Performance of Comprehensive Complication Index and Clavien-Dindo Complication Scoring System in Liver Surgery for Hepatocellular Carcinoma.

作者: Alessandro Giani , Federica Cipriani , Simone Famularo , Matteo Donadon , Davide Paolo Bernasconi

DOI: 10.3390/CANCERS12123868

关键词:

摘要: Background: We aimed to assess the ability of comprehensive complication index (CCI) and Clavien-Dindo (CDC) scale predict excessive length hospital stay (e-LOS) in patients undergoing liver resection for hepatocellular carcinoma. Methods: Patients were identified from an Italian multi-institutional database randomly selected be included either a derivation or validation set. Multivariate logistic regression models ROC curve analysis including CCI CDC as predictors e-LOS fitted compare predictive performance. E-LOS was defined LOS longer than 75th percentile among with at least one complication. Results: A total 2669 analyzed (1345 1324 validation). The odds ratio (OR) 5.590 (95%CI 4.201; 7.438) 5.507 (4.152; 7.304) CDC. AUC 0.964 0.893 set 0.962 vs. 0.890 set, respectively. In two complications, OR 2.793 (1.896; 4.115) 2.439 (1.666; 3.570) 0.850 0.673, respectively cohort. 0.806 0.658 Conclusions: When reporting postoperative morbidity surgery, is preferable scale.

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