Pollari F L, Bonnett B N, Bamsey S C, Meek A H, Allen D G
Department of Population Medicine.
J Am Vet Med Assoc. 1996 Jun 1;208(11):1882-6.
Postoperative complications (POC) that developed in dogs and cats that underwent elective ovariohysterectomy, castration, and declaw at a veterinary teaching hospital were determined by examining the computerized abstracts of the medical records and by examining a random sample of the paper medical records. When the computerized abstracts were examined, POC were found to have occurred in 62 (6.1%) of 1,016 dogs. One dog died and 6 others developed major complications. Postoperative complications were found to have occurred in 38 (2.6%) of 1,459 cats. Two cats died and 1 was euthanatized. Four other cats developed major complications. Complete paper medical records for 218 dogs and cats were examined. When the paper medical records were examined, the proportions of dogs and cats with POC were 19.4% and 12.2%, respectively. These proportions were 4 to 7 times higher than when the computerized abstracts were the data source. Results of this study indicate that the frequency of clinically relevant POC of elective surgeries in dogs and cats is substantial. Examination of the computerized abstracts of medical records at this hospital allowed us to rapidly identify cases that could be included in the study but the frequency of POC would be significantly underestimated if paper records were not also assessed.
通过检查病历的计算机摘要以及随机抽取纸质病历样本，确定了在一家兽医教学医院接受择期卵巢子宫切除术、去势手术和爪子切除手术的犬猫所发生的术后并发症（POC）。在检查计算机摘要时，发现1016只犬中有62只（6.1%）发生了POC。1只犬死亡，另外6只出现了严重并发症。在1459只猫中，发现38只（2.6%）发生了术后并发症。2只猫死亡，1只被安乐死。另外4只猫出现了严重并发症。检查了218只犬猫的完整纸质病历。在检查纸质病历时，发生POC的犬猫比例分别为19.4%和12.2%。这些比例比以计算机摘要作为数据源时高出4至7倍。本研究结果表明，犬猫择期手术中具有临床相关性的POC发生率相当高。对该医院病历计算机摘要的检查使我们能够快速识别可纳入研究的病例，但如果不评估纸质记录，POC的发生率将被显著低估。
