Recording and Classification of Complications in a Surgical Practice

Veen, M. R.; Lardenoye, Jan Willem H. P.; Kastelein, Gerard W.; Breslau, Paul J.

doi:10.1080/110241599750006622

Cited by 73 publications

(16 citation statements)

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“…First, the definition of a complication has to be made accurately [9, 10]. In most studies, frequently occurring complications after surgery, that caused no irreversible damage to the patients, are not documented [11].…”

Section: Resultsmentioning

confidence: 99%

“…Since 1996, we have documented and analyzed all complications in patients from the surgical ward, the intensive care unit, and the operation room of our hospital [10]. Every unwanted development of the illness or the treatment of the patient’s illness that occurs in the clinic – thus only inpatient hospitalization is included – is considered a ‘surgical complication’ [10].…”

Section: Methodsmentioning

confidence: 99%

“…Every unwanted development of the illness or the treatment of the patient’s illness that occurs in the clinic – thus only inpatient hospitalization is included – is considered a ‘surgical complication’ [10]. For example, an infection of the wound that healed with antibiotics will be documented, although the impact of such a happening in the long run is of negligible importance to the patient’s health.…”

Section: Methodsmentioning

confidence: 99%

“…By comparing the results of this system year by year, one can accurately monitor improvements and deteriorations of one’s own work. If the clinical results are negatively changed compared to previous years or if they are not in line with published results from other medical centers, the medical protocols need to be adapted [9, 10]. …”

Section: Background/aimsmentioning

confidence: 99%

See 3 more Smart Citations

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Peeters¹,

Peeters²,

Corion³

et al. 2005

Dig Surg

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Background/Aims: Since 1996, a standard registration is used to obtain a clear understanding of the complications that occur after colorectal surgery. In our registration system the cause of a complication and the detrimental effect to the patient’s health are coded. Methods: The treatment of colorectal diseases was evaluated to analyze the quality of medical care. Results: From 1996 to 2000, a total of 169 complications were documented in 108 of the 353 patients operated on. Leakage of the anastomosis occurred in 22 cases (6%) and wound infection occurred in 11 cases (3%). Most of the complications required no or little medical attention (n = 101, 59%). 51% of the complications could be attributed to the physical condition of the patient. Surgical complications were the cause in 31% of the cases and management problems in 16% of the cases. Conclusion: A registration system provides good insight into the frequency and severity of the complications after colorectal surgery. Extensive registration is mandatory to provide reliable information, comparing the results year by year. This provides the basis for continuous improvement of medical protocols on the surgical ward.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Background/aimsmentioning

confidence: 99%

See 2 more Smart Citations

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Peeters¹,

Peeters²,

Corion³

et al. 2005

Dig Surg

View full text Add to dashboard Cite

show abstract

“…The following definition was used for sepsis: ‘A patient having a positive blood culture’. The definition of complication used in our department is: ‘Every unwanted development of the illness of the patient or of the treatment of the patient’s illness that occurs in the clinic’ [10]. …”

Section: Methodsmentioning

confidence: 99%

Mortality after Colon Surgery: The Value of a Mortality Registration System

Maartense¹,

Peeters²,

Spaander³

et al. 2003

Dig Surg

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Background/Aims: Postoperative mortality after colon surgery is relatively infrequent. In order to evaluate the quality of colon surgery, post-mortem evaluation is useful. This study was performed to determine the value of a mortality register used at the Department of Surgery of the Red Cross Hospital. Methods: From 1991 to 2000, 882 colon resections were performed for both malignant and benign disorders, including elective and emergency surgery. Permission for autopsy was asked routinely. All cases were reviewed and categorized in a multidisciplinary meeting. Any discrepancy between the clinical and post-mortem diagnosis was determined by a pathologist. Results: The mortality rate of colon surgery was 8.0% (n = 71), 23% for emergency surgery and 6% for elective surgery (p < 0.001). For patients under 70 years of age the mortality rate was 4.3%, for patients over 70 years of age 11.2% (p < 0.001). Autopsy was performed in 62% (n = 44) of the patients. Discrepancy between clinical and post-mortem findings was documented in 14%. Conclusion: Postoperative mortality after colon surgery is influenced by the timing of surgery (elective or emergency procedure) and the age of the patient. A discrepancy of 14% between clinical cause of death and post-mortem cause of death justifies the need for obtaining autopsy in this type of surgery.

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The Clavien–Dindo Classification of Surgical Complications

Dindo

2013

Treatment of Postoperative Complications After Digestive Surgery

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Recording and Classification of Complications in a Surgical Practice

Abstract: Audit of complications is necessary to improve practice in a surgical department, and weekly morbidity and mortality meetings are a good opportunity for learning about them.

Cited by 73 publications

References 0 publications

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Mortality after Colon Surgery: The Value of a Mortality Registration System

The Clavien–Dindo Classification of Surgical Complications

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