Assessment Tool: REEDA Scale

Rate each of the five wound healing domains based on direct observation. Total score 0–15; score 0 indicates optimal healing. Use at every dressing change to track progress or identify complications.

REEDA Scale

Five-domain wound healing assessment. Each domain scored 0–3; total range 0–15. Score 0 = optimal healing; higher scores indicate complications. Originally validated for perineal wounds and widely applied to surgical incisions.

Score interpretation

Optimal healing

1–4

Mild changes — monitor

5–9

Moderate — reassess frequently

≥ 10

Significant complications — notify provider

R Redness (Erythema)

Presence and extent of erythema measured from wound edges

[0] None [1] Within 0.25 cm of incision bilaterally [2] Between 0.25 cm and 0.5 cm of incision bilaterally [3] Beyond 0.5 cm of incision bilaterally

E Edema

Swelling at or around the incision site

[0] None [1] Within 0.25 cm of incision bilaterally [2] Between 0.25 cm and 0.5 cm of incision bilaterally [3] Beyond 0.5 cm of incision bilaterally and/or pitting

E Ecchymosis (Bruising)

Extent of bruising or discolouration around the wound

[0] None [1] Within 0.25 cm of incision bilaterally [2] Between 0.25 cm and 0.5 cm of incision bilaterally [3] Beyond 0.5 cm of incision bilaterally

D Discharge

Type, color, amount, and character of drainage from the wound

[0] None [1] Serum [2] Serosanguineous [3] Bloody, purulent, or foul-smelling drainage

A Approximation

How well wound edges are coming together

[0] Closed — edges well approximated [1] Skin separation ≤ 3 mm [2] Skin and subcutaneous fat layer separation [3] Full layer separation including fascial layer

Result

Score: 0/15

Interpretation:

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