Breast Reconstruction Risk Assessment (BRA) Score of Kim et al: Seroma Model

Description

Kim et al reported the Breast Reconstruction Risk Assessment (BRA) score to predict the common complications after breast reconstruction. One model estimates the risk of a seroma occurring. The authors are from Northwestern University, Lehigh Valley Health Network, and University of Illinois.

Patient selection: breast reconstruction surgery

Reported rate of seroma: around 3%

Parameters:

(1) age in years

(2) body mass index (BMI) in kg per square meter

(3) smoking status

(4) diabetes

(5) ASA status (ASA 5 would be unlikely)

(6) reconstruction modality

Parameter	Finding	Points
age in years		0.007 * (age)
BMI		0.033 *(BMI)
smoking status	never	0
	former	0.256
	current	-0.218
diabetes	no	0
	yes	0.141
ASA	1 or 2	0
	3 to 5	0.436
modality	tissue expander	0
	latissimus	1.193
	TRAM	0.565
	free flap	0.413

where:

• TRAM = pedicled transverse rectus abdominus myocutaneous

value of X =

= SUM(points for all of the parameters) - 4.957

probability of seroma =

= 1 / (1 +EXP((-1) * X))

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Breast Reconstruction Risk Assessment (BRA) Score of Kim et al: Seroma Model

Description

Specialty