigmented | |
| 4 = Dark red or purple and/or nonblanchable | |
| 5 = Black or hypopigmented | |
| Peripheral tissue edema | 1 = Minimal swelling around wound |
| 2 = Nonpitting edema extends <4 cm around wound | |
| 3 = Nonpitting edema extends ≥4 cm around wound | |
| 4 = Pitting edema extends <4 cm around wound | |
| 5 = Crepitus and/or pitting edema extends ≥4 cm | |
| Peripheral tissue induration | 1 = Minimal firmness around wound |
| 2 = <2 cm around wound | |
| 3 = 2 to 4 cm extending <50 percent around wound | |
| 4 = 2 to 4 cm extending ≥50 percent around wound | |
| 5 = >4 cm in any area | |
| Granulation tissue | 1 = Skin intact or partial-thickness wound |
| 2 = Bright, beefy red; 75 to 100 percent of wound filled and/or tissue overgrowth | |
| 3 = Bright, beefy red; <75 percent and >25 percent of wound filled | |
| 4 = Pink and/or dull, dusky red and/or fills ≤25 percent of wound | |
| 5 = No granulation tissue present | |
| Epithilization | 1 = 100 percent of wound covered, surface intact |
| 2 = 75 to 100 percent of wound covered and/or epithelial tissue extends >0.5 cm into wound bed | |
| 3 = 50 to 75 percent of wound covered and/or epithelial tissue extends <0.5 cm into wound bed | |
| 4 = 25 to 50 percent of wound covered | |
| 5 = <25 percent of wound covered |
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