An Evaluation of the OTA-OFC System in Clinical Practice: A Multi-Center Study With 90 Days Outcomes

Joey P Johnson; Matthew Karam; Jessica Schisel; Julie Agel

doi:10.1097/BOT.0000000000000648

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An Evaluation of the OTA-OFC System in Clinical Practice: A Multi-Center Study With 90 Days Outcomes

Journal article

Peer reviewed

An Evaluation of the OTA-OFC System in Clinical Practice: A Multi-Center Study With 90 Days Outcomes

Joey P Johnson, Matthew Karam, Jessica Schisel and Julie Agel

Journal of orthopaedic trauma, Vol.30(11), pp.579-583

11/2016

DOI: 10.1097/BOT.0000000000000648

PMID: 27392160

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Abstract

The purpose of this study is to evaluate the predictive ability of the Orthopedic Trauma-Open Fracture Classification (OTA-OFC) system in regards to short-term (90 days) outcomes of amputation, infection necessitating intravenous antibiotics, and wound healing in clinical practice across multiple centers. Prospective observational study. Academic and private practice. Patients with open fractures. None. OTA-OFC, amputations, IV antibiotics, and wound healing. Three hundred seventy-three patients with a total of 419 open fractures were enrolled. Logistic regression to predict amputation demonstrated that arterial and skin injury were statistically significant contributors to the prediction of amputation. Bone loss and muscle injury were significant contributors to the prediction of readmission for IV antibiotics. None of the variables in the OTA-OFC were significant predictors of unhealed wounds. Our study demonstrates the predictive value of the OTA-OFC regarding the short-term (90 days) outcomes of amputation and infection necessitating IV antibiotics and is another step towards the validation of the OTA-OFC in widespread clinical practice. Prognostic Level I. See Instructions for Authors for a complete description of levels of evidence.

Outcome Assessment (Health Care) - methods

Prevalence

Prognosis

Prospective Studies

Follow-Up Studies

Humans

Middle Aged

Postoperative Complications - prevention & control

Male

Anti-Bacterial Agents - therapeutic use

Fractures, Open - diagnosis

Aged, 80 and over

Adult

Female

Fractures, Open - surgery

Risk Factors

Treatment Outcome

Postoperative Complications - epidemiology

Trauma Severity Indices

Fractures, Open - epidemiology

Fracture Healing

Outcome Assessment (Health Care) - statistics & numerical data

Adolescent

Aged

Amputation - statistics & numerical data

Details

Title: Subtitle: An Evaluation of the OTA-OFC System in Clinical Practice: A Multi-Center Study With 90 Days Outcomes
Creators: Joey P Johnson - Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI; †Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA; and ‡Department of Orthopaedics, Harborview Medical Center, Seattle, WA
Matthew Karam
Jessica Schisel
Julie Agel
Resource Type: Journal article
Publication Details: Journal of orthopaedic trauma, Vol.30(11), pp.579-583
Publisher: United States
DOI: 10.1097/BOT.0000000000000648
PMID: 27392160
ISSN: 0890-5339
eISSN: 1531-2291
Language: English
Date published: 11/2016
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040578802771

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