title: [LSD score. A new classification system for peristomal skin lesions].
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Klinik für Allgemein- und Viszeralchirurgie, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Deutschland. norbert.runkel@sbk-vs.de.
authors.forename: N
authors.initials: N
authors.lastname: Runkel
authors.affiliation: Fachgesellschaft Stoma, Kontinenz und Wunde e. V., Selm, Deutschland. Werner.droste@fgskw.org.
authors.forename: W
authors.initials: W
authors.lastname: Droste
authors.affiliation: Klinik für Allgemein- und Viszeralchirurgie, Agaplesion Diakonie Kliniken Kassel, Diakonissen-Krankenhaus, Kassel, Deutschland. b.reith@diako-kassel.de.
authors.forename: B
authors.initials: B
authors.lastname: Reith
authors.affiliation: Klinik für Allgemein- und Viszeralchirurgie, Oberschwabenklinik, Krankenhaus St. Elisabeth, Ravensburg, Deutschland. ekkehard.jehle@oberschwabenklinik.de.
authors.forename: E C
authors.initials: EC
authors.lastname: Jehle
authors.affiliation: Klinik für Allgemein-, Viszeral- und Kinderchirurgie, Klinikverbund Südwest, Kliniken Böblingen, Böblingen, Deutschland. s.benz@klinikverbund-suedwest.de.
authors.forename: S
authors.initials: S
authors.lastname: Benz
authors.affiliation: Wund- und Stomatherapeutin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, Deutschland. mechthilde.birk@sbk-vs.de.
authors.forename: M
authors.initials: M
authors.lastname: Birk
authors.affiliation: Dermatologische Praxis, Esslingen, Deutschland. gyde.staib@t-online.de.
authors.forename: G
authors.initials: G
authors.lastname: Staib
authors.affiliation: Pflegeexpertin Stoma, Wunde, Kontinenz, Fa.Publicare GmbH, Düsseldorf, Deutschland. jolanthe.romankiewicz@publicare-gmbh.de.
authors.forename: J
authors.initials: J
authors.lastname: Romankiewicz
authors.affiliation: IlCO Landesverband Baden Württemberg, Remshalden, Deutschland. hartkopf-remshalden@t-online.de.
authors.forename: F
authors.initials: F
authors.lastname: Hartkopf
authors.affiliation: ILCO LV-Baden Württemberg, Berglen, Deutschland. fam.jooss@t-online.de.
authors.forename: M
authors.initials: M
authors.lastname: Jooß
mesh_terms: D003872:Dermatitis / Q000145:classification* / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D011183:Postoperative Complications / Q000145:classification* / Q000175:diagnosis* / Q000628:therapy; D017592:Skin Care / Q000379:methods; D012874:Skin Diseases, Infectious / Q000145:classification* / Q000175:diagnosis* / Q000628:therapy; D054047:Surgical Stomas / Q000009:adverse effects*; D009626:Terminology as Topic
keywords: Assessment score; Complications; Skin; Stoma; Therapy stratification