Kafrelsheikh University Research Articles

Effect of Graston technique on hamstring flexibility in knee osteoarthritis patients: A randomized controlled study

Purpose. To investigate the effect of Graston technique on hamstring flexibility in patients with knee osteoarthritis. Methods. Randomized controlled trial. Overall, 30 patients of both genders with age ranged from 38-50 years with moderate knee osteoarthritis (Kellgren & Lawrence grade 3′ moderate’) were recruited randomly from the outpatient clinic of Kafr El-Sheikh General hospital and the outpatient clinic of Faculty of Physical Therapy in Kafr El-Sheikh University and divided into two equal groups; Group (A) (control group) (15 subjects), received conventional treatment of knee osteoarthritis (in form of stretching exercise for hamstring muscle and strengthening exercise for quadriceps muscle) for 4 weeks, Group (B) (experimental group) (15 subjects), received the same conventional treatment plus Graston technique for 4 weeks. Pre- and post-treatment assessment using active knee extension test (AKET), sit and reach flexibility test (SRFT) and dynamic balance were done for all patients. Results. The comparison between both groups post-treatment revealed statistically significant improvement in AKET, as well as SRFT and dynamic balance (p < 0.05) in favor of experimental group (B). Conclusion. Graston technique have a significant effect on improving flexibility of hamstring muscle in patients with knee osteoarthritis.

Assessment of bacterial isolates and antimicrobial susceptibility patterns in external ocular infections among patients attending eye clinic at Kafrelsheikh University Hospitals.

Ocular infections can harm the eye's anatomic structure on numerous levels. They are a global health issue. Endophthalmitis, a serious complication following cataract surgery, can result in substantial ocular morbidity and vision loss despite the administration of antibiotics. Bacterial ocular flora are the primary causative agents. This study aimed to assess the types of bacterial isolates on the external ocular surface and evaluate their antimicrobial susceptibility patterns in pre-operative cataract patients at Kafrelsheikh University Hospitals. This cross-sectional study enrolled 691 patients scheduled for routine cataract surgery in the Department of Ophthalmology at Kafrelsheikh University Hospitals, Egypt. Each patient underwent a comprehensive assessment of medical history, including the use of traditional medicine, past eye trauma, and any prior eye surgeries, as well as ophthalmic clinical data such as visual acuity and ocular surface disorders. Conjunctival swabs were collected and processed using standard microbiological procedures to identify bacterial isolates and their respective antimicrobial susceptibility patterns. Among the 691 patients enrolled (median age 60 years, IQR 54-66), 59.8% were female. Conjunctival cultures yielded positive results in 38 cases (5.6%). The most frequently isolated organisms were Staphylococcus aureus, accounting for 52.6% of isolates, followed by Staphylococcus epidermidis at 15.8%. Notably, S. aureus demonstrated the highest resistance to erythromycin and vancomycin, with all 20 isolates showing resistance. In contrast, linezolid exhibited high efficacy, with 19 isolates showing sensitivity and only one displaying resistance. This study indicated that ocular conditions such as dry eye syndrome, Meibomian gland dysfunction, and scaly blepharitis are strongly associated with the prevalence of culture-confirmed ocular infections. Regarding antibiotic susceptibility, most Staphylococcus species demonstrated the greatest sensitivity to linezolid and trimethoprim/sulfamethoxazole.

Voice Handicap Index-Throat: Translation and Cross-Cultural Adaptation to the Arabic Language.

This study aims to validate and assess the reliability of the Arabic version of the Voice Handicap Index-Throat (VHI-TA), as a self-reported questionnaire for patients with throat difficulties. A prospective, observational, cross-sectional, and descriptive study was performed in the ear, nose, and throat department of Kafr El-Sheikh University hospitals from October 2023 to July 2024. The preliminary VHI-TA was obtained through forward and backward translation. All participants were asked to fill out the Arabic version of VHI-T twice, 2 weeks apart, to test reliability. We tested the Arabic version for internal consistency, reliability, validity, sensitivity, and specificity to produce an Arabic-validated patient questionnaire. The questionnaire's internal consistency was assessed using Cronbach's alpha coefficient. Cronbach's alpha coefficient was calculated for each of the 10 items and for the total score to assess the reliability. Cronbach's alpha coefficient ranged from 0.961 to 0.986 for the 10 items (acceptable to excellent internal consistency) and 0.997 for total score (excellent internal consistency). The corrected item-total correlation values varied between 0.951 and 0.978. There was a significant difference between all domains and the total score of the VHI-TA tool (significantly higher among case group). Our results showed that the VHI-TA is a trustworthy and valid questionnaire for estimating self-perceived throat issues. In clinical practice, the VHI-TA is anticipated to identify a group of throat discomforts that are prevalent in our patients and that are only tangentially addressed by other instruments.

Identification of Architectural Roman Remains in the Complex Archaeological Site of Buto ‘Tell El Fara'in’, Northern Egypt, Using Geophysical and Remote Sensing Data

ABSTRACTThe integrated use of remote sensing (RS) techniques, vertical magnetic gradient (VMG) and electrical resistivity tomography (ERT) measurements, and, in particular, combined analysis of 2D and 3D data, can provide a viable option for the identification of targets of interest at complicated archaeological sites. In this regard, a case study is Kom C at the archaeological site of Buto (Tell El Fara'in) in the northern Nile Delta (Egypt), where satellite data (Google Earth, Landsat 8 and OrbView‐3), VMG and ERT measurements were collected prior to site excavation. In this particular case, soil salinity in the buried structures, a lack of contrast in magnetic susceptibility and electrical resistivity, as well as the orientation, complex spatial distribution and overlapping of the architectural elements, all contributed to a number of anomalies that were difficult to interpret using only 2D results. Initially, the archaeological remains were identified as being made of mud‐brick based on land surface temperature (LST) estimated from thermal bands (Bands 10 and 11) in Landsat 8. Then, the high‐resolution satellite data, as well as the VMG and ERT (2D, quasi‐3D and full 3D resistivity models), were integrated to produce a comprehensive map of buried archaeological features. Excavations by Kafrelsheikh University in collaboration with the Ministry of Tourism and Antiquities recovered archaeological remains, including architectural elements that were perhaps used for official or administrative purposes or pottery‐making workshops during the Late Roman period (between the 4th and 7th century ce). The direct comparison of geophysical results to archaeological evidence from the excavation enabled a robust interpretation of geophysical anomalies visible in the horizontal resistivity depth slice and magnetic maps. As a whole, this case study highlights the value of combining satellite data with the analysis of 2D data and 3D views of geophysical surveys to better understand the real distribution of buried archaeological remains at similar complex sites.

Awareness of Importance of Premarital Counseling among Students of Kafr El-Sheikh University, Egypt.

Awareness of Importance of Premarital Counseling among Students of Kafr El-Sheikh University, Egypt.

Evaluation of patients’ knowledge about their rights and responsibilities at Kafr El-Sheikh University

Abstract Introduction The American Dental Association has emphasized the importance of patients being aware of their rights and responsibilities. These responsibilities include providing accurate medical history information, reporting any changes, communicating desires and expectations, participating in healthcare decisions, and speaking out if unsure about dental prescriptions or approaches. This study aimed to evaluate patients’ knowledge of their rights and responsibilities at Kafr El-Sheikh University. Methods A cross-sectional study was conducted at Kafr El-Sheikh University Clinics starting in March 2024. A structured interview administered by the researcher was used to gather data from the patients. The questionnaire consisted of three sections: socio-demographic variables (sex, education, income), knowledge of patients’ rights, and patients’ responsibilities. Results The results showed that all patients (100%) were aware of their responsibility to maintain regular oral healthcare routines at home and to fulfill financial obligations towards healthcare. However, 74.9% of respondents were unaware of their responsibility for the consequences of declining treatment or not following the agreed-upon treatment plan. Conclusions The study concluded that patients had insufficient knowledge of their rights and responsibilities. It was also observed that patients’ knowledge of their rights and responsibilities increased with higher income and education levels.

Effectiveness of Using Some Elements of Digital Transformation (Data Analytics - Cloud Computing - Financial Technology) in Information Systems for Government Institutions "Field Study at Kafr El-Sheikh University"

Effectiveness of Using Some Elements of Digital Transformation (Data Analytics - Cloud Computing - Financial Technology) in Information Systems for Government Institutions "Field Study at Kafr El-Sheikh University"

Digital Resilience, Digital Stress, and Social Support as Predictors of Academic Well-Being among University Students

This study aimed to explore the relationship between academic well-being, digital resilience, digital stress, and social support among university students. Also, identify the students’ levels of these variables. As well as detecting differences due to gender, study level, academic specialization, and achievement level. A sample of 600 undergraduate students studying at Kafrelsheikh University, Egypt, participated in the study. Scales of digital resilience, digital stress, social support, and academic well-being were used to collect the required the data. The comparative-descriptive approach was used in this study. The study revealed a positive correlation between academic well-being, digital resilience, and social support, while a negative correlation was found with digital stress. The results also showed an average level in all the study variables, with no significant differences based on gender. Fourth-year students showed higher digital resilience and less digital stress compared to first-year students. High academic achievers had higher scores in digital resilience, social support, and academic well-being and lower scores in digital stress. Furthermore, the results indicated that digital resilience, digital stress, and social support significantly predict academic well-being. Some suggestions and educational recommendations were addressed, considering the results.

DIFFERENCES IN ACADEMIC ORIENTATIONS, EMOTIONAL PROCESSING DIFFICULTIES, AND TEST ANXIETY BETWEEN HIGH AND LOW-ACHIEVING COLLEGE STUDENTS

This study aimed to investigate differences in positive academic orientations, emotional processing difficulties, and test anxiety between high- and low-achieving college students. The sample includes four hundred students from Kafrelsheikh University. The study also aimed to detect gender differences in these variables. Measures of academic orientations, emotional processing, and test anxiety were used to collect the required data. The descriptive approach and statistical analysis were relied upon using SPSS. The study revealed statistically significant gender and achievement differences between positive academic orientations among university students in favor of high-achieving females. The study also revealed statistically significant gender and achievement differences in emotional processing difficulties in the direction of low-achieving males. In addition, significant gender and achievement differences in test anxiety were found in the direction of low-achieving females. Some implications, suggestions, and limitations were addressed.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0307/a.php" alt="Hit counter" /></p>

Role of virtual reality in examining the effect of fear of falling (FOF) on postural stability in individuals without and with Parkinson’s disease in Egypt: a mixed-methods feasibility study protocol

BackgroundFalls are common in older people and individuals with neurological conditions. Parkinson’s disease (PD) is known for postural instability causing mobility disabilities, falls and reduced quality of life. The fear...

The effect of lacosamide on calcitonin gene-related peptide serum level in episodic migraine patients: a randomized, controlled trial

BackgroundMigraine affects 11–15% of people worldwide, and the calcitonin gene-related peptide (CGRP) is released during the migraine attack, producing pulsating pain of migraine. Also, lacosamide reacts with collapsin-response mediator protein 2, preventing its phosphorylation and leading to the inhibition of CGRP release in the trigeminal system.ObjectiveThe primary outcome was the difference in the serum level of CGRP-LI after three months of treatment with either lacosamide and ibuprofen or ibuprofen alone in episodic migraine patients. The secondary outcomes were assessing safety and efficacy of lacosamide in episodic migraine patients.MethodsWe conducted an open-label randomized controlled trial on episodic migraine patients aged 10–55 years diagnosed according to (ICHD-3) in Kafr El-Sheikh University Hospital, Egypt. We assessed serum levels of CGRP-LI before and three months after treatment in our two groups, the lacosamide, and the control groups. We also assessed the side effects of treatment in each group, the percentage of patients who achieved ≥ 50% reduction in the migraine monthly days (MMD) frequency and the percentage of patients who achieved pain freedom within 2 h in ≥ 4 of 5 attacks in each group.Results200 episodic migraine patients completed the study. There was a statistically significantly higher reduction in the serum CGRP-LI level in the lacosamide group compared with the control group. In addition, lacosamide was well tolerated by patients. Also, the lacosamide group had statistically significant higher percentage of patients who achieved ≥ 50% reduction in the migraine monthly days (MMD) frequency and pain freedom within two hours in ≥ 4 of 5 attacks with P-values 0.002, 0.02 respectively.ConclusionThe daily use of lacosamide 50 mg Bid for three months in episodic migraine patients was associated with a significant reduction in serum CGRP-LI, better clinical outcomes regarding frequency and duration of migraine attacks, and was well tolerated by patients. These results were derived from an open-label pilot study that needed to be thoroughly investigated by a large-scale, randomized, double-blinded, placebo-controlled study.Trial registration: We registered our trial on ClinicalTrials.gov, named after "The Lacosamide's Effect on Calcitonin Gene-related Peptide in Migraine Patients," and with a clinical trial number (NCT05632133)—August 8, 2023.

Effect of authentic leadership on Nurses’ psychological distress and turnover intention

BackgroundAt healthcare institutions, authentic leadership style has a crucial role in creating a positive work environment where nurses show higher levels of engagement and less intent to leave their jobs in environments where authentic leadership has been exhibited. AimThisstudysoughttoinvestigate authentic leadership effects on nurses’ psychological distress and their turnover intention. DesignA cross-sectional descriptive study. SettingsThe study was conducted at Kafr Elsheikh University hospitals in Egypt. ParticipantsNurses working at Kafr Elsheikh University hospitals in Egypt were enrolled (N = 285). MethodsAuthentic leadership self-assessment questionnaire, Kessler psychological distress scale, and Michaels and Spector’s (1982) 3-item scale to measure turnover intentions were used. ResultsAuthentic leadership style has a statistically significant negative relationship with psychological distress (r = -0.28), and turnover intention was found (r = -0.18) retrospectively. Whereas the results indicated that there is a statistically significant positive relationship between psychological distress and turnover intention (r = 0.52). ConclusionThis study provided additional knowledge about authentic leadership behaviors’ role in promoting psychological well-being, decreased level of nurses’ psychological distress, and their intention to leave their work.

Tissue Inhibitor of Metalloproteinase 3 as a potential staging biomarker in hepatocellular carcinoma

Objective: To assess the potential role of tissue inhibitor of metalloproteinase 3 as a staging marker of hepatocellular carcinoma.Method: The experimental study was conducted at Faculty of Pharmacy, Kafrelsheikh University, Egypt, from December 2020 to March 2022 after approval from the Faculty of Pharmacy, Kafrelsheikh University, Egypt, and comprised male albino rats. The subjects were divided into 4 groups. The control group was administrated a single intraperitoneal injection of normal saline, while the other groups were generated post-induction of hepatocellular carcinoma. The induction was done by injecting rats intraperitoneally with a single dose of 200mg/kg diethyl nitrosamine, followed by the administration of 0.05% phenobarbital sodium in drinking water daily. Rats were euthanised at 8, 16 and 24 weeks after the injection to obtain three groups related to the 3 stages of hepatocellular carcinoma. Serum was used for measuring the alpha protein level. Liver homogenates were used for the assessmentof the hepatic tissue inhibitor of metalloproteinase 3 expression, B-cell lymphoma 2-associated X protein expression, and the hepatic content of matrix metalloproteinase -9 and cyclin D1. Data was analysed using Graph Prism 8.Results: Of the 24 rats with weight range 120-130g, 6(25%) were in each of the 4 groups. The relative protein and messenger ribonucleic acid tissue inhibitor of metalloproteinase 3 expressions were significantly decreased in the intervention groups compared to the control group, with more decline as the hepatocellular carcinoma stage increased. The matrix metalloproteinase -9 and cyclin D1 concentrations and the relative hepatic protein Ki67 expression were significantly raised in the intervention groups compared to the control group (p<0.05). The relative expression of hepatic B-cell lymphoma 2-associated X protein was markedly decreased in the intervention groupscompared to the control group (p<0.05).Conclusion: Tissue inhibitor of metalloproteinase 3 might be a promising diagnostic and staging biomarker in hepatocellular carcinoma.Keywords: Carcinoma, Hepatocellular, Neoplasms, Fetoproteins, Metalloproteinase, Cyclin, Antigen, Phenobarbital, Nitrosamines.

Application Of Health Belief Model About Cervical Cancer Screening Among Female Officer Employees In Kafr-El Sheikh University, Egypt.

To assessthe impact of a health educational programme on knowledge and health beliefs of female office workers regarding cervical cancer screening. The quasi-experimental study was conducted at Kafrelsheikh University, Egypt, from March to September 2021, and comprised all female employees at the university regardless of department or professional status. After baseline assessment using a self-designed questionnaire, an educational session was conducted through small focussed groups having 1-5 participants in their own office environments. Post-intervention change in knowledge and beliefs was assessed using the same questionnaire 1 month after the intervention. Data was analysed using SPSS 22. Of the total 492 female employees, 360(73.2%) completed the study. Of them, 256(71.1%) were aged 30-40 years, 283(78.6%) were ever-married, 206(57.2%) were from urban communities, 322(89.4%) had university educational, 280(77.8%) had sufficient income, and 214(59.4%) had high socioeconomic status. The mean totalscores for knowledge and health beliefs increased significantly post-intervention (p<0.0001). The use of health belief model to change knowledge of and perceptions towards cervical cancer and its screening was found to be effective.

Clinicopathological Value Of Epidermal Growth Factor Receptor (EGFR) And Ki-67 Expression In Colorectal Adenoma And Adenocarcinoma.

To evaluate epidermal growth factor receptor and Ki-67 immunohistochemical expression in colorectal adenoma and carcinoma cases, and to relate their expression with the available clinicopathological data. The retrospective study was conducted at the Faculty of Medicine, Kafrelsheikh University, Egypt, from September 2019 to October 2020, and comprised formalin-fixed and paraffin-embedded specimens related to cases of colorectal adenoma and those of colorectal carcinoma, who had no previous radiation or chemotherapeutic treatment. Immunohistochemical staining of all thecases was done using anti-epidermal growth factor receptor and anti-Ki-67 antibodies. Data was analysed using SPSS 20. Of the 70 cases, 20(28.5%) were of colorectal adenoma; mean age 52.95±13.47 years, and male-to-female ratio 1:1. The remaining 50(71.5%) cases had colorectal carcinoma; mean age 51.08±13.49 years, and male-to-female ratio 1.17:1. Epidermal growth factor receptor and Ki-67 overexpression related significantly to villous histopathological type and high-grade dysplasia in colorectal adenoma cases(p<0.05). In colorectal carcinoma cases, epidermal growth factor receptor overexpression related significantly to tumour grade (p<0.05). Ki-67 overexpression related significantly to increased pathological stage (p<0.05). Overexpression of epidermal growth factor receptor and Ki-67 was found to be an ominous sign of colorectal adenoma aggressiveness, and the risk of progression to colorectal carcinoma.

Effect Of COVID 19 Pandemic On The Academic Performance Of Physical Therapy Students.

To examine the impact of university closure and recourse to internet-based learning on the academic achievement of physical therapy students. The retrospective study was conducted at Kafrelsheikh University, Egypt, and comprised academic grades of physical therapy students related to pre-coronavirus disease-2019 pandemic academic year 2019-2020 in group 1 and per-pandemic 2020-2021 session group 2. Data was analysed using SPSS 26. Of the 8,190 students, 4,764(58.2%) were females and 3,426(41.8%) were males with age range 17-23 years who were studying at 5 academic levels. There were 3,732(45.6%) students in group 1 and 4,458(54.4%) in group 2. There were significant difference in the academic grades between the groups (p<0.005). There was greater improvement in the mean results of students' grades (p=0.001) and less variation between students in group 2 compared to group 1 (p<0.05). Online learning was found to be an effective teaching method for physical therapy students during the coronavirus disease-2019 pandemic with respect to basic medical knowledge. However, its impact on clinical and practical skills of the students was not confirmed.

Correlation Between Antimicrobial Resistance And Virulence Genes In Klebsiella Pneumoniae Isolates From Egypt.

To genotypically assess the relationship between certain resistance and virulence determinants. The cross-sectional study was conducted at Kafrelsheikh University, Egypt, from March 2019 to May 2021, and comprised pathologicalsamples, like blood,sputum, urine, vaginalswabs and wound swabs, that had been taken from patients who had never received treatment. The sample were collected from Kafrelsheikh and Mansoura University hospitals, and Klebsiella pneumoniae isolates were obtained. Resistance and virulence determinants were tested phenotypically. Uniplex polymerase chain reaction was used to evaluate the presence of several resistance accompanied genes and virulence genes in the isolates. Disc diffusion method was used to assess the isolates' susceptibility in accordance with the Clinical and Laboratory Standards Institute criteria for identifying diverse resistance patterns. There were 23 isolatesfrom 16 patients. Of the tested isolates, 22(95.65%)showed drug resistance; 19(82.6%) had multidrug resistance, and 3(13.04%) had extensive drug resistance. There was no case of pan drug resistance. CTX-M-15, NDM, CTX-M-1, VIM-1 and qnr B genes were detected in 14(60.86%), 13(56.5%), 6(26.08%), 6(26.08%) and 6(26.08%) isolates, respectively. Moreover, 6(26.08%) isolates exhibited extended-spectrum β-lactamase producers, and 12(52.17%) ofsuch isolates contained both CTX-M-1 and CTX-M-15 genes, 6 and 33.3% contained CTX-M-1, CTX M-15 and fox genes. Type 3 fimbriae adhesin mrkD and mucoviscosity regulatory gene uge were found in the tested isolates. However, gene of iron uptake system kfu wasfound in 8(34.78%) isolates, and increased serum survival protein is and mucoviscosity accompanied gene magA were detected in 3(13.04%) isolates. A direct correlation was found among 5 from 8 Klebsiella pneumoniae virulence genes and antimicrobial resistance genes. There was a direct correlation between the existence of virulence factors and resistance to antimicrobials.

Ascitic Fluid Calprotectin And Ratio Of Calprotectin To Total Protein In Spontaneous Bacterial Peritonitis.

To evaluate the diagnostic and prognostic role of ascitic fluid calprotectin and its ratio to total protein in spontaneous bacterial peritonitis cases. The prospective study was conducted at Kafrelsheikh University Hospital, Egypt, from November 2019 to December 2020, and comprised cirrhotic patients of either gender with ascites. Diagnostic abdominal paracentesis was performed for all patients and ascetic fluid calprotectin was measured. Patients were followed for development of spontaneous bacterial peritonitis or mortality. Data was analysed using SPSS 20. Of the 90 patients, 61(67.7%) were males and 29(32.2%) were females. There were 67(74.4%) patients with spontaneous bacterial peritonitis; 48(71.6%) males and 19(28.3%) females with mean age 60.42±8.3 years. The remaining 23(25.5%) did not have spontaneous bacterial peritonitis; 13(56.5%) males and 10(43.4%) females with mean age 59.7±7.4 years. The patients had significantly higher calprotectin, and calprotectin/total protein ratio (p<0.05). Logistic regression identified ascitic fluid calprotectin as a significant predictor of mortality (p=0.05). The non-survivors had significantly higher ascitic fluid calprotectin and calprotectin/total protein ratio compared to the survivors (p<0.05). Ascites calprotectin level and itsratio to total protein wasfound to be accurate diagnostic and predictive biomarkers for spontaneous bacterial peritonitis.

Left Atrial Function Assessment By Speckle Tracking Echocardiography In Low-Risk Atrial Fibrillation Patients.

To compare the left atrial function utilising speckle tracking echocardiography in patients with low-risk and high-risk non-valvular atrial fibrillation. The descriptive, cross-sectional study was conducted at the cardiology department of Kafrelsheikh University Hospital, Egypt, from January 2021 to January 2022, and comprised low-risk atrial fibrillatin participants in group I, high-risk atrial fibrillatin patients in group II, and healthy controls in group III. After detailed medical history, the subjects underwent 12-lead electrocardigram, and echocardiographic assessment, including two dimensional, M-mode, tissue doppler, and speckle tracking of the left atrium. The association of left atrial strain with Congestive heart failure, hypertension, age ≥75 (doubled), diabetes,stroke (doubled), vascular disease sex category (female)score was explored. Data was analysed using SPSS 28. Of the 90 subjects, there were 30(33.3%) in each of the 3 groups. The mean age among the groups was significantly different among the groups (p=0.014). Left atrial ejection fraction and left atrial strain had an overall significant difference among the groups(p<0.001). Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female)score was negatively correlated with Left atrial ejection fraction and (p<0.001) and left atrial strain (p<0.001). In individuals with atrial fibrillatin, there was a significant decrease in left atrial strain and left atrial function. The use of speckle tracking echocardiography allowed for a more detailed analysis of left atrial mechanics. The correlation of left atrialstrain and left atrial ejection fraction with Congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease sex category (female) score was significantly negative.

A Clinical Score For Predicting Complications Following Breast Reduction.

To establish a clinical score for morbidity prediction based on patient-related risk factors after breast reduction surgery. The retrospective study was conducted at the Department of Plastic and Reconstructive Surgery, Kafrelsheikh University Hospital, Egypt, and comprised data of female patients with bilateral macromastia who underwent breast reduction, using the inferior pedicle invertedT technique between February 2019 and June 2020. After data retrieval, risk factors and complications were documented and related to the patients'risk factors Data was analysed using SPSS 20. Of the 30 cases, 20(66.7%) were aged ≥35 years, 16(53.3%) had body massindex ≥37kg/m2 and 27(90%) were non-smokers. The mean preoperative haemoglobin level was 12.15±1.115g/dL and the mean weight of tissue resected on both sides was 2074.17±696.12gm. Factors significantly associated with complications included smoking, suprasternal notch to nipple distance ≥38cm, haemoglobin <12.5g/dL, the weight of excised tissue ≥2000gm and a positive family history of macromastia. The total score of the morbidity prediction scale ranged 2-190, with the best cut-off value being ≥93. The scale had 100% sensitivity,specificity, positive predictive value, negative predictive value and 100 percent accuracy. Ability to predict postoperative surgical-site morbidity may optimise safety as well as outcome after reduction mammaplasty.