克莱维恩-迪诺分类系统在评估头颈外科手术并发症中的应用。
Use of Clavien-Dindo Classification System in Assessing Head and Neck Surgery Complications.
作者信息
Vallur Srujan, Dutta Angshuman, Arjun A P
机构信息
1Command Hospital Air Force Bangalore, Bangalore, India.
2Department of ENT, Head and Neck Oncosurgery, Command Hospital Air Force Bangalore, Post Agaram, Old Airport Road, Bangalore, 560007 India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2020 Mar;72(1):24-29. doi: 10.1007/s12070-019-01718-7. Epub 2019 Jul 25.
Improving quality of postoperative surgical care in head and neck surgery requires reporting of complications. Clavien-Dindo classification system can be used in grading complications related to head and neck surgery and to assess interobserver variability in grading complex complication scenarios. Data was collected from 242 patients who underwent Head and Neck Surgery from 2015 to 2018 at Dept. of ENT and Head and Neck Surgery at a tertiary care hospital. 177 patients had complications were graded based on Clavien-Dindo classification system, into a 5-scale classification system. Interobserver reliability scores for the complication grading scenarios were found to be statistically significant. Construct validity was confirmed as the length of stay in the hospital was statistically related to complication grade ( = 0.032) Reporting of complications is critical to quality improvement in surgical practice. The Clavien-Dindo complication grading scale system was found to be a useful tool for grading head and neck surgery complications.
提高头颈外科术后手术护理质量需要报告并发症。Clavien-Dindo分类系统可用于对头颈外科相关并发症进行分级，并评估在分级复杂并发症情况时观察者间的差异。数据收集自2015年至2018年在一家三级护理医院的耳鼻喉科和头颈外科接受头颈手术的242例患者。177例有并发症的患者根据Clavien-Dindo分类系统进行分级，分为五级分类系统。发现并发症分级情况的观察者间可靠性得分具有统计学意义。由于住院时间与并发症分级在统计学上相关（=0.032），结构效度得到确认。报告并发症对于手术实践中的质量改进至关重要。发现Clavien-Dindo并发症分级量表系统是对头颈外科并发症进行分级的有用工具。
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