Complication of Surgical Procedure
Conditions
Keywords
complications, unexpected events, severity grading systems
Brief summary
Data on all patients who experienced unexpected events at the Department of Pediatric Surgery Hannover Medical School from 1st January 2017 to 30th November 2020 were documented prospectively. The department represents the only tertiary academic institution of the german province of Lower-Saxony (8 million inhabitants). The clinical spectrum of the department includes surgery of the neonate, gastrointestinal, hepatobiliary, thoracic and oncological surgery and pediatric urology.
Interventions
OTHERSeverity Grading assessment in children with perioperative unexpected events
Systematic documentation of all unexpected events was carried out by designated team members during daily routine team conferences. Briefly, on-call team members and all other staff reported on any unexpected event that had occurred within the previous 24 hours, after weekends during the past 72 hours. Events included those that had occurred in inpatients, outpatients and in the pediatric emergency department. Data concerning each event included patient demographics, diagnoses, treatments/operations and types of events.
Sponsors
Hannover Medical School
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Years to 18 Years
Inclusion criteria
* All patients with unexpected events during the in-hospital stay, in outpatient clinics and in the pediatric emergency department * Informed consent was obtained from the legal guardian´s at admission
Exclusion criteria
* If no informed consent was obtained from the legal guardian´s at admission
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of adverse events | Through study completion, an average of 3 years | All adverse events were prospectively documented |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Categorization of adverse events | Through study completion, an average of 3 years | Events associated with surgical/non-surgical interventions and events not associated with interventions such as organizational problems, management problems or underlying disease were differentiated. |
| Classification of adverse events | Through study completion, an average of 3 years | According to the Clavien-Dindo-, T92-, contracted Accordion-, Extended Accordion- and MSKCC-Classification |
| Calculation of the Comprehensive Complication Index (CCI®) | 3 months | Using an online tool based on the protocol by Staiger et al.(http://www.cci.assessurgery.com). |
Countries
Germany
Contacts
Primary ContactOmid Madadi-Sanjani, Dr
Outcome results
None listed