Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients
Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients
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DOI：
10.1007/s10353-018-0551-z
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发表时间：
2018-12-01
影响因子：
0.6
通讯作者：
Riss, P.
中科院分区：
文献类型：
--
作者：
Bolliger, M.;Kroehnert, J. -A.;Riss, P.
标准化Clavien-Dindo手术并发症分类是一种简单而广泛使用的工具，用于评估和报告普通外科的术后并发症。然而，大多数文献使用这种分类来报告单一手术领域或甚至特定干预中与手术相关的发病率和死亡率。本研究的目的是目前的经验与Clavien-Dindo分类时，适用于所有患者的普外科病房的三级转诊care.Methods我们分析了一个为期6个月的护理奖与国外范围的一般和内脏手术。对出院报告和患者病历进行回顾性分析，并根据最新的Clavien-Dindo分类版本对报告的并发症进行评级。手术的复杂性进行了评估与奥地利商会的内科医生accountingsystem.Results该研究包括517例患者817入院，其中463人进行了手术。12.5%出现并发症，其中19%被评定为Clavien I，20.7%被评定为Clavien II，13.8%被评定为Clavien IIIa，27.6%被评定为Clavien IIIb，8.6%被评定为Clavien IVa，10.3%被评定为Clavien V。研究期间未发生Clavien IVb级并发症。患者经历了更复杂的手术或更高的分数经历了显着更长的住院时间stay.Conclusion的Clavien-Dindo分类可以很容易地被用来记录并发症发生率在普通外科手术，即使这个集体不包括在原来的验证研究Clavien埃塔尔。并且由更严重受损的患者组成。
Background The standardized Clavien-Dindo classification of surgical complications is applied as asimple and widely used tool to assess and report postoperative complications in general surgery. However, most documentation uses this classification to report surgery-related morbidity and mortality in asingle field of surgery or even particular intervention. The aim of the present study was to present experiences with the Clavien-Dindo classification when applied to all patients on the general surgery ward of atertiary referral care center.Methods We analyzed aperiod of 6months of care on award with abroad range of general and visceral surgery. Discharge reports and patient charts were analyzed retrospectively and reported complications rated according to the most recent Clavien-Dindo classification version. The complexity of operations was assessed with the Austrian Chamber of Physicians accounting system.Results The study included 517 patients with 817 admissions, of whom 463 had been operated upon. Complications emerged in 12.5%, of which 19% were rated as ClavienI, 20.7% as ClavienII, 13.8% as Clavien IIIa, 27.6% as Clavien IIIb, 8.6% as Clavien IVa, and 10.3% as ClavienV. No Clavien grade IVb complication occurred within the investigation. Patients having undergone more complex surgery or with higher scores experienced significantly longer lengths of hospital stay.Conclusion The Clavien-Dindo classification can easily be used to document complication rates in general surgery, even though this collective was not included in the original validation studies of Clavien etal. and consisted of more heavily impaired patients.