Understanding the relevance of comprehensive facial injury (CFI) score: statistical analysis of overall surgical time and length of stay outcomes

Publication date: Available online 5 July 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Gabriele Canzi, Elena De Ponti, Chiara Fossati, Giorgio Novelli, Stefania Cimbanassi, Alberto Bozzetti, Davide SozziSummaryComprehensive facial injury (CFI) score is a powerful and extremely simple scale used to grade the clinical severity of all facial injuries, and is expressed in terms of the overall surgical time needed for definitive treatment. Its statistical validation was previously reported in 2019. The aim of this study was to investigate further the link with duration of surgery, applying the score to a larger sample of patients, and to evaluate the relationship between CFI score and other extremely relevant dependent variables: length of stay (LOS) in high care units (HCU) and in intensive care units (ICU).1406 patients with diagnosis of at least one facial bone fracture, and treated by the same team in two highly specialized trauma centers, were studied. For each patient a specific CFI score is assigned and overall surgical time, length of stay, and presence of associated injuries were recorded. Data were divided into six clusters according to CFI score: (1) 0–5, (2) 6–10, (3) 11–15, (4) 16–20, (5) 21–25, and (6)> 25. Regressions between CFI clusters and duration of surgery (minutes), LOS in ICU (days), and in HCU (days) were established. In addition, the presence of associated head and/or somatovisceral injuries was analyzed and related to CFI score....
Source: Journal of Cranio Maxillofacial Surgery - Category: ENT & OMF Source Type: research