Eleiba et al reported a score for predicting complications after breast reduction surgery. This can help to identify a patient who may require more aggressive management. The authors are from Kafrelsheikh University Hospital in Egypt.
Patient selection: breast reduction mammoplasty
Parameters:
(1) distance from suprasternal notch to nipple in cm
(2) family history of macromastia
(3) preoperative hemoglobin in g/dL
(4) smoking status
(5) weight of excised breast tissue from both breasts in grams
Parameters
Findings
Points
distance to nipple
< 38 cm
0
>= 38 cm
38
family history macromastia
no
0
yes
2
hemoglobin
>= 12.5 g/dL
0
< 12.5 g/dL
37
smoking status
no smoker
0
smoker
76
weight of excised tissue
< 2,000 grams
0
>= 2,000 grams
36
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 189
• A score >= 93 indicated a high probability of postoperative complications.
Performance:
• The area under the ROC curve was 1/0.
• The sensitivity was 1.0 and the specificity was 1.0.
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