However, most documentation uses this classification to report surgery-related morbidity and mortality in a single field of surgery or even particular intervention.
PubMed searches for “Clavien-Dindo” ranked by year show a distinct increase over the past years, specifically the past decade (1 citation in 2009, 6 in 2010, 28 in 2011, 5 in 2012, 87 in 2013, 164 in 2014, 251 in 2015, 36 in 2016, 524 in 2017).Describing perioperative instead of merely postoperative complications could also help to assess a given surgeon’s quality. Discharge reports and patient charts were analyzed retrospectively and reported complications rated according to the most recent Clavien-Dindo classification version. The standardized Clavien-Dindo classification of surgical complications is applied as a simple and widely used tool to assess and report postoperative complications in general surgery. pmid:15273542. 200a, 69118, Heidelberg, Deutschland. An accurate classification system established for surgical wounds aids in assessment and pre- and post-operative care planning. Data suggest that surgical site infection (SSI) incidence could be halved with implementation of evidence-based interventions. The remaining five patients had recurrent pancreatic carcinoma and received only palliative surgery, such as gastroenterostomy, biliodigestive anastomosis, endoscopic retrograde cholangiopancreatography, embolization, or explorative laparotomy. Systematic assessment of surgical complications in 438 cases of vaginal native tissue repair for pelvic organ … Author information: (1)Zentrum für Wirbelsäulenchirurgie, Klinik für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsmedizin Heidelberg, Schlierbacher Landstr. 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 a tertiary referral care center.All patient data were retrospectively extracted from discharge letters and electronic records.
The Ethics Committee of the Medical University of Vienna approved this study (vote 1877/2012).As far as we know, this is the first study to use the Clavien-Dindo classification in patients from the whole general surgical spectrum.Division of General Surgery, Department of Surgery, Medical University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, AustriaThese results show that both more complex operations and higher complication grades result in longer LOS.How can surgeons assess—and for that matter, even improve—their proficiency in an effort to also enhance the outcome and overall experience of and for their patients?Open access funding provided by Medical University of Vienna.Frequency of Clavien-Dindo grades and length of stayThis present study aimed to analyze the implementation of the Clavien-Dindo classification for complications in the general surgery patient ward of a tertiary referral care center (university hospital), offering the entire spectrum of this specialization, which has not yet been documented in the literature.Meanwhile, the Clavien-Dindo classification has been used in hospitals around the world and evaluated for various surgeries.Surgery was performed in 463 patients (56.7%), 257 patients (31.4%) received chemotherapy, and 97 patients (11.9%) were admitted for conservative or diagnostic measures.Operation groups (complexity according to the Austrian Chamber of Physicians)Concerning the complexity of the procedures according to the accounting system of the Chamber of Physicians, the most common operations were of complexity grade 4 (151/463, 32.6%), followed by grade 5 (69/463, 14.9%), grade 6 (55/463, 11.9%), and grade 3 (45/463, 9.7%).This is the first study to evaluate the Clavien-Dindo classification in the diverse patient population of a general surgery ward offering a broad spectrum of operations, including transplantation and vascular surgery.The rate of mortality (= Clavien V) in the operated cohort was 6/58 patients (10.3%; 1.3% of all operated patients).
However, most documentation uses this classification to report surgery-related morbidity and mortality in a single field of surgery or even particular intervention. The Expanded Classification more suitable for studies with a large number of complications. The Clavien-Dindo (CD) classification of post-surgical complications was originally described in an adult general surgical setting in 1992 and has become widely used. … However, according to the authors, especially grade I complications are rarely reported. Those five patients all died of multiorgan failure due to primary disease progression.The patients who stayed the longest on average underwent surgery of the urinary tract, i.e., mostly kidney transplantations (mean LOS 14.17 days). The gender ratio was 53.7% male to 46.3% female. However, most documentation uses this classification to report surgery-related morbidity and mortality in a single field of surgery or even particular intervention. Even though this was carried out as accurately as possible, we cannot assess and guarantee the quality of primary documentation.Since this is a retrospective analysis, this article does not contain any studies with human participants or animals performed by any of the authors.
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