Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients.

作者: M. Bolliger , J.-A. Kroehnert , F. Molineus , D. Kandioler , M. Schindl

DOI: 10.1007/S10353-018-0551-Z

关键词:

摘要: The standardized Clavien-Dindo classification of surgical complications is applied as a simple and widely used tool to assess report postoperative in general surgery. However, most documentation uses this surgery-related morbidity mortality a single field surgery or even particular intervention. aim the present study was experiences with when all patients on ward a tertiary referral care center. We analyzed a period 6 months a ward a broad range visceral Discharge reports patient charts were retrospectively reported rated according recent version. complexity operations assessed Austrian Chamber Physicians accounting system. included 517 817 admissions, whom 463 had been operated upon. Complications emerged 12.5%, which 19% Clavien I, 20.7% Clavien II, 13.8% Clavien IIIa, 27.6% IIIb, 8.6% IVa, 10.3% Clavien V. No grade IVb complication occurred within investigation. Patients having undergone more complex higher scores experienced significantly longer lengths hospital stay. can easily be document rates surgery, though collective not original validation studies et al. consisted heavily impaired patients.

参考文章(24)
Shukri F. Khuri, Jennifer Daley, William Henderson, Kwan Hur, John Demakis, J. Bradley Aust, Vernon Chong, Peter J. Fabri, James O. Gibbs, Frederick Grover, Karl Hammermeister, George Irvin, Gerald McDonald, Edward Passaro, Lloyd Phillips, Frank Scamman, Jeannette Spencer, John F. Stremple, The Department of Veterans Affairs' NSQIP Annals of Surgery. ,vol. 228, pp. 491- 507 ,(1998) , 10.1097/00000658-199810000-00006
S. M. Strasberg, P. A. Clavien, Juan Ramon Sanabria, Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery. ,vol. 111, pp. 518- 526 ,(1992)
Ksenija Slankamenac, Rolf Graf, Jeffrey Barkun, Milo A. Puhan, Pierre-Alain Clavien, The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Annals of Surgery. ,vol. 258, pp. 1- 7 ,(2013) , 10.1097/SLA.0B013E318296C732
Steven M. Strasberg, David C. Linehan, William G. Hawkins, The accordion severity grading system of surgical complications. Annals of Surgery. ,vol. 250, pp. 177- 186 ,(2009) , 10.1097/SLA.0B013E3181AFDE41
S. C. Veltkamp, J. M. Kemmeren, Y. van der Graaf, M. Edlinger, C. van der Werken, Prediction of serious complications in patients admitted to a surgical ward. British Journal of Surgery. ,vol. 89, pp. 94- 102 ,(2002) , 10.1046/J.0007-1323.2001.01963.X
Airazat M. Kazaryan, Bård I. Røsok, Bjørn Edwin, Morbidity Assessment in Surgery: Refinement Proposal Based on a Concept of Perioperative Adverse Events International Scholarly Research Notices. ,vol. 2013, pp. 625093- 625093 ,(2013) , 10.1155/2013/625093
Jennifer L. Hay, , Thomas M. Atkinson, Bryce B. Reeve, Sandra A. Mitchell, Tito R. Mendoza, Gordon Willis, Lori M. Minasian, Steven B. Clauser, Andrea Denicoff, Ann O’Mara, Alice Chen, Antonia V. Bennett, Diane B. Paul, Joshua Gagne, Lauren Rogak, Laura Sit, Vish Viswanath, Deborah Schrag, Ethan Basch, Cognitive interviewing of the US National Cancer Institute’s Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) Quality of Life Research. ,vol. 23, pp. 257- 269 ,(2014) , 10.1007/S11136-013-0470-1
Eric D Peterson, Laura P Coombs, T Bruce Ferguson, A Laurie Shroyer, Elizabeth R DeLong, Fred L Grover, Fred H Edwards, STS National Cardiac Database Investigators, Hospital variability in length of stay after coronary artery bypass surgery: results from the Society of Thoracic Surgeon’s National Cardiac Database The Annals of Thoracic Surgery. ,vol. 74, pp. 464- 473 ,(2002) , 10.1016/S0003-4975(02)03694-9
Karl Y. Bilimoria, Yaoming Liu, Jennifer L. Paruch, Lynn Zhou, Thomas E. Kmiecik, Clifford Y. Ko, Mark E. Cohen, Development and Evaluation of the Universal ACS NSQIP Surgical Risk Calculator: A Decision Aid and Informed Consent Tool for Patients and Surgeons Journal of The American College of Surgeons. ,vol. 217, pp. 833- 842 ,(2013) , 10.1016/J.JAMCOLLSURG.2013.07.385
Daniel Dindo, Nicolas Demartines, Pierre-Alain Clavien, Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of Surgery. ,vol. 240, pp. 205- 213 ,(2004) , 10.1097/01.SLA.0000133083.54934.AE