Classification of surgical complications: analysis of the group of consecutive patients
Authors:
Z. Šubrt 1,2; A. Ferko 2; F. Čečka 2; B. Jon 2; J. Örhalmi 2
Authors‘ workplace:
Katedra válečné chirurgie, Fakulta vojenského zdravotnictví, Univerzita Obrany Brno
vedoucí katedry: doc. MUDr. L. Klein, CSc.
1; Chirurgická klinika Fakultní nemocnice Hradec Králové a Lékařské Fakulty UK v Hradci Králové
přednosta kliniky: prof. MUDr. A. Ferko, CSc.
2
Published in:
Rozhl. Chir., 2012, roč. 91, č. 12, s. 666-669.
Category:
Original articles
Podpořeno projektem (Ministerstva zdravotnictví) koncepčního rozvoje výzkumné organizace 00179906.
Overview
Introduction:
The aim of the work was to evaluate the implementation of Clavien – Dindo classification of surgical complications into a routine clinical praxis and to evaluate the results achieved at the university department of surgery.
Material and methods:
Prospectively collected data of patients hospitalized at the Clinic of Surgery of the University Hospital in Hradec Králové between January 2010 and September 2012 were retrospectively evaluated. Incidence, spectrum and severity of postoperative complications were evaluated according to individual surgical specializations.
Results:
9039 patients were operated and enrolled into the database during the time period from January 2010 to October 2012. A surgical complication was recorded in 1248 (12.9%) patiens, grade I. in 284 (3.4%) cases, grade II. in 384 (4.3%) cases, grade III in 370 (4.1%) cases, grade IV. in 67 (0.7%) patients. Death,i.e. grade V., occurred in 143 (1.43%) patients.
Conclusion:
Clavien – Dindo classification of surgical complications was successfully implemented into a routine clinical praxis at the department of surgery, University Hospital Hradec Králové. Wider use of this classification system would improve conditions for evaluation and comparison of results between different surgical approaches, surgeons or departments.
Key words:
mortality – morbidity – complication – analysis
Sources
1. Chung KC, Kotsis SV. Complications in Surgery: Root Case Analysis and Preventive Measures. Plastic Reconstructive Surgery 2012;129:1421–1427.
2. Dindo D, Clavien PA. What is a surgical complication? World Journal of Surgery 2008;32:939–941.
3. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of Surgery 2004; 240:205–213.
4. Clavien PA, Barkun J, de Oliveira ML et al. The Clavien-Dindo classification of surgical complications: five-year experience. Annals of Surgery 2009;250:187–196.
5. Dindo D, Hahnloser D, Clavien PA. Quality assessment in surgery: riding a lame horse. Annals of Surgery 2010;251:766–771.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2012 Issue 12
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