The purpose of this study is to evaluate the predictive ability of the OTA-OFC system in regards to short term (90 day) 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 healingResults: 373 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 day) 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.
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 October 2016.
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