Maxillofacial Surgery Unit, Emergency Department, ASST-GOM Niguarda, Niguarda Hospital, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.
Department of Physical Medicine, ASST-Monza, San Gerardo Hospital, University of Milano-Bicocca, Via Pergolesi 33, 20900, Monza, Italy.
J Craniomaxillofac Surg. 2019 Mar;47(3):377-382. doi: 10.1016/j.jcms.2019.01.004. Epub 2019 Jan 18.
At the time of writing there is no measuring scale for the severity of facial trauma that can effectively summarize its clinical relevance, and can therefore be proposed as a definitive tool in trauma center decision making. This paper introduces a new, simple, comprehensive, and reproducible score for facial trauma, in which its severity is expressed in relation to the surgical duration necessary for definitive treatment. This parameter is identified as the most significant in expressing the commitment of care required. Statistical validation of this comprehensive facial injury (CFI) score involved a sample of 1050 patients, treated by the same team in two highly specialized trauma centers. It demonstrated a linear regression between CFI score and surgical duration, and a high degree of accuracy in forecasting overall surgical time for each type of facial injury. The descriptive capacity of CFI score, and its extremely simple use, make it a perfect tool for widespread application and for facilitating communication inside trauma centers. It also allows the classification of homogeneous groups of patients - a prerequisite for benchmarking and effective analysis of results. The CFI model is definitively proposed for the classification of facial injuries, and therefore for the integration of maxillofacial skills, within the trauma team.
在撰写本文时，还没有一种能够有效总结其临床相关性的面部创伤严重程度的衡量标准，因此无法作为创伤中心决策的明确工具。本文介绍了一种新的、简单的、全面的、可重复的面部创伤评分方法，其中严重程度与确定性治疗所需的手术时间相关。该参数被确定为表达所需护理承诺的最重要因素。该综合面部损伤（CFI）评分的统计验证涉及到 1050 名患者的样本，这些患者由两个高度专业化的创伤中心的同一团队进行治疗。结果表明，CFI 评分与手术时间之间存在线性回归关系，并且能够非常准确地预测每种类型面部损伤的总手术时间。CFI 评分的描述能力和极其简单的使用使其成为广泛应用和促进创伤中心内部沟通的理想工具。它还允许对同质患者群体进行分类——这是基准测试和有效分析结果的前提。CFI 模型明确用于面部损伤的分类，因此用于创伤团队中颌面技能的整合。
