Grundmann R, Papoulis C
Chirurgischen Universitätsklinik, Köln-Lindenthal.
Zentralbl Chir. 1989;114(11):730-9.
During a 5-year-period we recorded prospectively 5,823 patients who had undergone general surgery and documented the postoperative complications as wound infection, pneumonia, reoperations and death. A score including all these complications was developed to evaluate the risk of an operation more exactly than using the wound infection rate alone. This method seems to provide a continuous monitoring and the comparison of the complication risks of certain operations within a quality assurance program. For gastric and colon surgery we found a correlation between postoperative antibiotic use and score, but not between score and postoperative hospitalization time.
在5年期间，我们前瞻性地记录了5823例接受普通外科手术的患者，并将术后并发症记录为伤口感染、肺炎、再次手术和死亡。开发了一个包含所有这些并发症的评分系统，以比单独使用伤口感染率更准确地评估手术风险。这种方法似乎可以在质量保证计划中对某些手术的并发症风险进行持续监测和比较。对于胃和结肠手术，我们发现术后抗生素使用与评分之间存在相关性，但评分与术后住院时间之间没有相关性。
