Jeffries Howard, Bird Geoff, Law Yuk, Wernovsky Gil, Weinberg Paul, Pizarro Christian, Stellin Giovanni
Division of Critical Care, University of Washington, Seattle Children's Hospital, Seattle, Washington 98105, USA.
Cardiol Young. 2008 Dec;18 Suppl 2:265-70. doi: 10.1017/S1047951108003004.
A complication is an event or occurrence associated with a disease or a healthcare intervention, which constitutes a departure from the desired course of events, and may cause, or be associated with, suboptimal outcome. A complication does not necessarily represent a breech in the standard of care that constitutes medical negligence or medical malpractice. An operative or procedural complication is any complication, regardless of cause, occurring (1) within 30 days after an intervention in or out of the hospital, or (2) after 30 days during the same hospitalization subsequent to the operation or intervention. Operative and procedural complications include both intraoperative/intraprocedural complications and postoperative/postprocedural complications in this time interval. The Multi-Societal Database Committee for Pediatric and Congenital Heart Disease has set forth a comprehensive list of complications associated with the treatment of patients with congenital cardiac disease, related to cardiac, pulmonary, renal, haematological, infectious, neurological, gastrointestinal, and endocrinal systems, as well as those related to the management of anaesthesia and perfusion, and the transplantation of thoracic organs. The objective of this manuscript is to examine the definitions of operative morbidity as they relate specifically to patients who have received transplantation of the heart, heart and lung(s) or lung(s). These specific definitions and terms will be used to track morbidity associated with transplantation in a common language across many separate databases. The complications of transplantation are known risks of congenital cardiac surgery. The purpose of this effort is to propose consensus definitions for post-transplant complications following cardiac surgery so that collection of such data can be standardized. Clinicians caring for patients who have had transplantation of thoracic organs will be able to use this list for databases, quality improvement initiatives, reporting of complications, and comparing treatment strategies.
并发症是与疾病或医疗干预相关的事件或情况，它偏离了预期的事件进程，可能导致或与次优结果相关。并发症不一定代表构成医疗过失或医疗事故的医疗护理标准的违反。手术或操作并发症是指任何并发症，无论其原因如何，发生在（1）医院内或医院外干预后的30天内，或（2）在同一住院期间手术或干预后的30天之后。在此时间间隔内，手术和操作并发症包括术中/操作中并发症和术后/操作后并发症。儿科和先天性心脏病多社会数据库委员会已经列出了与先天性心脏病患者治疗相关的一系列全面的并发症，这些并发症涉及心脏、肺、肾、血液、感染、神经、胃肠和内分泌系统，以及与麻醉和灌注管理以及胸器官移植相关的并发症。本手稿的目的是研究手术发病率的定义，这些定义具体涉及接受心脏、心肺或肺移植的患者。这些特定的定义和术语将用于以通用语言在许多不同数据库中跟踪与移植相关的发病率。移植并发症是先天性心脏手术已知的风险。这项工作的目的是为心脏手术后的移植后并发症提出共识定义，以便此类数据的收集能够标准化。照顾接受胸器官移植患者的临床医生将能够将此列表用于数据库、质量改进计划、并发症报告以及比较治疗策略。
