TY  - JOUR
PY  - 2021//
TI  - Penetrating trauma rapid estimated disability scale: assessing facial self-inflicted gunshot wounds
JO  - Facial plastic surgery and aesthetic medicine
A1  - Carpenter, Patrick
A1  - McCrary, Hilary C.
A1  - Aylward, Alana
A1  - Cerrati, Eric
A1  - Hunt, Jason P.
A1  - Buchmann, Luke O.
A1  - Cannon, Richard B.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: Self-inflicted facial gunshot wounds (GSWs) result in complex but consistent injuries that are often survivable. We suggest a novel method for rapid stratification into groups that may be associated with hospital course and cost after self-inflicted facial GSWs. <br><br>METHODS: This is retrospective review of self-inflicted facial GSWs between January 1, 2009, and December 31, 2018, at a tertiary academic center. Patients were given a penetrating trauma rapid estimated disablity (PRED) score (1-4) based solely on radiologic imaging injury patterns. Clinicopathologic factors were then compared between groups. <br><br>RESULTS: There were 2 PRED 1 patients (15.1%), 8 PRED 2 patients (29.6%), 5 PRED 3 patients (18.5%), and 12 PRED 4 patients (44.4%). An increased PRED score was statistically associated with increasing mean days in intensive care unit (2.5 PRED 1, 4.2 PRED 2, 6 PRED 3, 11.6 PRED 4, p = 0.001), mean length of hospitalization (5.5 PRED 1, 13.1 PRED 2, 25.6 PRED 3, 39.8 PRED 4, p = 0.007), and mean cost ($) of hospitalization (22,000 PRED 1, 29,000 PRED 2, 37,000 PRED 3, 63,000 PRED 4, p = 0.01). <br><br>CONCLUSIONS and Relevance: The PRED score for self-inflicted GSWs to the face is strongly associated with length of hospital stay and cost of hospitalization.<p />  <p>Language: en</p>
LA  - en
SN  - 2689-3614
UR  - http://dx.doi.org/10.1089/fpsam.2020.0572
ID  - ref1
ER  -