Immediate Breast Reconstruction Risk Assessment Score (IBRRAS) of Fischer et al

Description

Fischer et al developed the Immediate Breast Reconstruction Risk Assessment Score (IBRRAS) for estimating the risk of complications following immediate breast reconstruction. This can help identify a woman who is more likely to have problems after the procedure. The authors are from the University of Pennsylvania and Yale School of Medicine.

Patient selection: woman with breast cancer

Outcome: risk for complications after immediate breast reconstruction (superficial or deep wound infection, wound dehiscence, unplanned return to OR, prosthetic or flap loss)

Parameters:

(1) obesity

(2) active smoking

(3) ASA classification

(4) reconstruction (autologous versus implant)

Parameter	Finding	Points
obesity	none	0
	Class I	2
	Class II or III	4
active smoking	no	0
	yes	2
ASA classification	1 or 2	0
	3 or 4	1
reconstruction	implant	0
	autologous	2

total score =

= SUM(points for all 4 parametes)

Interpretation:

• minimum score: 0

• maximum score: 9

• The higher the score the greater the risk for complications.

Score	Risk	Complication Rate
0 - 2	low	7%
3 or 4	intermediate	11%
5 - 7	high	17%
8 or 9	very high	27%

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Description

Specialty

ICD-10