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. 2021 Aug 7;20(4):e144–e148. doi: 10.1016/j.surge.2021.07.001

Table 2.

NPUAP 2016 classification of Pressure Ulcers.

Stage 1 Pressure Injury Non-blanchable erythema of intact skin
Stage 2 Partial thickness skin loss with exposed dermis
May present as intact fluid filled blister. Adipose tissue not visible at base of wound
Stage 3 Full thickness skin loss
Adipose tissue exposed. Muscle, tendon or bone are not exposed. If slough or eschar obscures extent of tissue loss, this is Unstageable Pressure Injury
Stage 4 Full thickness skin and tissue loss
Exposed or directly palpable fascia, muscle, cartilage, tendon or bone.
Unstageable Pressure Injury Obscured full-thickness skin and tissue loss
Tissue loss in which extent of damage cannot be confirmed due to slough/eschar. When removed stage 3 or 4 injury will be revealed
Deep Tissue Injury Persistent non-blanchable deep red, maroon or purple discolouration
Persistent sheath/friction at bone-muscle interface resulting in intact, discoloured skin. May rapidly evolve to reveal actual extent of tissue injury