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RESULTS: Of 70,339 patients identified as above, 9,931 had a complication associated with their procedure. mFI of 0.12 (±0.11) was calculated for these patients and was significantly greater than 0.077 (±0.85) for patients with no complications (p<0.001). When examining mFI correlation with Clavien-Dindo Grade IV complications (n=2,541), mFI once again was significantly greater (0.16 ± 0.12) than those with no Grade IV complications (0.080 ± 0.09; p<0.001). Multivariate analyses also showed that all individual factors of the mFI (diabetes mellitus, hx of MI, etc.) were predictive of any complications and Grade IV complications (p<0.001). Calculated odds ratios showed that higher pre-operative mFI also had a 7.77x likelihood of having any complication, 35.71x likelihood of having a Grade IV complication, 3.85x likelihood of having a surgical site complication, and a 62.05x likelihood of death (all p<0.001). Recursive partitioning revealed that a threshold of greater than 3 indicators of mFI conferred a 2.07x likelihood of a Grade IV complication and a 2.33x likelihood of death (both p<0.001).

Abstract: Impact of Breast Reconstruction Patients on Cosmetic Practice