212 posters, 10 topics, 5 sessions, 754 authors, 237 institutions
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The AAPS 101st Annual Meeting
29 April – 2 May, 2023 | Chicago, IL
PC3
A Nationally Validated Risk Assessment Score For Predicting Unplanned Reoperations In Hand Surgery
Poster Presenter
Part of Topic
Hand/Extremity
A Nationally Validated Risk Assessment Score For Predicting Unplanned Reoperations In Hand Surgery
Introduction
Traditional risk scores, like the Charlson Comorbidity Index and the Frailty Index, have had limited accuracy and applicability in predicting outcomes in hand surgery [1-3] These risk assessment tools are necessary to address modifiable risk factors or to have more informed discussion of realistic outcomes.
Objectives
To develop an objective and granular risk score for reoperations in hand surgery To validate this score nationally, and demonstrate accuracy and usability
We present a nationally validated risk stratification tool for unplanned reoperations following hand surgery. This risk score outperforms the commonly used modified frailty and Charlson comorbidity indices.
Future studies should clinically validate this model and determine if implementation of this risk score optimizes safety and reduces reoperation rates in hand surgery patients.
Patients were stratified by total score to fit a normal distribution. The strata correlate to risk categories: 1 - lowest, 2 - low, 3 - intermediate, 4 - high, 5 - highest risk