Development and Internal Validation of the Abdominoplasty Risk Calculator

Vu, Michael M.; Ellis, Marco F.; Blough, Jordan T.; Gutowski, K.A.; Kim, John Yah Sung

doi:10.1097/prs.0000000000003922

Cited by 17 publications

(25 citation statements)

References 43 publications

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“…This corresponds with the fact that several components of the mFI-5 are known individual risk factors for complications following abdominoplasty. Specifically, the presence of diabetes mellitus, 27 cardiac comorbidities (including CHF and hypertension), 29 , 30 and pulmonary comorbidities (including COPD) 30 have all independently been identified as risk factors for postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

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Modified Frailty Index Predicts Postoperative Complications following Panniculectomy in the Elderly

Lee

Alfonso

Kantar

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Due to the high complication rate of panniculectomies, preoperative risk stratification is imperative. This study aimed to assess the predictive value of the 5-item modified frailty index (mFI-5) for postoperative complications in the elderly following panniculectomy. Methods: A retrospective cohort study of the American College of Surgeons National Surgical Quality Improvement Program database for patients over the age of 65 years who underwent a panniculectomy between 2010 and 2015 was conducted. The mFI-5 score was calculated for each patient based on the presence of diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and dependent functional status, and an mFI-5 score of 2 was used as a cutoff. Multivariate logistic and linear regression analysis was used to determine the validity of the mFI-5 as a predictor of postoperative complications. Results: A total of 575 patients were analyzed. Patients with an mFI-5 score of 2 or more (421; 73.2%) had significantly higher rates of wound complications (19.5% versus 12.8%; P = 0.03), overall complications (33.8% versus 19.5%; P < 0.001), and significantly longer hospital length of stay (3.6±5.0 versus 1.9±3.0; P < 0.001). mFI-5 score of 2 or more was an independent risk factor for wound complications (odds ratio, 1.26; 95% confidence interval, 1.08–2.20; P = 0.04) and overall complications (odds ratio, 1.34; 95% confidence interval, 1.09–2.15; P = 0.02). Conclusions: Frailty, as measured by the mFI-5, holds a predictive value regarding outcomes of wound complications and overall complications in elderly patients after panniculectomy. The mFI-5 score can be used to identify high-risk patients before surgery.

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Section: Discussionmentioning

confidence: 99%

“… 31 , 32 In addition, patients with increased mFI-5 scores were more likely to be men, which has been previously identified as an independent risk factor for complications after abdominoplasty. 29 …”

Section: Discussionmentioning

confidence: 99%

Modified Frailty Index Predicts Postoperative Complications following Panniculectomy in the Elderly

Lee

Alfonso

Kantar

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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“…Escores de segurança, no contexto de medicina baseada em evidências, são úteis, mas o julgamento do cirurgião em cada caso particular é soberano 31,32 .…”

Section: Conclusãounclassified

Complicações em abdominoplastia

Gemperli¹,

Mendes²

2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Abdominoplastia configura entre os procedimentos mais realizados em Cirurgia Plástica Estética e Reparadora. Embora seja um procedimento considerado seguro não é isento de complicações, sejam elas locais (seroma, hematoma, necrose, infecção, assimetrias) ou sistêmicas (doença tromboembólica, insuficiência respiratória). Neste artigo foram revisadas e detalhadas as principais complicações em abdominoplastias, com ênfase na frequência de ocorrência, apresentação clínica, fatores de risco, prevenção e tratamento.

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“…Even if the calculators are usually accessed via the internet, 20 , 21 in our department we have a low physician compliance for using existing risk calculators in all patients for different reasons. Every risk calculator is specific for a particular kind of surgery (eg, abdominoplasty, breast reconstruction).…”

Section: Introductionmentioning

confidence: 99%

Standardization and Selection of High-risk Patients for Surgical Wound Infections in Plastic Surgery

Starnoni

Pinelli²,

Porzani³

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: The aim of the present study was to show that the Infection Risk Index (IRI), based on only 3 factors (wound classification, American Society of Anesthesiologists score, and duration of surgery), can be used to standardize selection of infection high-risk patients undergoing different surgical procedures in Plastic Surgery. Methods: In our Division of Plastic Surgery at Modena University Hospital, we studied 3 groups of patients: Group A (122 post-bariatric abdominoplasties), Group B (223 bilateral reduction mammoplasties), and Group C (201 tissue losses with first intention healing). For each group, we compared surgical site infection (SSI) rate and ratio between patients with 0 or 1 risk factors (IRI score 0 or 1) and patients with 2 or 3 risk factors (IRI score 2 or 3). Results: In group A, patients with IRI score 0–1 showed an SSI Ratio of 2.97%, whereas patients with IRI score 2–3 developed an SSI ratio of 27.27%. In group B, patients with IRI score 0–1 showed an SSI ratio of 2.99%, whereas patients with IRI score 2–3 developed an SSI ratio of 18.18%. In group C, patients with IRI score 0–1 showed an SSI ratio of 7.62%, whereas patients with IRI score 2–3 developed an SSI ratio of 30.77%. Conclusions: Existing infection risk calculators are procedure-specific and time-consuming. IRI score is simple, fast, and unspecific but is able to identify patients at high or low risk of postoperative infections. Our results suggest the utility of IRI score in refining the infection risk stratification profile in Plastic Surgery.

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Development and Internal Validation of the Abdominoplasty Risk Calculator

Cited by 17 publications

References 43 publications

Modified Frailty Index Predicts Postoperative Complications following Panniculectomy in the Elderly

Modified Frailty Index Predicts Postoperative Complications following Panniculectomy in the Elderly

Complicações em abdominoplastia

Standardization and Selection of High-risk Patients for Surgical Wound Infections in Plastic Surgery

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