THE COMPREHENSIVE FACIAL INJURY (CFI): A MODERN COMMUNICATION TOOL ON MAXILLO-FACIAL TRAUMAS CHARACTERISTICS
Authors:
Canzi G.1, Novelli G.2, Mirabella S.2,3, Sozzi D.2
Affiliation:
Τόμος 24, Νο 2, 2023/Vol 24, No 2, 2023
1 Maxillo-Facial Division, Grande Ospedale Metropolitano Niguarda, Milan
2 Maxillo-Facial Division, IRCCS San Gerardo Dei Tintori, Monza – University of Milano Bicocca
3 Milan Maxillo-Facial Surgery Specialization School, University of Milan
Doi: 10.54936/haoms242p74
ABSTRACT:
Aim: The Comprehensive Facial Injury (CFI) score is a novel tool developed to stratify patients based on the severity of the facial trauma, allowing an effective multidisciplinary communication to program the correct management of patients.
Material and methods: The CFI score is based on clinical and radiological data obtained at the admission and aims to predict estimated operating time of the needed procedures. The statistical validation was conducted on a sample of 1050 patients, treated by surgical teams from two trauma centers. Predictive accuracy on the total operating time and hospitalization period was evaluated on 1406 patients.
Simultaneously the risk of associated non-facial lesions in patients affected by severe facial traumas was analyzed.Two cut-offs were identified using Receiving Operating Curves (ROC) to discriminated groups of homogeneous patients in terms of severity and management protocols.
Results: A strong linear regression was demonstrated between the CFI score value, operating time and hospitalization period. A higher value is correlated with a higher probability of associated lesions so it represents a strong risk factor to Intensive Care Unit admission. CFI score enables to discriminate into: mild facial traumas, associated with lower risk of hospitalization and needing of surgical treatment, moderate facial traumas, with higher risk of hospitalization and needing surgical treatment requiring general anesthesia and severe facial traumas, with higher risk of major surgeries, Intensive Care Unit admission and associated non- facial lesions.
Conclusion: Being a reproducible and easy-of-use tool, along with others traditional trauma scores, the CFI score can facilitate both communication and organization of the clinical activity of trauma centers, optimizing patient management in facial traumas; it also represents a profitable tool for the scientific research.
KEY WORDS: CFI value, facial traumas value, maxillo-facial lesions, severity of facial trauma, hospitalization period, maxillo-facial fractures classification
Authors:
Canzi G.1, Novelli G.2, Mirabella S.2,3, Sozzi D.2
Affiliation:
Τόμος 24, Νο 2, 2023/Vol 24, No 2, 2023
1 Maxillo-Facial Division, Grande Ospedale Metropolitano Niguarda, Milan
2 Maxillo-Facial Division, IRCCS San Gerardo Dei Tintori, Monza – University of Milano Bicocca
3 Milan Maxillo-Facial Surgery Specialization School, University of Milan
Doi: 10.54936/haoms242p74
ABSTRACT:
Aim: The Comprehensive Facial Injury (CFI) score is a novel tool developed to stratify patients based on the severity of the facial trauma, allowing an effective multidisciplinary communication to program the correct management of patients.
Material and methods: The CFI score is based on clinical and radiological data obtained at the admission and aims to predict estimated operating time of the needed procedures. The statistical validation was conducted on a sample of 1050 patients, treated by surgical teams from two trauma centers. Predictive accuracy on the total operating time and hospitalization period was evaluated on 1406 patients.
Simultaneously the risk of associated non-facial lesions in patients affected by severe facial traumas was analyzed.Two cut-offs were identified using Receiving Operating Curves (ROC) to discriminated groups of homogeneous patients in terms of severity and management protocols.
Results: A strong linear regression was demonstrated between the CFI score value, operating time and hospitalization period. A higher value is correlated with a higher probability of associated lesions so it represents a strong risk factor to Intensive Care Unit admission. CFI score enables to discriminate into: mild facial traumas, associated with lower risk of hospitalization and needing of surgical treatment, moderate facial traumas, with higher risk of hospitalization and needing surgical treatment requiring general anesthesia and severe facial traumas, with higher risk of major surgeries, Intensive Care Unit admission and associated non- facial lesions.
Conclusion: Being a reproducible and easy-of-use tool, along with others traditional trauma scores, the CFI score can facilitate both communication and organization of the clinical activity of trauma centers, optimizing patient management in facial traumas; it also represents a profitable tool for the scientific research.
KEY WORDS: CFI value, facial traumas value, maxillo-facial lesions, severity of facial trauma, hospitalization period, maxillo-facial fractures classification