Grading Method 1: Dent Depth and Duration

Grade
1+
2+
3+
4+

Definition
2mm or less: slight pitting, no visible distortion, disappears
rapidly.
2-4mm indent: somewhat deeper pit, no readably detectable
distortion, disappears in 10-25 seconds.
4-6mm: pit is noticeably deep. May last more than a minute.
Dependent extremity looks swollen and fuller.
6-8mm: pit is very deep. Lasts for 2-5 minutes. Dependent
extremity is grossly distorted.

Source: Guelph General Hospital Congestive Heart Failure Pathway

Grading Method 2: Dent Depth and Rebound Time
Grade
1+
2+
3+
4+

Definition
Three is a barely detectable 2mm depression. Immediate
rebound
There is a 4mm deep pit. A few seconds to rebound.
There is a 6mm deep pit. 10-12 seconds to rebound.
There is an 8mm deep pit (very deep). >20 seconds to rebound.

Source: Hogan, M (2007) Medical-Surgical Nursing (2nd ed.). Salt Lake City: Prentice Hall
Grading Method 3: Overall Severity of Edema
There are three grades of bilateral pitting oedema, and when it is not present, the grade is
absent. Bilateral pitting oedema grades are classified using plus signs:
Grade
1+
2+
3+

Definition
Mild: Both ankles/feet
Moderate: Both feet, hands, lower arms and lower legs
Severe: Generalized bilateral pitting oedema, which includes
both legs, arms, feet and face.

http://www.unicef.org/nutrition/training/3.1/20.html
Sumber http://www.med-health.net/Edema-Grading.html