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Searching for the Best Way to Assess the Risk of Thrombosis in Aesthetic Plastic Surgery; The Role of the Caprini/Pannucci Score

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Abstract

Introduction

There is concern regarding the high incidence of thrombosis in plastic surgery patients. For this reason, we wanted to compare the results of the Caprini/Pannucci score in patients with and without a past history of thrombosis admitted for aesthetic plastic surgery.

Methods

This was a case–control study of 152 patients undergoing aesthetic plastic surgery procedures. We formed two groups: Group I had 70 patients who had thrombosis after aesthetic plastic surgery and group II had 82 patients without thrombosis. We studied the considered risk factors for thrombosis. We weighted the factors according to the OR and linear regressions. We then related them to the Caprini/Pannucci score.

Results

Patients in group I had a score of 5.68 versus 3.45 in group II (p < 0.001). There was a 9.86% increase in thrombosis for each increased point in the rating. A higher effectiveness of the Caprini score was found in the high-score group; the greatest flaw was in the low-scoring group. The sensitivity was 75.71%, and the specificity was 70.73%. The factors with the greatest impact were the infiltration of fat in the buttocks, degree of obesity and time of surgery. There was an increased risk of thrombosis in patients with gluteal fat injections, varicose veins, obesity and immune disorders as well as those who had previously given birth.

Conclusion

To increase the effectiveness of the score and to use the score as a basis on which to decide upon prophylactic care, it is necessary to modify the score and add some factors.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Authors and Affiliations

  1. Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Jerez número 51 colonia Mixcoac, delegación Benito Juárez, CP 03220, Mexico City, Mexico

    Jesús Cuenca-Pardo, Guillermo Ramos-Gallardo, Lázaro Cárdenas-Camarena, Livia Contreras-Bulnes & Gerardo Lelevier De Alvear

Authors
  1. Jesús Cuenca-Pardo
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  2. Guillermo Ramos-Gallardo
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  3. Lázaro Cárdenas-Camarena
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  4. Livia Contreras-Bulnes
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  5. Gerardo Lelevier De Alvear
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Correspondence to Jesús Cuenca-Pardo.

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The authors declare that they have no conflict of interest.

Ethical Approval

The study was approved by the Committee de Seguridad de la Asociacion Mexicana de Cirugía Plástica, Estética y Reconstructiva.

Human and Animal Rights

This was a retrospective clinical study based on a review of clinical files without direct participation of the patients. Therefore, there was no risk to any patient, and the confidentiality of patients and surgeons was maintained.

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For this type of study, informed consent is not required.

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Cuenca-Pardo, J., Ramos-Gallardo, G., Cárdenas-Camarena, L. et al. Searching for the Best Way to Assess the Risk of Thrombosis in Aesthetic Plastic Surgery; The Role of the Caprini/Pannucci Score. Aesth Plast Surg 43, 1387–1395 (2019). https://doi.org/10.1007/s00266-019-01428-z

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  • DOI: https://doi.org/10.1007/s00266-019-01428-z

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