How to stratify the risk of thrombosis for esthetic plastic surgery? The proposal of a new scale.

Autor: Cuenca-Pardo J; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico; Plastic Surgery Department, Hospital Traumatología Doctor Victorio de la Fuente Narváez (Magdalena de las Salinas), Mexico. Electronic address: jcuenca001@gmail.com., Ramos-Gallardo G; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico; Universidad de Guadalajara, Centro Universitario de la Costa, Mexico., Morales-Olivera M; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico., Contreras-Bulnes L; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico., Bucio-Duarte J; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico., Iribarren-Moreno R; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico., Vélez-Benítez E; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico., Domínguez-Millán R; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico., Salmean-Piña O; Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Mexico.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2023 Aug; Vol. 83, pp. 361-372. Date of Electronic Publication: 2023 Apr 02.
DOI: 10.1016/j.bjps.2023.03.005
Abstrakt: Scales to qualify the risk of thrombosis do not include all thrombogenic factors that are generated in esthetic plastic surgery. Methods: We performed a systematic review to assess the risk of thrombosis in plastic surgery. Thrombogenic factors in esthetic surgery were analyzed by a panel of experts. We proposed a scale with 2 versions. In the first version, factors were stratified according to their impact on the possible risk of thrombosis. The second version includes the same factors but in a simplified form. We evaluated the efficacy of the proposed scale by comparing it with the Caprini score; we scored the risk in 124 cases and controls. Results: Using the Caprini score, we found that 81.45% of the patients studied and 62.5% of the cases of thrombosis were observed in the low-risk group. Only 1 case of thrombosis was reported in the high-risk group. Using the stratified version of the scale, we found that the low-risk group comprised 25% of the patients, and there were no cases of thrombosis. The high-risk group included 14.51% of patients; 10 presented thrombosis (62.5%). The proposed scale was very effective in detecting both low-risk and high-risk patients undergoing esthetic surgery procedures.
Competing Interests: Declaration of Competing Interest The authors declare no conflicts of interest to disclose.
(Copyright © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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