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. 2022 Aug;68(8):577–582. doi: 10.46747/cfp.6808577

Table 5.

DASS grades of severity

GRADE DESCRIPTION
1 Cool or pale limb that is asymptomatic
2 Intermittent claudication of the limb during exertion or hemodialysis
3 Rest pain of the limb. Rest pain can often be worst at night and typically improves with dependency
4 Tissue loss of the limb (including ulceration or gangrene)

DASS—dialysis access steal syndrome.