Complication of Anesthesia, Complication of Medical Care, Complication of Surgical Procedure, Complication,Postoperative
Conditions
Brief summary
Postoperative adverse events may be associated with substantial morbidity and mortality. However, inconsistent definitions of complications and unexpected events have limited accurate analysis of surgical outcomes. In 2004, the Clavien-Dindo classification for postoperative complications has been introduced and has since then been validated in numerous studies, with more than 20.000 citations. Despite the appraisal of the Clavien-Dindo classification in the pediatric surgical literature, some criticize the transfer of grading systems for adults into a pediatric cohort without modification or validation. In a recent study we have shown that few items of the classification do not offer relevant information in pediatric cohorts and we have added organizational and management errors, not integrated in the initial proposal by Dindo et al. Especially, the variety of options for the management of complications based on institutional protocols and logistics is emphasized and a more focused and detailed assessment of the invasiveness of procedures in children is introduced.
Interventions
DIAGNOSTIC_TESTNovel severity grading system of unexpected events in pediatric surgery
Classification of unexpected events according to the Clavien-Madadi classification for pediatric surgical patients and simultaneously the non-modified Clavien-Dindo classification in more than 10.000 patients who have been treated at a single center from 2017 to 2022.
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 within the study period, treated at the department of pediatric surgery (preterms - 17 years of age), Hannover Medical School
Exclusion criteria
* None;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of adverse events | Through study completion, an average of 3 years |
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 classification |
| Classification of adverse events using a novel instrument | Through study completion, an average of 3 years | According to the Clavien-Madadi classification |
Countries
Germany
Contacts
Primary ContactOmid Madadi-Sanjani, Dr
Backup ContactJoachim Kuebler, Dr
Outcome results
None listed