Baltodano et al reported a score for predicting surgical site morbidity following reduction mammoplasty. The authors are from Albany Medical Center and the Johns Hopkins University.
Patient selection: breast reduction surgery
Parameters:
(1) body mass index (BMI) in kg per sq m
(2) smoking
(3) steroid therapy
(4) surgical resident participation
(5) quarter of the year in which operation performed
Parameter
Finding
Points
body mass index
< 25 kg per sq m
0
25 to 29.9 kg per sq m
1
30 to 39.9 kg per sq m
3
>= 40 kg per sq m
5
smoker
no
0
yes
2
corticosteroid therapy
no
0
yes
5
resident participation
no
0
yes
2
quarter of year
third
2
other
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 16
• The higher the score the greater the risk of a surgical-site complication
Score
Complication Risk
0
1.9%
1
2.4%
2
3%
3
3.8%
4
4.8%
5
5.9%
6
7.3%
7
9.1%
8
11.2%
9
13.7%
10
16.6%
11
20.1%
12
24%
13
28.5%
14
33.4%
15
38.7%
16
44.3%
Performance:
• The area under the ROC curve is 0.64.
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