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开发了审美术术后并发症评分 (APeCS) 以检测面部美容手术中的重大发病率

Jose L Cataneo, Sydney A Mathis, Kyle Bartelt

Aesthetic surgery journal

|December 21, 2023

概括

一个新的风险评分有助于预测面部美容手术的主要并发症. 该工具可以识别有更高风险的患者,改善手术安全和患者的治疗结果.

科学领域:

整形外科整形外科整形外科
外科手术的结果
患者安全患者安全

背景情况:

估计面部美容手术的并发症率是具有挑战性的,因为公布的数据有限.
了解患者风险因素对于提高美容手术的安全性至关重要.

研究的目的:

估计面部美容手术患者的主要并发症率.
开发一种风险评估工具,根据并发症风险对患者进行分层.

主要方法:

使用了塑料外科医生 (TOPS) 的追踪操作和结果数据库 (2003-2018).
采用多变量回归来确定主要并发症的风险因素.
根据已识别的变量制定了风险评分,并验证了其性能.

主要成果:

在38,569名患者中确定了1.2%的重大并发症率.
关键的风险因素包括>3次并发手术,BMI≥25,ASA类≥2,吸烟史,年龄≥45.
开发的风险得分显示,风险预测曲线下的区域为0.68.

结论:

面部和部美容手术的风险预测得分被开发出来.
截止分数≥3有效地识别出患有重大发病风险较高的患者.
这种工具有助于对大约65%的风险患者进行重大并发症的分类.

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